If NHS general practitioners are self employed, what's to stop them bunching up in the cities, or delightful market towns for that matter? The Medical Practices Committee is what; it considers every request for a new partner. Its latest report (http://www.open.gov.uk/doh/mpc/mpch.htm) publishes the formula by which such requests are accepted or rejected: in essence a straight list size calculation with a correction for deprivation.
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