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Letters Tackling the crisis in general practice

Crisis in general practice: the problem of “independent” contractor status

BMJ 2016; 352 doi: (Published 08 March 2016) Cite this as: BMJ 2016;352:i1334
  1. Naureen Bhatti, general practitioner1,
  2. Azeem Majeed, professor of primary care2
  1. 1Limehouse Practice, London E14 8HQ, UK
  2. 2Imperial College London, London W6 8RP, UK
  1. naureen.bhatti{at}

Roland and Everington rightly highlight the crisis in general practice and the need for greater investment.1 However, there is a third elephant in the room: continued support for “independent” contractor status.

There is inequity of current funding models, with three different contracts delivering variable and inequitable reimbursement based neither on measured workload nor on population …

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