Philip H Evans1, Joy Choules2. 1. GP and Associate Professor of General Practice and Primary Care, College of Medicine and Health, University of Exeter, Exeter. Email: p.h.evans@exeter.ac.uk. 2. Former Secretary and Editorial Assistant, RCGP Publications 1985-1987; Administrator to NIHR CRN National Specialty Lead for Primary Care, University of Exeter Medical School, Exeter.