Abstract

There have been significant changes to the NHS during the three terms of this Labour government. These have included The NHS Plan (Department of Health (DH), 2000), which established increased access and choice for patients; the national service frameworks, which have set standards for key areas of care; and the new General Medical Services contract (British Medical Association and NHS Confederation, 2003) which was implemented in April 2004. All of these developments have impacted on the role of clinicians working in general practice.

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