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Is general practice being consigned to history?

BMJ 2000; 321 doi: (Published 05 August 2000) Cite this as: BMJ 2000;321:391
  1. Frank Akerman, general practitioner
  1. Romsey, Hampshire

    Coming towards the final phase of a career in general practice I had hardly expected the ghost of Margot Jefferys to return to haunt me. Jefferys was a distinguished professor of sociology at London University and lectured at the Diploma of Public Health courses at the London School of Hygiene and Tropical Medicine in the 1960s.

    Something very relevant and still very special is being destroyed

    She was a good and thought provoking lecturer, but I have never forgiven her for the derisory mark given for an essay she had set with the approximate title, “Targeting of health care—universal or personal provision.” The DPH, then about to be replaced by an MSc in health care, was a marvellous course for any budding general practitioner, but by the end of it I was convinced, despite the best efforts of Professor Jefferys, that one of the principal roles of a general practitioner was to try to harness and coordinate all the appropriate strands of support for …

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