Views & Reviews From the Frontline

Primary care: an investment opportunity you can’t refuse?

BMJ 2011; 343 doi: (Published 19 October 2011) Cite this as: BMJ 2011;343:d6746
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

Proposed new legislation and a political climate sensitive to the private sector offer a rare investment opportunity in the NHS.

Currently, primary care is dominated by small partnerships. And, like pharmacy and veterinary medicine, the workforce is increasingly salaried and often working part time. Management decisions are now concentrated in a dwindling number of partners, many of whom are close to retirement. Medical practices cannot be acquired in the traditional sense because there is no sale of “goodwill.” However, there is an opportunity to start combining these partnerships …

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