In 1981, David Levi opened a GP (primary care) practice in one of the poorest suburbs of Lyon. Within three years, Levi and his colleague Jean Mersault had created a health network - GT69 - whose long-term impact was felt both on professional practice and national health policy. This case describes the pioneering development of Network GT69 from its beginnings in work with individual drug addicts through to its tackling of the more complex requirements of the strategic implementation of urban health policy. The case charts the pioneering efforts of Levi and Mersault as the network systematically implements a research agenda in practice and looks to the future as the network faces up to difficult choices. Is the network going to be able to continue to develop? Will it even even survive?
Issues are: - Networked healthcare - The creation of community-based health structures - Building multi-disciplinary collaboration in health services - Social action and the role of health professionals - Evidence-based approaches to community-level health interventions - Defining and Implementing Research methodologies in practice