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DoH brushes the worries aside

Despite serious concerns over evidence, the Government is pressing ahead with its nationwide rollout of active case management.

Gary Belfield, the Department of Health's head of primary care, insisted the time for talking and analysing was over.

Speaking at a conference on redesigning chronic disease management last week, he said the department was pushing against an open door.

'People are really grabbing this across the country. The time of having many pilots has to stop and we need to get on and do it,' he added.

But Dr Phil McCarthy, a GP in Bristol and chair of Avon LMC – where three pilots of the US Evercare scheme are under way – said he was concerned active case management was being rolled out without evaluation.

'You wouldn't license a drug without knowing how it worked,' he said. 'We always suspected that this was politically driven and was going to be rolled out whatever.'

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