The British medical profession occupies a dominant position within the health care system and as such is able to influence the development and implementation of health policy. In Britain, the main division within the medical profession lies between general practitioners (GPs) and hospital consultants. Illustrated with case studies, this book provides an empirical analysis of the impact of the 1991 NHS reforms, as well as examining the still emerging influence of the post 1999 NHS reforms upon these intraprofessional relations.