Traditional general practice is changing. Three-quarters of practices are now working
collaboratively in larger-scale organisations – albeit with varying degrees of ambition and
organisational integration. Policy-makers and practitioners have high hopes for these
organisations and their potential to transform services both within primary care and
beyond. But can we be confident that they can live up to these expectations? This report
presents findings of an extensive literature review on the subject of large-scale general
practice, and contributes to a stream of work by the Nuffield Trust in this area, details of
which can be found at: www.nuffieldtrust.org.uk/large-scale-general-practice