feared polyclinics would ruin their relationship with their doctor and were finding they had to travel further to see a doctor. However, of the 4,372 individual responses and 359 organisational responses to NHS London's official consultation, 51% supported the proposal that "almost all GP practices in London should be part of a polyclinic, either networked or same-site". The consultation noted that some respondents were concerned about the effect of polyclinics on the GP-patient relationship, worse continuity of care, possible extra travel time, cost, governance, and whether the money would be better spent on improving existing services. The Patients Association was concerned that polyclinics could jeopardise the patient-doctor relationship which they regard as a central plank of effective and personalised care and as "central to every patient's experience of healthcare", particularly in those with long-term or complex conditions. They also observed that polyclinics are not necessary to providing one-stop care, something already delivered in the NHS at one stop shops, and that they are likely to lead to the loss of other health services in rural areas. The Liberal Democrats criticised polyclinics as part of the government's "obsession with imposing models of care from the centre", noting that this flies in the face of their "rhetoric on local decision-making". The NHS Alliance called polyclinics "lost in translation", commenting that while they are good when implemented in the right way, this "means general practices locally deciding to integrate their services" with willingness from both doctors and local people. "The BMA and patients are afraid that they might be losing the good bits of general practice – and the way that polyclinics have been implemented in some places means they have got a point." The Royal College of General Practitioners, who support the notion of GPs working in federations, have nonetheless condemned the government's plans for polyclinics, and have set out their own proposal for "Primary Care Federations", saying "GPs and patients must be involved in the planning, and we cannot afford for existing high quality GP practices to be destabilised". Opinion pieces for The Guardian have differed dramatically in tone. Polly Toynbee suggested that "it's hard to see a downside for patients" and GPs' protests are "all about profits, not patients", while George Monbiot called it the "outright privatisation of primary healthcare" and suggested it would make primary care "more expensive and less efficient" and see "those who can't afford to pay