New incentives for general practitioners in London

BMJ 1995;311:1314-1315 (18 November)

Editorials

New incentives for general practitioners in London

An opportunity that must not be wasted

The London Initiative Zone, encompassing an area of about 16km radius from Piccadilly Circus, was set up by the Departmentof Health in 1993 "to concentrate attention and resources ondeveloping primary care in the inner city."¹ Since then therehave been schemes to improve general practice premises and expandprimary care teams and community health services. General practiceis the focus for primary care in Britain; but contented, keendoctors are likely to provide better care than unhappy and frustratedones, and the morale of general practitioners in Britain hasbeen steadily deteriorating.² The Royal College of General Practitionersand the BMA's General Medical Services Committee have establishedtask groups to review professional recruitment and morale andrecommend ways of improving them.³ ⁴

Low morale has many causes, including increasing workload andprofessional isolation, inappropriate administrative tasks,unrealistic patient expectations, and an . . . [Full text of this article]

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