TY - JOUR T1 - The coffee-shop model JF - British Journal of General Practice JO - Br J Gen Pract SP - 202 LP - 202 DO - 10.3399/bjgp16X684589 VL - 66 IS - 645 AU - Jim Pink AU - Leo Duffy AU - Jennifer Coventry Y1 - 2016/04/01 UR - http://bjgp.org/content/66/645/202.abstract N2 - I’m watching an assorted collection of wannabe entrepreneurs selling their souls in front of the TV cameras for the privilege of working with the self-made billionaire Lord Sugar. As we sit in front of the goggle-box, unwinding from the day, we learn about profit margins, innovation, and ‘upselling’. Back in the surgery, we reflect on what The Apprentice can teach us about running a GP surgery.The economic reality that most surgeries are profit-making enterprises is lost to most patients, and, indeed, some of our secondary care colleagues. There is a certain irony that, although most GPs would resist the privatisation of the NHS (to profit-making organisations), those same GPs work tirelessly to maximise the profits of their own small businesses.Upsellling in general practice can mean two things. Even before Stott and Davis1 described ‘the exceptional potential of each primary care consultation’, GPs were offering tidbits of health promotion to anyone who might listen, particularly among those with potential to improve their … ER -