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Do you work for a federation or super-partnership, a clinical hub, a vanguard or MCP site? If yes, we want to hear from you!If you are working for any of the ‘new models of care’, we want to ensure that wherever you are and whatever role you are in, you are being treated fairly and correctly. To help us do that, we need intelligence about what is happening in your patch to enable us to represent you as well as possible. So, if you have five minutes, please complete our brief survey. We know that across the country new and different solutions are appearing in general practice, but we want to know more about how these organisations are choosing to engage sessional GPs and what their conditions are like. The acronyms are bewildering and it is a full-time job keeping up with which one is flavour of the month among the powers that be. Whichever is happening near you, the common theme among them is increased integration between different providers of healthcare, with the aim of circumnavigating the obstacles created by working as independent organisations. Bigger and more integrated is now better, and that means general practice has to adapt to the latest changes. The latest release from NHS England on ACO (accountable care organisation) contracts (lengthy read available here) states that ACOs must employ GPs on a contract no less favourable than the BMA model. This contract shows that we are making progress in the ‘no man’s land’ where a plethora of T&Cs for sessional GPs are cropping up. With ACOs currently being proposed as the preferred option by NHS England, I’m hopeful this will become the norm for all ‘at-scale’ GP working. If you have questions or would like to tell us your thoughts on new models of care or at- scale working, feel free to get in touch at [email protected]Ben Molyneux is the London representative for sessional GPs