Our vision: "To transform access to medical care"

"I think I need to see that.  Can you come straight down?"
"Can you stretch out your fingers for me?"

How it works in practice:

"One hour in the life of Dr Washik Parkar"

It's nearly 4pm when I arrive at Simpson Medical Practice in Manchester, and it's been a typically busy Monday.  Dr Parkar has already dealt with 70 patients today, but he has only 4 booked in now before home time at 6.30, so we have time to talk.  He's excited about how things are going, with 80 to 100 new patients registering every month - now over 3,000, he opened the doors only in June 2009.  It's a part of the city with a very mixed population, quite deprived, many transient patients, but many joining because they've heard from their friends that the service is great.  You can always see the doctor.

Jemma's mum calls in at 4.15 - she has taken a knock in the playground and been sent home with her arm in a sling.  What should she do?  With two babies to look after as well as an injured Jemma, she really does not relish spending the next four hours in A&E.  "Come straight down" says Washik.  "I've got a space for you."  They are in front of the doctor by 5pm, and Washik expertly manipulates the wrist while talking about something completely different.  It does hurt a bit.

Fortunately if there is any crack it's not sufficiently bad to need further treatment.  They can go home, set at ease, but with the instruction to go to A&E for an x-ray if it is still swollen after 48 hours.

Time for a cuppa, and meeting more of the staff.  What strikes the visitor is an immediacy about the place, a connection with what is happening now with patients.  The next one for Washik is a gentleman who phoned this morning, in agony from an ingrowing toenail.  "I can cut that out for you.  When would you like it done?" says the doctor. "Could you do today after work?".  "No problem.  See you at 6 o'clock".  Time I left.

One relieved mother.  One fulfilled doctor.

One more visit to A&E saved.