More than half the LIZ funding has been spent on improving GP premises and practice staffing. But many premises are still below standard. The programme has had no effect on reducing the number of GPs over 65 working in London. In some areas of London the proportion has increased. Almost half (46 per cent) of practices in London still consist of a doctor working alone. Nationally, the figure is 30 per cent. London GPs' lists are significantly higher than in the rest of the country. Further improvements in London's primary care are vital.