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  • Contemporary general practice in the UK is characterised by low incidence of major emergencies; high level of computerisation oriented to both primary uses of data (patient care) and secondary uses (audit, research, surveillance, implementing quality incentives) [29]; an increasing focus on chronic disease management and risk assessment (which depend on registration, recall and regular review) [30,31]; a well-demarcated division of labour, with patient care tending to be divided into tasks and delegated to the cheapest individual able to complete each task [32]; and a growing patient safety agenda, especially in relation to medicines management (i.e. prevention of drug-related errors and adverse reactions) [33].
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