However, it is anticipated that employed status might develop particularly in rural and remote areas and for Out-of-Hours services.The number of general medical practitioners who provide NHS services in 2014-15 will also be affected by changes in the way that primary medical services are delivered over the next ten years, which in turn will be affected by changes in the demand placed on the NHS, by the changing balance between primary and secondary care, by changes in skill mix in the workforce, and by developments in medical practice.