Abstract

In an era of dissatisfaction with many public services, the strength of British primary care, and especially general practice, leads other countries to look enviously at the UK.4,5 We can say, with some certainty, that healthcare systems which are oriented towards primary care generally produce high quality, equitable and efficient care.6 In this article we assess how well this holds true in the NHS and in reviewing the evidence describe where there might be weaknesses in British general practice. We think that British general practice should be measured against four dimensions: equity quality of clinical care responsiveness to patients efficiency

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