ABSTRACT
A single-handed practice is staffed by a lone general practitioner (GP), who usually employs other primary care staff such as a practice nurse and receptionist. Single-handed practices are becoming less common. Plus points include autonomy, little need for compromise with colleagues and relative freedom from bureaucracy. A group practice is made up of two or more GPs in partnership. A rural practice may be the only medical facility in a remote area. GPs need good acute medical skills. Practices in the inner city offer primary healthcare to people from very deprived backgrounds. The great majority of GPs work in primary care teams. Team composition and managerial structure vary from practice to practice. The practice manager is the senior administrator in a practice and is responsible for its organisation and administration, as well as supervising reception staff and secretaries.
