Big talk, little action: the enduring narrative of primary care reform.

What is known about the topic? Governments acknowledge that current health arrangements are unsustainable, and a better resourced, integrated, and connected primary care system is central to the future. What does this paper add? This paper calls out the most significant barriers to implementing the required national reform and poses potential solutions in addressing them. What are the implications for practitioners? Without action, we will see increased system cost, and decreased service access and quality for Australian communities.