TY - JOUR T1 - Motivations for ‘making a difference’ JF - British Journal of General Practice JO - Br J Gen Pract SP - 541 LP - 541 VL - 56 IS - 528 AU - Ashley Liston Y1 - 2006/07/01 UR - http://bjgp.org/content/56/528/541.abstract N2 - I read the exchange between Julian Tudor Hart and Richard Smith with interest. Like Richard Smith, I too have been challenged by the writings and the example of Julian Tudor Hart. My approach to ‘making a difference’ has been somewhat different.In 2004 I approached the Sunderland Teaching PCT (TPCT) to realise an ambition to take on a struggling practice in a needy area and turn it around. I worked as a locum in two such practices, one of which had been without a GP of its own for over 2 years. The team was superb and I joined them in November 2004 and was soon joined by a GP colleague. Together we set about transforming the practice. We were approved as a GP training practice with our first GP registrar in August 2005. Our QOF points for this year are 1047.My declared intention was always to take on the management of the practice which … ER -