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Letters Tackling the crisis in primary care

Tackling the crisis in primary care: time to shift the focus from access to improving population health

BMJ 2022; 378 doi: (Published 01 September 2022) Cite this as: BMJ 2022;378:o2105
  1. Simon de Lusignan, general practitioner and professor of primary care and clinical informatics
  1. Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6GG, UK
  1. simon.delusignan{at}

Paddison and Fuller, in their editorial on tackling the crisis in primary care, and Fuller, in her stocktake report for NHS England on integrating primary care, recognise that the current status quo is unsustainable.12 They do not, however, go far enough in flagging how policy needs to change.

Nobody, including me, is against access, but too much of the …

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