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204 CSIRO Publishing Journal Compilation © Royal New Zealand College of General Practitioners 2017 This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License CORRESPONDENCE TO: Robin Miller Health Services Management Centre, University of Birmingham, UK r.s.miller@bham.ac.uk J Prim HealtH Care English general practice: once, twice, three times a hybrid