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In our practice we had a phase of reorganisation, followed by a strange lull when almost all patient contacts were about coronavirus, and now a flood of patients who realise that their symptoms won’t wait until this is over At the end of last year a new part of the GP contract was proposed—the primary care network direct enhanced service—which didn’t go down well with the profession 1 A revised version has been presented that’s slightly less bad,2 but a special conference of local medical committees on 11 March voted against accepting it 34 Some fear that this is the route by which practices will lose their autonomy, with activity judged at network rather than practice level Mar 2020 https://www england nhs uk/wp-content/uploads/2020/03/network-contract-des-specification-pcn-requirements-entitlements-2020-21 pdf
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