This issues of practice management have always been challenging but never more so than in the face of the rapid changes now occurring in the National Health Service. The 1990 Contract and the implementation of fund holding in 1991, have introduced new requirements for the provision of general medical services. With the practice manager of the 1990's set to fulfil a central role in general practice, this book will provide a comprehensive and inspirational guide. The authors are two general practitioners and a practice manager. They have been involved in training and management for many years and understand the difficulties experienced by practice managers. In this book, they address the issues raised by the changes sweeping through primary care and suggest some strategies for surviving the future