How this fits in

Primary medical care in England has, traditionally, been delivered by small general practices. Over the last few years, and particularly since 2014, practices have been encouraged to grow or to work collaboratively to serve larger populations. This study found no convincing evidence that practices that have grown have better access to care but their relationship continuity of care may be worse. Practices that were collaborating closely in 2018 did not have better or worse access or continuity of care than those that were not.