This article describes how Defence Primary Healthcare was integrated into one unified service, outlining the changes that were made and the positives and negatives of the process.
Following the Strategic Defence and Security Review of 2010, the UK Surgeon General was directed to merge the delivery of primary healthcare from the three single Service organisations to a unified Defence Primary Healthcare. Although front line clinical staff were to be preserved, considerable savings were to be made in headquarters staff. This was one of the largest UK military medicine changes in delivery for a generation. The changes were completed on time with the transfer of UK and overseas general practice, specialist community services and dentistry, with a later requirement to add healthcare for the Reserves. The first years of this initiative have been remarkably successful, and Defence Primary Healthcare (DPHC) has progressively increased performance in all the QOF criteria measured by Defence Statistics.
Burgess, J. E., Gall, M., Orr, S. and Kilbey, S., 2017. Formation of Defence Primary Healthcare: a new way of delivering firm base primary healthcare. Journal of the Royal Army Medical Corps, 163(2). Available at: <https://jramc.bmj.com/content/163/2/89>.