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hi my name is dr rebecca rosen im a senior fellow at the nuffield trust and a gp at the gender practice in southeast london and id like to welcome you to this session on sustainable models of general practice for improving access its hard to imagine how anybody in the audience could be unaware of the current problems with access to general practice if not from a professional perspective then as a patient or a friend of somebody or a relative whos struggle to get an appointment so theres a huge amount of attention focused on how to speed up access cut the weights for appointments and in the eyes of many policy makers therefore reduce the flow of patients into a e and urgent care we want to use this session to unpick these ideas a bit to think more deeply about the kinds of gp encounters that people need access to and therefore how to get access right rather than just rapid and were tying this question in with another key policy issue of the moment about whats the right organizati