development over a number of years however, with much more emphasis placed on thecommunity in recent years, it is finally making progress in relation to Intellectual Disability,Psychiatric, Public Health, General and Specialist Nursing in integrating secondary servicesinto the community. In order to describe the concept of community nursing in Ireland, thisassignment will take account of the following three themes, primary care, community nursingboth present and future and team working in the community.
Primary Care is not a new concept but, one that has being developing over thelast 30 years however, it has only recently begun to be strongly reaffirmed in Ireland. Froman international perspective, primary care is driven by the World Health Organisation (WHO)since it evolved at the Alma Ata conference 1978, where a declaration was proposed (WHO,1978) (Appendix 1). The declaration however, has been rejuvenated in recent times by theWHO Report (2008) which state
s primary care “now more than ever”. The WHO believed
that primary care was the most effective way to deliver care in the community and proceededto ask governments to establish primary care teams (PCTs) within their countries in order tofacilitate their proposed move towards the delivery of primary care outside of the hospitalservice. Today, countries such as UK, Spain, Netherlands, Denmark and Norway have welldeveloped primary health care systems where clients can only access secondary healthservices through GP referral which significantly reduces health care expenditure. On theother hand, Poland, Bulgaria and Africa are recognised to have under developed health caresystems with little focus on primary care.From a National perspective, the government in Ireland attempted to implement the PrimaryHealth Care Strategy in 2001 (DOH&C, 2001a) which focused on Quality and Fairness(DOH&C, 2001b). The proposed model of primary care was based on a team approach. Thestrategy put forward the need for an empowering primary health system which would provide