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What Ross can do for you
Ross is a partner and leads our GP team in the Midlands and North of England. He is recognised nationally as one of the leading lawyers in GP work, having devised several of the evolving models for GPs to work together at scale and integrate within the wider Integrated Care Systems being developed across the country. Most notably, Ross devised the structure and drafted the partnership deed for Our Health Partnership, the largest single partnership in the UK combining 37 practices with over 175 Partners and serving around 358,000 patients.
Ross specialises in partnership dispute work and has recently handled several complex and high value disputes. He is an experienced negotiator, has represented his clients at several mediations and arbitrations and is recognised for his groundwork in considering the wide range of issues that can impact a dispute and then developing a strategy to achieve his client’s objectives.
Ross also works with several primary care networks (PCNs) and GP federations / provider companies to identify how they can work together to jointly deliver the Network Contract DES services, in particular to resolve the issues related to the employment of the Additional Roles Reimbursement Scheme staff and, more recently, the Covid vaccination Collaboration Agreements.
Ross has also advised Clinical Commissioning Groups on key strategic issues such as the development and implementation of a Primary Care Resilience and Escalation Plan to address the Covid crisis and on their delegated primary care commissioning powers, including in particular compliance with NHS England’s Primary Medical Care Policy and Guidance Manual in relation to practice incorporations.
The Covid crisis has also resulted in Ross being involved in advising on, drafting and negotiating several urgent caretaker contracts, where practices have stepped in at short notice to ensure continuity of service provision where another practice is struggling or has failed, principally as a result of the pressures brought by the Covid crisis.
Prior to joining Hempsons, Ross was a corporate finance Partner with an international firm and handled international acquisitions, predominantly for US organisations acquiring throughout Europe. As a result, Ross is an experienced negotiator and strategic advisor.
Main areas of expertise
- Partnership disputes
- Options for collaborative working at scale
- Practice mergers and acquisitions
- Primary Care Networks – PCNs
- Practice incorporations
The clients he works with
- At scale GP practices and groups
- GPs and GP practices
- GP federations, provider organisations and alliances
- Primary Care Networks
- Clinical Commissioning Groups
- Private sector companies and organisations (national and international) involved in healthcare
Many practices are considering incorporating, whether for tax reasons or to limit the personal liability of partners. However, there are both pros and cons to taking this route which should be carefully considered.View Event
If you are thinking of changing PCNs, leaving your PCN or opting out of the Network Contract DES, you must inform your CCG by 30th April at the latest.
Partnership disputes are time-consuming, costly, stressful and de-stabilising for a practice and the individuals involved. But unfortunately, they are also more prevalent when partners are under pressure, as during the Covid-19 pandemic. Alison Oliver and Ross Clark explore common causes of partnership disputes, how to prevent them happening and what to do if one arises in your practice
The main thrust of the paper is to put ICS (integrated Care Systems) onto a statutory footing, and provide the statutory foundation for the reforms which are a progression of the Five Year Forward View (which was published 7 years ago now) and the NHS Long Term Plan published in 2019.
NHS England issued a letter on 21 January 2021 summarising changes to the GMS contract for 2021/2022. Ongoing uncertainty arising from the pandemic means that there will need to be further changes to the contract in the course of the year.
Finding appropriate venues to give the COVID-19 vaccinations has resulted in some creative thinking as to places where this can be done.
With the roll out of the Covid-19 vaccination programme by general practice starting next week, practices need to agree the terms on which they will collaborate to deliver the programme in accordance with the vaccination enhanced service specification
GP practices wanting to incorporate will be considered in line with new guidance issued by the NHS. GP enquiries about incorporating their practices or forming PCN companies have risen in part driven by the added liability created by PCNs and other "at scale" providers.
With a busy flu vaccination season, surgeries have had to juggle supplies with unprecedented demand - In ordinary circumstances surgeries, without a wholesale dealers license, are not permitted to share vaccines amongst themselves. Though in the past the MHRA has issued an exemption allowing this
We are increasingly being asked by PCNs to advise on whether they can form companies to carry out network activities.
Have you thought of incorporation? Creating a company with limited liability and a strong legal governance structure to follow can help to mitigate some of the risks for PCN member practices.
“Problem-solver...who possesses superb knowledge of NHS systems.”
“Amazing problem solver.”
“From the outset it was clear that Ross understood what we were trying to achieve; retaining our autonomy that allows us to provide General Practice in all its different forms to our diverse populations whilst achieving the benefits of working as one organisation, at scale. When we had problems, solutions were simple and clear, demonstrating not just a great understanding of the legal framework underpinning traditional GP partnerships, but the ability to evolve these alongside the new models of care for the NHS of the future.”