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Social media commenting, on line reviewing, annual appraisal, 50 hrs CPD, CQC inspection, tax and pension changes, tidal waves of email. There have been a raft of changes in general practise that have collectively adversely affected GP. For every hour consulting a GP needs two hours computer time. Full time GP doesn't exist. Clear the administration, provide a salaried contract and get doctors back in the consulting rooms where they belong.