Intended for healthcare professionals

Letters New Scottish GP contract

New Scottish GP contract increases risk for remote and rural communities

BMJ 2018; 360 doi: (Published 19 February 2018) Cite this as: BMJ 2018;360:k762
  1. Cathy Welch, general practitioner
  1. Arran Medical Group, Isle of Arran KA27 8NS, UK
  1. cwelch{at}

General practitioners in Scotland have voted to accept the 2018 contract,1 which says that “generalism, by definition, is a form of care that is person not disease centred.”2 But the fundamental approach remains unchanged from every contract in the history of medicine—designed from the urban based top, with a system centred focus on planning. Resourcing remains defined by the system’s imagined capacity rather than the real …

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