Defining core general practitioner services

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Abstract
General practitioners feel trapped between the twin forces of increasing patient expectations and a growing transfer of work from secondary to primary care. Far from welcoming the secretary of state's recent proposals to increase the health service's focus on primary care,1 general practitioners have reacted by insisting that boundaries should be drawn around their responsibilities. The profession's negotiators are mandated to define a core of services which general practitioners would be contracted to provide. Services outside this core would be subject to separate contracts, probably negotiated locally with district purchasers. In this way, resources could be made to follow the patient, and limits could be placed on the inexorable flow …

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