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General practice in Cape Town involves navigating a particular set of realities. Your GP needs to understand how the practice management systems actually work—GoodX and Elixir platforms that handle your chronic script renewals, the quirks of different medical aid schemes, the timing of provisional tax submissions that catch independent practitioners off-guard. Church Square Medical Practice operates within these constraints and rhythms, managing the logistical side of healthcare so that repeat prescriptions don't lapse, after-hours emergencies have a clear pathway, and your patient records sync properly across the system. It's the unglamorous infrastructure work that separates a practice running smoothly from one where patients spend hours chasing paperwork or waiting for script authorisations.