This paper describes the approach of one total purchasing project (TPP) to
health needs assessment (HNA) and identifies issues that require considerat
ion when undertaking HNA in primary care. It discusses the advantages of ad
opting a Health Authority (HA) HNA strategy and the development of a decisi
on-making process for implementing this and other strategies to address pos
sible areas of identified need. The prerequisites, advantages and potential
difficulties of this approach are highlighted and related to the needs of
primary care groups (PCGs) for addressing health needs and population healt
h.