“…As one letter to the BMJ pointed out, by the mid-1980s the RCGP had 'increasingly … defin[ed] protocols for the care of serious chronic disease', and 'clinics for the care of asthma, hypertension, chronic arthritic disease, diabetes, and other chronic disorders' were 'becoming widespread in general practice' . 23 Diabetes may have provided inspiration for some practitioners considering how to integrate specialist and GP in managing long-term illness, but this was a problem common to the care of other chronic conditions. 24 Tackling this issue provided a foundation for practical debates about chronic disease management in the last quarter of the twentieth century.…”