GPs say a lack of doctors is putting unsustainable pressure on practices.
Pressure on GPs is "dangerously close to a death spiral" due to doctors leaving, one has warned.
He said: "There is evidence that quality falls when contacts start to accumulate and undoubtedly I'm sharper for my first patient of the day than I am for my last. He said: "Even now, when the GP training places have been increased, quite a significant chunk of them who finish the training leave the system because they find the system so hard to work in."
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