Intended for healthcare professionals

Letters Primary care networks

Primary care networks: the risk of “mission creep” calls for focused ambition

BMJ 2019; 367 doi: https://doi.org/10.1136/bmj.l5978 (Published 15 October 2019) Cite this as: BMJ 2019;367:l5978
  1. Luisa Pettigrew, NIHR doctoral research fellow,
  2. Nicholas Mays, professor of health policy
  1. Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK
  1. luisa.pettigrew{at}lshtm.ac.uk

Our research12 aligns with Wilson and Lewis’s recent editorial3 and with previous commentaries4 that emphasise the well intentioned, but potentially overambitious, hopes for primary care networks.

Positive impact seems plausible as a result of increasing organisational size, but it is not guaranteed. Unintended consequences frequently occur. Clinical outcomes or patient experience do not necessarily improve and might …

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