TY - JOUR T1 - Author's response JF - British Journal of General Practice JO - Br J Gen Pract SP - 223 LP - 224 DO - 10.3399/bjgp11X561320 VL - 61 IS - 584 AU - Michael Fitzpatrick Y1 - 2011/03/01 UR - http://bjgp.org/content/61/584/223.3.abstract N2 - The world of general practice looks very different from the perspective of my surgery in Hackney than it does from the lofty heights of Imperial College. As it happens, I do not spend ‘significant portions’ of my day dealing with the consequences of smoking, alcohol, and poor diet. Most of my patients are children, older people, and others for whom these are non-existent or marginal issues. We do face challenging problems in rheumatology, endocrinology, neurology, psychiatry, and … ER -