TY - JOUR T1 - Bad Medicine: Paperwork JF - British Journal of General Practice JO - Br J Gen Pract SP - 88 LP - 88 DO - 10.3399/bjgp19X701165 VL - 69 IS - 679 AU - Des Spence Y1 - 2019/02/01 UR - http://bjgp.org/content/69/679/88.abstract N2 - Small practices are the best, with good continuity and knowledge of the patients. But the reality is that small practices are failing. For it is hard to persuade a young doctor to commit to a lifetime in a small practice with limited professional contact, no career progression, financial risk, and open-ended responsibility. This at a time when GPs are pulled in every direction. Consulting, house calls, callbacks, prescriptions, reports, and ‘paperwork’. Work is out of control, many GPs are miserable, ‘It’s just not the job I signed up for …‘. We are in a terminal spin of … ER -