 In the United Kingdom, local medical committees (LMCs) have been the local general practitioner (GP) committees since 1911.They represent all general practitioners in their geographical area which is historically coterminous with the successive Primary Care Organisations or other healthcare administrative areas.As the organisation and complexity of primary care has increased and along with the call for increased professionalism and specialisation of for instance negotiators, LMCs' administrative structures have developed from a pile of papers on the kitchen table of the LMC medical secretary to permanent staff and offices with substantial assets.