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The old expression of ‘herding cats’ was used when I first told people I would be moving into primary care and working with GPs. Moving from the structures of an NHS trust the initial impression of primary care did feel like this. Processes would be agreed and targets set but whether they were actioned felt…

  Mergers are the ultimate form of marriage between GP practices. When they include the consolidation of the contract into a single patient list it becomes incredibly difficult, maybe impossible, to separate them again. As a consequence, the parties must understand the commitment they are entering into as there is no easy divorce. During my…