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The rapidly changing nature of the NHS has forced all primary care providers to become more commercial. Practices can no longer rely on trust and 'the NHS family', and all relationships need to be seen in terms of the commissioner/provider split. Contracts which were previously left to gather dust are now being actively managed, sometimes to the significant cost of the provider.

The Health and Social Care Act 2012 has increased the momentum of change and the Five Year Forward View and NHS Long Term Plan both encourage working at scale. We have helped numerous GP practices choose the right route and model to work collaboratively with neighbouring practices, in the form of GP federations, super partnerships and Primary Care Network arrangements.

We have extensive experience of assisting practices with managing existing contracts, negotiating new contracts to secure additional income streams, and establishing new or merged entities to compete with other providers.

Recent work includes:

  • Primary care networks
  • Mergers and acquisition of GP practices
  • Formation of federations and super partnerships
  • Alternative provider entities (shareholder agreements, LLPs, consortium agreements, CICs, JVs and expense sharing arrangements)
  • Securing and protecting your NHS contract
  • Setting up as a private GP