“…Those outside London were so few that it seemed unlikely they could be employed other than in a central hub, somewhat detached from the GPs making referrals to them. This is not the way that most therapists and GPs had been used to working together 'in Primary Care' before IAPT (Burd & Wiener, 2002;Elder, 2009;Wiener & Sher, 1998), and if therapists are not working in the same centre it makes good communication with the referring GPs much less easy. So much is in flux in the NHS that it is extremely hard to predict how services will look in five years' time.…”