As politicians focus their attention on health generally and the NHS in particular, we are doing more media activity and looking to engage more with politicians and other stakeholders.
 
We are reliant on London GPs and practices to help inform our responses, and sometimes to provide case studies (anonymously or on the record) or to speak to journalists, politicians etc.
 
As someone who is interested in sharing your experiences to support this work we would like to find out a little more about your background, your role, and your thoughts on the profession. This information will not be shared externally.
 
As ever, we are grateful for your support and help in making the case for general practice in London.

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* 1. Full name

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* 2. Best means of contact:

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* 3. Home postcode

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* 4. Practice postcode

Please use the practice where you do most of your sessions if you work across multiple sites.

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* 5. Have you done any recent media work?

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* 6. Why did you become a GP, nurse or other role within practice?

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* 7. Career stage

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* 8. Do you have any specialists roles or areas of interest? (eg sports, cancer specialists, trainer if clinical or IT, patient engagement etc if non-clinical)

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* 9. How is it going (personal)?

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* 10. How is it going (professional)?

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