In an interview in today's Evening Standard, head of NHS London Ruth Carnall said: ‘Can single-handed practice provide the range of modern primary care and other services. The answer is 'no'.
‘What isn't possible is the single-handed GP operating out of his front room with a family friend or wife doing reception and no visible practice nurse.
‘The ones which are going to close are the ones in crappy end-of-terrace houses where you can't park, get up the stairs or get a pram through the front door.
‘Many premises are wholly inadequate. Why would we want to invest in those?'
GPC chairman Dr Laurence Buckman replied: ‘As London's health chief, you have to be careful if you use words like ‘crappy'. These practices are popular with all races and religions because they provide continuity which larger practices don't. But London PCTs have starved them of funds. You don't judge a practice by its building but by patient satisfaction.'
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