The previous editions of this book have proved to be immensely popular with all members of the primary care team. This fourth edition reflects recent emphasis on evaluation and audit of clinical care and services provided by individual practitioners practice teams and Trusts. In particular it addresses the evolution of new systems for monitoring performance in Trusts with the establishment of the Healthcare Commission and the coordination of regulation bodies through the Healthcare Concordat. Sources of obtaining evidence have been completely updated by a health librarian with special expertise in clinical effectiveness. For healthcare students and new entrants to the profession this book with its worked examples of how to do an online database search is the most practical introductory text for locating the evidence for best clinical practice. It is essential reading for general practitioners practice managers and nurses and all those working in the primary care setting. Key reviews of previous editions: 'Invaluable' DOCTOR 'I recommend it to every health professional' COMMUNITY PRACTITIONER 'This is an easy to read introductory text defining and exploring clinical effectiveness and clinical governance' NURSING STANDARD 'It has an easy to read jargon free format making it useful for more experienced readers wishing to recap on a particular topic.' JOURNAL OF COMMUNITY NURSING 'A helpful addition to the practice library' AMSPAR 'Well-written and logically structured' PHYSIOTHERAPY JOURNAL 'There is a good balance between text and space and the authors have made a serious attempt to make the work user-friendly. The title is promising and the presentation is excellent' NURSING AND RESIDENTIAL CARE 'Previous editions were immensely popular with primary care teams. It provides realistic advice on collecting evaluating interpreting and applying evidence to support practice' PRIMARY CARE PARTNERSHIPS