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hi everyone Dr Byron here Clinical Director for shape Primary Care Network and clinical lead for barani group practices today I want to share with you some exciting work weve been doing in order to reduce the number of people in a e and really understand why people attend a e and universities historically nationally as a primary care team weve done lots of work to really reduce the number of patients having to attend a e unfortunately over time the things that weve been doing have had limited effect weve also made some big assumptions weve assumed people attend a e because they cant wait for their GP or dont want to wait for their GP or cant contact their GP weve also assumed that people may attend a e because they feel that a e offers a more thorough clinical assessment than perhaps whats on offer in primary care with the digital capabilities now available in primary care that werent available for Im going to make a bold statement it has never been easier than today to get