The end is not nigh

Roger Jones'1 gloomy prognostications about general practice and the health service show that fashion is cyclic. Sixteen years ago Duncan Keeley, writing in the BMJ , was equally anxious about the future of general practice and even predicted Professor Darzi's polyclinics.2 In the meantime general practice has flourished. Each contractual shift has induced a temporary dip in job satisfaction and a sustained increase in income, making British GPs the highest paid family doctors in Europe. A …