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The article focuses on the discrepancies in the functioning of health centres in England and Wales. Although the so called failure of health centres arose from a variety of factors operating at national and local level, it was caused in the main by the limitations on capital expenditure required by the central government. The attitude of the British Medical association (BMA) also demands consideration, for its views and actions have influenced family doctors whose cooperation determines the success of every health centre scheme. That general practitioners can refuse to work in centres derives from their status as independent entrepreneurs. It is in fact, crucial that, whatever the profession's approval of the concept at a high level of generalization, BMA resolutely opposed the widespread provision of centres by local authorities during the planning stage of the Service. Poor communications have also affected health centre schemes. Lack of early consultation with the doctors is reported from some of the centres that came into existence.

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