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The change in GP workloads and the financial pressures on PCTs and Governments have increased the need to be able to run medical practices as effectively as possible. In addition changes in employment law and the increase in litigation relating to staff matters mean that doctors can no longer take a passive role in staff management. GPs are expected to see and oversee the clinical needs of their patients, market their practice, employ and manage the staff, maintain the premises, keep up to date with NHS requirements and make sure the practice is running on a sound financial basis.§GPs are either na