Small practices are the best, with good continuity and knowledge of the patients. But the reality is that small practices are failing. For it is hard to persuade a young doctor to commit to a lifetime in a small practice with limited professional contact, no career progression, financial risk, and open-ended responsibility. This at a time when GPs are pulled in every direction. Consulting, house calls, callbacks, prescriptions, reports, and ‘paperwork’. Work is out of control, many GPs are miserable, . We are in a terminal spin of decline.
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