Local Healthwatch in each of the eight boroughs in the North East London region worked together to deliver this project seeking insight into GP services provided to Care Home residents. This project was commissioned by North East London Clinical Commissioning Group, now known as NHS North East London, to find out the effectiveness of the Direct Enhanced Service (DES) across the region and to evaluate the findings in order to best design future services for Care Homes. The survey was conducted across 174 care homes, including 22 in Waltham Forest, where we asked care home managers about their experience with their GP through the DES, and with other services used by their residents.