some incentives or sanctions around compliance with these guidelines suitably adapted to local conditions may be appropriate this does not need to imply any loss of the continuous personalised care rightly valued by danish patients other countries have moved from solo practices to small group practices of three or four clinicians without losing this ethos at the same time support will be needed to extend the quality safety and peersupport gains of group practice to those gps working in settings where group practice is less feasible such as those working rurally