Details of the latest General Medical Services contract for general practitioners (GPs) in England were released on 31 January with implementation due to take effect from April 2019.1 At a time when general practice is struggling to cope with higher, more complex demands and a diminishing workforce, it is seen as a last chance to redevelop GP services in England and to do things differently.2 Broadly speaking, the 5-year framework includes a large injection of funding for primary care with much of it contingent on participation in primary care networks (PCNs).3 The development of PCNs unlocks money for additional staff including, in the first year, clinical pharmacists and social …