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The biggest change in delivering primary care services is currently underway, affecting how GPs work and will work in the future. GP practices in England are expected to establish primary care networks (PCN), forming groups within geographical contiguous areas, covering their patient populations generally ranging from 30,000-50,000. As part of the five-year contract agreement, linking up with other local health and care services will bring in new allied health professional staff to support the future delivery of services around local communities, ultimately as an integrated care system.
This may be contractor based, but will impact every GP, salaried and locum alike. In previous re-organisations, sessional GPs did not have a seat at the table, but on this occasion, we cannot afford not to be there. Part of the re-organisations requires the appointment of a PCN clinical director and I have already heard anecdotal tales of sessional GPs being not only marginalised, but prevented from standing for this role.
For such a fundamental change to occur and to be successful, it is necessary for all GPs to work together. Sessional GPs are an integral part of the GP workforce and, in some areas, they represent the majority of the local GP workforce delivering patient care.
As sessional GPs you have a vast set of skills and expertise at your disposal, which could not only support these developments, but also lead the change. No one will be knocking at your door asking for you to contribute. Don’t be marginalised or ignored. You have to get out there and make yourself known, by putting yourself forward and being part of that change. It is your NHS and your future, so make sure you have your say.
Victoria Weeks is a member of the sessional GPs subcommittee
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