According to the World Health Organisation WHO 2000 Service provision refers to the way inputs such as money staff equipment and drugs are combined to allow the delivery of health interventions Health service provision is the most visible and familiar product of the healthcare system As previously stated Middlesbrough has an issue with sexual health and sexually transmitted diseases there have been services in place since 2011 to help address this issue The first point of contact of healthcare for most people is usually their general practitioner GP or accident and emergency A E this is determined as primary healthcare The aim of primary care is to provide an accessible course of healthcare to all patients no matter the query Primary care however treats the patient rather than the specifics of the medical problem meaning that a GP is dealing with more generic diseases than specialising in particular areas resulting in referrals to secondary care professionals University of Bristol 2017 Sexual health services in Middlesbrough are free of charge and are open access a patient can self refer and chose to use a service at the location of their choice The service Sexual Health Teesside is a community based facility which offers both appointments and walk in clinics to provide patient centered care Department of Health 2013 This particular service includes the previously hospital based Genio Urinary Medicine GUM clinic and the community based contraception and family planning service CASH the service is predominately commissioned from local authorities and provided by VirginCare
There are five motives for Imperialism economic exploratory ethnocentric political and religious Imperialism is an action that involves a country that is trying to extend its power by taking over territories from other powers Political motives were often started as responses to threats to the security or prestige of the imperial power or its citizens abroad British knew if they were able to obtain more land it would lead to more wealth as well Free trade would also improve due to the rise in power among the merchant classes Political motives along with the other four motives describe the reason for the English Imperialism Economics and religions can be argued to be the two main social pressures that encouraged the English Colonization of North America North America promised fertile land fair climate and the possibility of growing valuable crops such as cotton and tobacco as well as the possibility of finding gold North America was also used as a base for English pirates which resulted in economic activity In addition slavery was a major avenue of forced migration to North America and its main drive was also economic With regard to the other main social pressure religion many colonists belonged to Christian minority groups such as Puritans and Quakers There was greater religious freedom possible in North America because the Church of England did not enjoy official status in the colonies as it did in Britain
