The Danish government should work with universities, speciality groups and regions to review the structure of medical research facilities and ensure that they evolve to make the most of the opportunities provided by larger scale specialist hospitals. For example, whilst not losing their valued generalist role, further skill specialisation amongst some GPs could be explored. Interested GPs could develop extended competencies in defined clinical areas (e.g., dermatology, ear nose and throat, paediatrics, obstetrics and gynaecology).