The Importance Of Being Primary

 No national healthcare policy encompassing no matter how many state -of- the art hospitals can be successful without a robust primary and community healthcare programme; it sits at the very heart of healthcare delivery.  


An opportunity to build a new primary care building provides the chance to design a modern state- of- the art facility that inspires and intuitively supports safe, effective and efficient patient care, with the flexibility to meet future developments in healthcare, technology and patient needs. This applies equally to the refurbishment and extension of existing buildings.


With this in mind, the CHD vision is to establish primary healthcare centres in inner city areas, urban settings and rural communities across Pakistan. 

Consider The Following...


  • Do we let young women die needlessly from breast cancer? Pakistan has the highest rates of breast and ovarian cancer in Asia. Breast cancer is the most common as it kills nearly 40,000 women every year in Pakistan. According to the World Health Organization (WHO), breast cancer rates are getting worse and it is not sparing even younger age groups. In the UK however, there has been a dramatic fall in such cases, which can be directly attributed to early diagnosis from breast-screening programmes in the primary healthcare environment. 
  • Do we continue to allow people  to be victims of counterfeit medicines that put lives at risk?


  •  Shall we let children visit unfit dispensaries and hospitals and leave with more diseases and infections than they arrived with? 
  • Should we continue to let three patients in an unhygienic bed be acceptable?
  • Can we just watch as the elderly suffer extreme pain simply because they cannot afford a simple medical procedure? 
  • Can we allow desperate people to be humiliated by being thrown out of clinics they can ill-afford or because they are considered unacceptable? 


  •  Do we continue to let people die from illnesses that could have been diagnosed at the primary level and prevented from spreading?  
  • Do we continue to add to the 10 million hepatitis sufferers?  
  • Diabetes is a silent killer. The poor sacrifice their medicines to feed their chikdren. Should they have to pay for such medicines? 
  • Do we allow the practice of private hospitals charging exorbitant fees for care that could easily have been dealt with by primary community care providers?       

How Do Primary Care Services Differ From Acute Clinical Services?


  • Acute hospitals deliver specialist healthcare services to a large population. It is more cost- effective and safer to centralise specialist staff and equipment in acute settings, which most patients access less frequently. Acute hospitals are generally made up of a number of specialist departments, each tailored to deliver a specific service from dedicated accommodation.


  •  Primary and community care buildings may deliver a wide range of frequently accessed, less specialised, primary and community care services. Many of these services can be delivered from shared generic accommodation. Such shared use of space is central to the successful design and operation of primary and community care buildings.


  • The range of services delivered from primary and community care buildings is likely to change more frequently than those delivered from acute hospitals (to reflect prevailing needs, policy and technology). The buildings that house them should be flexible enough to accommodate these changes, including where decisions are taken to deliver hospital services in primary and community care settings.


The CHD places great importance on design quality and to this end, a conscious effort has been made to follow strategic designs of NHS Primary Care Centres in the United Kingdom.