In 1995 a group of us at the Tavistock Clinic in London began to teach a regular course for GPs and nurses from primary care. We came from a variety of backgrounds, including general practice, child psychiatry, clinical psychology and social work, but were all trained as family therapists as well. We hoped to use family therapy ideas to look at the whole range of primary care work – not just family work but also everyday consultations with individuals. We also wanted to use the ideas to look at the wider context of primary care, including practices, teams and the wider social and political systems surrounding these (Launer and Lindsey 1997).