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You've got to feel comfortable

Dr Safiy Karim stressed to GPs the importance of only joining a commissioning cluster they feel comfortable in.

Dr Karim, a GP in Nottingham, said he got involved early on with the practice-based commissioning agenda.

But a major problem in getting the scheme up and running at his practice was finding a commissioning cluster that suited all practices in the area.

Dr Karim said he spent some time considering which consortium to join and even switched clusters before finding his perfect fit.

He said: 'The second cluster I went to was more flexible and quite open.

'The main thing is you've got to feel comfortable with the people.'

Dr Karim also advised that training could be necessary to help all GPs meet the practice-based commissioning agenda.

For example, GPs recruited from overseas often tended to have higher referral rates as they were afraid of making mistakes, he said.

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