Management in Practice spring issue is now available in print and online. Michelle Drage, chief executive of Londonwide Local Medical Committees (LMCs), speaks to MIP’s deputy editor, Kimberley Hackett, about the pressures practices face and what Londonwide LMCs is doing to help. The government’s rescue package has yet to be outlined and practices are still struggling with an excessive workload. But with this not yet in force, Alison Moore, freelance healthcare writer, examines how practices have turned to the multi-skilled team in this issue’s feature. Emma Dent, freelance health reporter, visits Providence Surgery in Boscombe, Bournemouth. The practice has been rated as outstanding by the Care Quality Commission – an accolade that is all the more rewarding given that four of the seven most deprived areas in the local borough fall within Boscombe West, and all are in the 10% most deprived areas of in England. This issue has 12 insight pieces giving a view into the day-to-day running of a practice. Kevin Walker, director of BW Medical Accountants Ltd, looks at the different pension schemes for you and your staff. Business plans are fast becoming the norm for practices and although they may be daunting they are well worth the effort. Noel Plumridge, finance columnist, looks at what is involved in developing one. Revalidation for nurses has now come into force. Anne Crandles, freelance practice management consultant, outlines what this means for the practice manager. The risk of needle-stick injuries in general practice is high. It’s important that all members of the team are aware of what to do if someone is injured. Fiona Dalziel, who has ben involved in primary healthcare management for 25 years, looks at the health and safety laws surrounding sharps. In 2017 practices will have to switch to Snoomed CT, it will be the replacement system for Read codes. GP Gavin Jamie, who runs the quality outcomes framework (QOF) database, explains how Snoomed CT, the basis for QOF submissions and enhanced services claims, will work. Still unsure as to how you can reduce the Monday morning telephone queue? Andrew McHugh,  practice manager in Banbury, explains how his surgery cut the calls. To read the full issue click here.