Pioneer Medical Group (PMG) was formed on 1 April 2016 and is the merger of Bradgate Surgery, The Medical Centre Ridingleaze and Avonmouth Medical Centre. Technology was invested and synchronised, to support service delivery to expand the number of options available to patients in how and when they access care. The development of seven day access and integration of clinical teams, without the traditional boundaries of premises and organisations working in isolation, is key to transformation of primary care.