Thirty‐Five Years of General Practice Payment and Administration in England

The British GP experience shows that it is too easy for politicians to add more work responsibilities to physicians paid by capitation without seriously examining and supporting the GP workforce to achieve the desired goals, which has led some UK GPs to recently propose fee-for-service payment. Administering and paying for GP services through the lens of complex adaptive systems management, with adequate resources, will likely result in a more effective and sustainable GP workforce.