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. The 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. The k