...GP locums especially need to be actively involved from the outset – ensuring these new neighbourhood systems genuinely understand, integrate, and value the unique flexibility, skills, and perspectives locums bring to the NHS front line.

"...objections have been around for many years, preceding the advent of their adoption of Physician Associates. Indeed, it was a doctors-only GMC that made this decision.
So to repeat the same exercise ... and expect different results may not be the wisest solution."

GPs fortunate enough to have jobs are overworked, potentially leading to inefficiencies and underperformance. Meanwhile, those without jobs are left in limbo, jeopardizing their well-being and the future of general practice itself.

"I can understand that in an organisation as big as the NHS, a few dozen staff may well have incomplete pension records, and that this would be something that would be rectified urgently. But more than 50%?" says @richardfieldhouse.bsky.social

General practice needs the strong clinical leadership of GP partners, it needs these clinical leaders to take responsibility for providing joined-up services, and it needs the stability and continuity that comes with the partnership model.