A joint postgraduate educational structure might have alleviated some of the obvious disadvantages of the divided administration of GP and con­ sultant services and raised the status of general practice. Each hospital region had been deliberately centered on a university medical school. The medical teaching center was thus given implicit regional responsibilities besides its existing functions as an undergraduate school and a local refer­ ence hospital. For the first time, virtually all consultants in a geographical area of two or three million population were on equal terms, working in one hospital service.