Can GP practices work in closer collaboration with the local Acute Trust and yet not lose their independence? Ben talks to Dr Berge Balian, a long-standing GP who was appointed Associate Medical Director for Primary Care at Yeovil District Hospital and is one of the clinical leaders for a Primary and Acute Care System (PACS) model. He tells Ben how GP and hospital services have come together, how GPs were convinced to support this new model and how the whole system has benefited.