In this episode Ben visits Thistlemoor Medial Centre in Peterborough to talk to Dr Neil Modha about their fascinating and innovative model for running what they call Open Access in general practice. Their system developed in response to a shortage of GPs and a high migrant population that do not have English as a first language. Using Healthcare Assistants from the local community to take histories and translate for the GPs, the model means that on some days 300 patients can be seen in the practice and has meant that admissions into hospital are some of the lowest in the area.