In this episode we hear about Northumbria Primary Care (NPC), a network of seven GP practices formed in 2015 across Northumberland and North Tyneside. The “twist” is that NPC is a wholly-owned subsidiary of Northumbria NHS Foundation Trust, the local acute trust, and that all the GPs are salaried. Ben is joined by NPC’s Medical Director Dr Nigel Twelves and Dr Lily Lamb, a GP and their Education Lead. Nigel and Lily explain how the model works, how it benefits patients and GPs and how the relationship with the acute trust has developed and is developing.