A primary care led NHS, driven by evidence based practice, needs to bu
ild on a firm foundation of research in primary care. As researchers a
re making increasing use of questionnaire surveys to assess general pr
actitioners' views and attitudes, so response rates to questionnaire s
urveys among general practitioners are dropping. The reasons include l
ack of perceived relevance of the research and lack of information and
feedback about it, and researchers need to be more aware of the reali
ties of everyday practice. Approaches that might reverse this trend in
clude monitoring all research activities going on in an area to ensure
that practices are not overused, giving general practitioners incenti
ves to participate, and improving the relevance of research and the qu
ality of questionnaires.