GP Federations and Provider Organisations

Up-to-date advice in a fast changing environment

GP Federations are back in favour with the pressure on primary care to operate ‘at scale’ under the Government’s NHS Ten Year Plan. This offers opportunities for GP Federations as ICB interest will be focused on the GP Federations’ capability to form multi neighbourhood providers (MNPs). Smaller GP Federations and PCNs may need to join with others to cover the ‘Place’ level.

Contact us to find out how we can help you.

Forming a GP Federation at scale could bring the following advantages:

  • The ability to bid for neighbourhood provider and multi neighbourhood provider contracts;
  • Sharing expertise and employing specialists in medical fields, putting you in a better position to win contracts and generate new income streams;
  • Investing in equipment to enable you to become a healthcare hub;
  • Co-ordinating services across neighbourhoods, and holding the budget to direct resources where you consider that they will have the most benefit to patients at ‘Place’ level;
  • Create multi-disciplinary healthcare teams, and shape policies and set standards for the primary care sector to meet;
  • For individual GPs it can allow for a focus on specialism, improved professional development and training opportunities and exit/retirement strategies.

Another option is setting up a super-partnership. Please click here for information.

Our Health Partnership is a pioneering Super Partnership venture that we are proud to have helped create. We already have similar projects in the pipeline and we look forward to advising many more of our primary care clients as they move to embrace new NHS models of care structures.

How we help GPs to set up GP Federations and provider companies

Options appraisals – assessing different types of corporate structure to ensure you pick the right model.

Governance arrangements – internal governance arrangements for the organisation including criteria for membership and the Board, and sharing of decisions between the Board and member practices.

Social enterprise – setting up an organisation that operates for the benefits of staff, patients and the community.

Workforce – employing staff, complying with TUPE and managing the transfer of staff from one organisation to another.

NHS Pensions – ensuring access to the NHS Pension Scheme.

Regulatory compliance –compliance with the requirements of regulators, including the Care Quality Commission, NHS Improvement and the Competition and Markets Authority.

Contracting – GMS, PMS and APMS arrangements and the Multi Neighbourhood Provider Contracts, Multispeciality Community Provider Contracts and Primary and Acute Care Systems Contract.

Collaboration and competition – how to manage risks under competition law when collaborating with other organisations.

Bidding for new contracts – managing tender processes and procurement law.

Estates – managing your estate to the best effect.

Intellectual property – protecting and exploiting IP.

Board training – improving Board effectiveness and ensuring directors understand their responsibilities.

Conflicts of interest – managing conflicts of interest between commissioner and provider roles.

Contracting – contracting arrangements with NHS England, ICBs, commissioners and local authorities and joint working and collaboration arrangements with other providers.

Contact us

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