 Rose asserted it "painted a black picture of crowded waiting rooms, queues, lack of surgery equipment, inadequate examination of patients even in the better practices visited, and of unsatisfactory standards generally".The College of General Practitioners came about because of a letter titled "A College of General Practice", signed by Rose and John Hunt, which was simultaneously printed in the "British Medical Journal" and "The Lancet" on 13 October 1951.The letter starts 

The resulting correspondence was mostly encouraging despite opposition from the traditional royal colleges.