The British journal of general practice : the journal of the Royal College of General Practitioners
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The current reorganisation of the English NHS is one of the most comprehensive ever seen. This study reports early evidence from the development of clinical commissioning groups (CCGs), a key element in the new structures. ⋯ CCGs are new organisations, faced with significant new responsibilities. This study provides early evidence of issues that CCGs and those responsible for CCG development may wish to address.
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Awareness of detail in ambiguous complaints may help GPs suspect cancer when a malignancy is present. ⋯ Selected symptoms appropriately resulted in GPs suspecting cancer. Comorbidity and multiple consultations were underestimated by GPs as factors associated with cancer. Cancer suspicion should rely on symptoms in combination with other relevant information.
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There is a trend towards consolidating smaller primary care practices into larger practices worldwide. However, the effects of practice size on quality of care remain unclear. ⋯ There is limited evidence to support an association between practice size and quality of care in primary care.