ABSTRACT

We entitled this book D em a n d in g W ork. In one sense this is a misnomer. For practice nurses, the number of consultations they undertake is overwhelmingly rooted in practice decisions about how many nurse appointments to supply. Even for GPs, what they experience as an incessant demand is in fact a complex interaction of the decisions they take about how many appointments to supply and the decisions patients take about what to demand. We suggest that the decisions about supply are the principal governors of GP workload, and reflect deeper decisions about the kind and quality of service GPs wish to provide.