This week Emma speaks to Dr Duncan Gooch, a GP in Derbyshire and the chair of the NHS Confederation's Primary Care Network, which represents at-scale primary care organisations. As well as being a GP partner, Duncan also has leadership roles in at-scale primary care organisations in his local area.

In this conversation Duncan shares his thoughts on the what the 10-year health plan could mean for general practice. He discusses new contracts for neighborhood providers, how they could work alongside the GP contract and primary care networks, and why he believes they are not a threat to the partnership model.

Duncan also offers his views on what practices can do to prepare for the move to neighborhood working, the role technology and data will play in how general practice works in the future, and how he believes working at scale can help GPs to have greater influence in their local healthcare systems and how at-scale organisations could evolve to take on some ICB functions in future.

He also talks about addressing problems with GP premises and the importance of having thriving practices if you are to build a successful neighbourhood NHS.

This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.

Useful links

NHS Confederation Primary Care Network

The 10-year health plan at a glance

NHS won't 'throw money' at neighbourhood health sites, officials warn

10-year NHS plan unveils 'alternative' to GP partnership model

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