There is a huge reluctance to impose change upon General Practice, but at the same time a recognition that change is necessary. The GP Forward View (GPFV) in many ways reflects this. Indeed, Dr Baker’s own summary for GP practices was they must look first to their own survival, but then consider that, ‘There is a range of ways of doing things… there is not a best way to do it”. Her response? “I don’t think it matters too much whether GPs are doing it or whether GPs are coming on board… It doesn’t have to be GPs that design it, lead it, run it.” Again, it depends. I asked her whether GP practices should be looking to take an active role leading the integration agenda or simply participating as others (such as the local community or acute trust) take a lead. Her response? “I don’t think all practices will have to get bigger”. I spoke recently to Dr Maureen Baker, Chair of the RCGP, (you can listen here) and asked her whether GP practices should now be looking to operate at scale. But the curious thing is there is no clear direction for GP practices to follow. We know more money is on its way (despite arguments about how much!). We know NHS England has published the GP Forward View.
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