A common stereotype of GPs’ work—held by some politicians and hospital specialists, as well as members of the public—is that we deal mainly with simple or trivial problems and refer everything else onwards: a role sometimes described as “sort, fix, or send.”1 While some GPs do practise in this impoverished way, and the pressure to do so seems to be increasing relentlessly, most seasoned doctors will see this description as a travesty of our roles.