The political context has changed the face of primary health care over the last decade, hence the need for revising the content of this book, ensuring it is as up-to-date as any textbook can be. The NHS is witnessing radical reforms in an attempt to redress the balance in health across social groups in society (DoH 1999a, 1999b, 2001a). Inequalities in health influenced by structural and environmental issues, beyond the control of the individual, are guiding public health practice, whilst the organization of primary health care is again under review (Audit Commission 2002, British Medical Association 2002). Different models of primary care organizations are emerging across the four countries of the United Kingdom, with devolution playing a major part in determining the differences. A new General Practice Contract is on the horizon, and NHS Frameworks are directing practice in an effort to promote the delivery of clinically effective care (DoH 1999c, 2000a, 2000b, 2001b, 2001c). Professional regulation and protection of the public are major drivers for change, merging with a more informed general public. This second edition of Community Health Nursing - Frameworks for Practice brings these issues to the forefront and considers the implications for community nursing. It not only updates each chapter, but also responds to a range of critical comments for improvement received from reviewers. Recommendations suggested an increased emphasis on quality improvement, inclusion of a chapter on the prevention of child physical abuse, community mental health nursing, community learning disability nursing and school nursing, and the greater significance of public health as a framework for practice. This second edition has included these suggestions in its text.