Well my surgery was a family doctors practice, one man started it off and he slowly built it up,he started off in an annex connected to his house and his wife was the practice nurse ! Those were the days! Sadly he passed away and for about 2 years all we had were logins,then another doctor bought it out ,he was awful and the other doctor's eventually "got him out" Now it has been taken over by a medical firm ! So that means a practise manager runs it so we know that means budgets are the most important thing ,well the bottom line is,so maybe they do need keeping an eye on by members of the public.