Building on the past: how historical research can contribute to our understanding of the spaces of general practice

In July the British Journal of General Practice published an Analysis article outlining the importance of the physical spaces of general practice, entitled 'Why the spaces in which we deliver care matter: implications and recommendations for general practice’' Drawing on supportive design literature, Kent et al highlighted the active role that space plays in healthcare delivery, despite largely being neglected. Primary care estate is an NHS England priority area, and as such gaining an understanding of these buildings and people’s experiences of using them is especially pertinent now in light of the recently updated Premises Costs Directions (PCD). We know very little about the buildings through which primary care is delivered and even less about how these spaces are experienced by their users (staff and patients), the role that space plays in healthcare encounters, and ultimately whether it has an impact upon health outcomes. To conduct this research comprehensively, a multifaceted approach will be needed drawing on multiple disciplines. Kent et al hinted at the possibility that this work can be informed by history, stating 'There may be lessons to learn from the GPs who worked from their homes in the past'. Through this Analysis piece, we aim to build upon this suggestion, demonstrating the value of historical work within primary care research.