Won’t moving to larger practices mean less knowledge of our patients and their families and less personalised care?

It is essential that working at scale does not impact on continuity of care. Building trusting relationships between doctors and patients is a key factor in the quality of general practice and particularly important for the elderly population.

The core role of a GP will continue to be the first point of contact for patients with undifferentiated problems, provide continuity of care where this is needed and act as leaders within larger multi-disciplinary teams with links to specialists in the community and at local hospitals.