The British journal of general practice : the journal of the Royal College of General Practitioners
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UK cancer mortality is worse than in many other high-income countries, partly because of diagnostic delays in primary care. ⋯ By exploring individual GP behaviours together with practice systems and culture we contribute new understanding about how cancer diagnosis operates in primary care and how delays can be improved. We highlight commonly overlooked dynamics and tensions that are experienced by GPs as a tension between individual decision making (Capability and Motivation) and external considerations, such as pressures in secondary care (Opportunity).