Abstract

What has happened to the career that I entered 26 years ago? I am sure this is a common thought among my generation of GPs. However, general practice is a hugely complex process and it is difficult to pick out specific areas that need to be changed to mount a rescue effort. Changes have been successively imposed on a primary care system consisting of GP partnerships that was formulated for a different era, and so it is little wonder that it is no longer fit for purpose. The unsustainability of the current system has become more apparent over the last decade since the New Contract. The principle paradigm is one of data collection. Numerous other …

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