We believe that one of the key purposes of GP federations should be to harmonise and standardise care across member practices moving towards an MCP model. To this extent we have entered into a 2 year contract with Technomed to provide standardised reported ECGs for 17 of our practices. This should mean that they all benefit from he same advice. We are linking the Amber grade ECGs to the Medefer referrals service for consultant input. Hopefully this will save the local health economy a significant amount in unneeded referrals.