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I think that the best position to be in personally is to be free to walk away (i.e. uunencumbered by premises ownership). The alternative is to be a large practice owning the only suitable property for miles around, because then they need you too much to pick a fight. Mark Tim Heywood wrote: >This thread has shown us that we are in the same boat - most PCTs are quite >benevolent, but they don't have to be. Actually, if my PCT was to demand I >do something (even outside the contractual arrangements), and they were to >back up that demand with a Tesco-like negotiating position, then I don't >know what "right" I have to expect them to continue contracting with me. OK >so I can rely on a dearth of other providers to keep them sweet at present, >but that may not continue. > > >