General Practice Is Disintegrating Due To Its Serial Reforms






By David Zigmond in BMJ Opinion.

Why is it so difficult to get continuity of care, or even an appointment, with your GP? And why is the GP workforce now so unhappy and depleted?

David Zigmond offers some explanations beyond those of increasing demands and how we finance them.

Recently both the BBC and several newspapers ran features and news items on the hazardous disintegration of NHS general practice. The interviews and features, bolstered by a Nuffield Trust analysis, composed an unmistakable picture. This comprised not just inaccessible appointments and almost vanished personal continuity of care. It also portrayed an alarmingly depleted and dispirited workforce marked by career abandonment, early retirement, and sickness and burnout.


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