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Background. Personal continuity is a ‘core value’ for UK general practice, but often appears ignored by organizational change.

Objectives. The aim of the present study was to examine practice, GP and patient factors associated with personal continuity of care.

Methods. A cross-sectional survey was carried out of 25 994 people aged >15 consulting over a 2-week period in 53 general practices in four regions of the UK. The outcome measure was whether or not the patient was seeing their usual or regular doctor.

Results. Compared with the smallest quintile of practices, the odds ratios [95% confidence interval (CI)] for patients seeing their usual doctor for the two largest quintiles of list size (6337–11 036 and >11 037) were 0.24 (0.12–0.46) and 0.19 (0.10–0.37). Patients in the five practices with personal list systems were more likely to be seeing their usual doctor (odds ratio …