ABSTRACT
The previous chapter outlined the challenges facing primary care, as it struggles to provide accessible and appropriate provision. This chapter now refines our focus and specifically explores the organisation and delivery of primary care. My start ing point, which further develops one of the implicit themes of the previous chapter, is that most users of the healthcare system have little choice but to accept what is offered to them and few are able to contribute to the design of the system before they use it. This is despite the fact that many who use the system and who are employed in the system, would prefer things to be different. This chapter is written from my personal and professional experiences as a white, Anglo-Saxon, male atheist. I will use those perspectives to consider how the current power structure in primary care has developed and suggest ways that may enable it to change to ensure better care for South Asian populations.
