If you have your full complement of GPs, etc., working around it is far more feasible than if you haven't. Getting your heads together and deciding to be flexible is a great ploy when you are looking over your shoulder and realising that most practices haven't got your good fortune. Having flexibility forced on you when you have been trying and failing to recruit a GP for months, and/or when exhausted practice nurses contribute to a high turnover in which new staff (if you can get them) are raw and unused to the ways of the practice, results in the danger of exhaustion and disillusionment. There's a big difference between negotiating flexible working practices in a well-staffed setup than trying to do it when staff are missing, or coming and going, or when some may have to have been selected from a lean field.