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This case study have 4 these that needs to be discussed around a Type 2 Diabetic patient who has cardiovascular problems. Theme 1- critically discuss societal, environmental, policy influences on the aims of delivery health care. Theme 2- critically evaluate the professional role of the community practitioner within primary care. Theme 3- critically review and adapt existing knowledge to the provision of safe and effective care in community settings. Theme4- critically analysis the strengths and development needs of the family as a unit of care within an identified specialist area of community care.