Nick Hughes is GP Director of Salus Medical Services. Salus is a GP federation formed by 23 practices in Farnham and North East Hampshire. The federation is a member of the “Happy, Healthy, at Home” vanguard, one of NHS England’s Primary and Acute Care Systems (PACS). The vision of the vanguard is “…that local people are supported to improve their own health and wellbeing and that when people are ill or need help, they receive the best possible joined up care.” Nick explains what it means to work in general practice as part of a PACS.