I am a 50 year old GP working in North West England. I could not agree more with everything that is written in this article. I am a very robust individual and continue to work as a Partner in a large practice with great colleagues. However I have seen many very good people “broken” (alcoholism, Depression, burn out) by the toxic environment of General Practice.Good UK GPs are some of the finest and hard working General Physicians in the world. In the last 10 years I have come to the conclusion that the NHS is not fit for purpose in the current world and never will be. The sooner the NHS becomes a private insurance based service then the sooner GPs will be able to control their workload / quality of care and lead a full rewarding working life that does not “break them”.