Practice Partnerships

1
Practice Partnerships

• ChilversMcCrea Healthcare

2
Values

• An independent clinically led company operating
  20 practices and providing primary care
  services, and led by healthcare professionals. As
  a partner and employer, ChilversMcCrea Healthcare
  is committed to a number of core values
• Providing solutions based on teamwork
• An open and empowering culture
• Using NHS experience as a foundation
• Clinically oriented thinking
• Being an attractive, respected employer
• Working in networks for maximum effect

3
(No Transcript)
4
Scenarios

• You may
• Need a new partner
• Be a single handed GP
• Want to expand
• Want to concentrate on clinical work
• Want to reduce hours
• Be thinking of retirement

5
Options

• Stage 1 Establish Partnership
• PMS and GMS practices
• Draw up legal agreements for partnership
  admission
• Offer options to suit the practice and individual
  e.g. Fixed profit share partner / profit share
  partnership
• Discuss choice of working patterns
• Assist with premises solutions, e.g. Purchase,
  lease
• Plan for retirement from the practice
• Lead discussions with the PCT
• Value assets
• Equipment
• Stock

6
Options

• Stage 2 Choices following partnership
• Remain in partnership
• In a clinical capacity
• In a non-active capacity
• Retirement from partnership
• Adopt a salaried position
• Full retirement

7
The Benefits we can bring

• Proven experience of a range of partnership
  options
• Expertise in legal, financial and contracting
  issues
• Healthcare professionals
• Clinical governance systems
• Health and safety systems
• Regional management support
• CPD, clinical support
• PBC

8
Frequently asked questions

• Who will the partnership be with?
• ChilversMcCrea (Dr Rory McCrea, Dr Sarah
  Chilvers)
• Who will be the main contact at ChilversMcrea
  Healthcare?
• Jennifer Hurn, Business Development Lead
• How long will it take to enter into a
  partnership?
• We will work at your pace, the contracts can be
  agreed within 8 weeks, and the average is 3 months

9
Frequently asked questions

• What is the process?
• You will need to supply a full set of accounts
  and information on the practice income, staffing
  information. We will provide information on
  ChilversMcCrea Healthcare and draft contracts.
• If you hold a GMS contract we have to inform the
  PCT of the partnership prior to entering into
  partnership.
• The admission and partnership deeds are signed
  prior to commencement of the partnership and
  terms agreed with you.

10
Frequently asked questions

• My premises are leased what will happen?
• In this situation the partnership takes over the
  lease, this may mean an assignment of the lease.
• I own my premises what options do I have?
• We can either lease the premises or put you in
  contact with companies who will purchase the
  premises and lease them back to the partnership.
  
• Will you purchase the equipment?
• We will require an inventory of all equipment and
  a valuation we will purchase the equipment from
  you at market value. Goodwill is a factor here

11
Frequently asked questions

• I want to still undertake clinical sessions but
  may want to go part time.
• We will accommodate your wishes and develop the
  partnership to suit your needs now or in the
  future.
• In the majority of our partnerships the GPs
  remain in a clinical role and we take on the
  management of the practice.
• Who will manage the practice?
• The practice will be managed by ChilversMcCrea
  Healthcare and will receive full management
  support from the central management team and
  regional teams. The practice manager will be
  managed by the regional manager.

12
Frequently asked questions

• What happens to my staff?
• There is no change, they remain in the practice
• Who deals with the PCT?
• Jennifer Hurn, Business Development Lead will
  liaise with the PCT
• What happens to my contract with the PCT?
• We have to inform the PCT of the partnership and
  once the contracts are signed the PCT will issue
  an amended contract signed by the new partners
• Can I retire from the partnership?
• Yes you can retire from the partnership, and you
  have two options, to retire and sign an
  employment contract and become a Salaried GP or
  take retirement

13
Practice support an alternate solution

• We can provide practice management support
• Full or part management of the practice
• Payroll services
• Assist with PCT negotiations
• PBC support
• Practice Development Plans
• Business Plans
• Lead on to future partnership

14
(No Transcript)
15
Company overview

• An independent clinically led private company
  operating 20 practices and providing innovative
  primary care and consultancy services including
• clinical services within the community with teams
  delivering consultant led services
• Provision and management of NHS general practices
• Supporting and running General Practices through
  interim management contracts on behalf of a PCT
  or individual practices.
• Working with PCTs to turn around failing
  practices through interim management or
  consultancy
• Operation of a Walk-in Centre for Milton Keynes
  PCT
• Providing management support services to GP
  practices, e.g. HR, payroll, development,
  training, practice management.

16
Company overview

• Providing management consultancy, research and
  support to a broad spectrum of health
  organisations on a broad range of topics
  including
• Healthcare and clinical service development
• Working with healthcare organisations in engaging
  clinicians for specific purposes
• General Practice development
• Primary Care business development
• Clinical reviews e.g. child protection and
  evaluation of services
• Patient involvement groups/forums.

17
Summary of Service Provision

• 20 contracts under APMS,GMS and PMS with 14
  PCTs including
• Arun Worthing, Barking and Dagenham, Brighton
  and Hove City,
• Chelmsford, City and Hackney Teaching, East
  Hampshire, Leeds,
• Harlow, Heart of Birmingham, Hertfordshire,
  Milton Keynes,
• Newham, Nottingham City, South Stoke
• Employing over 150 people Providing services to
  over 75,000 patients in a year with specialist
  services including
• homeless
• refugee
• minor surgery
• interim management

18
Enhanced Services

• Counselling
• Extended minor surgery
• Echo exercise ECG
• Mental health
• Choose and book
• PBC
• Access
• Depression
• Teenage sexual health
• Expert patient
• Minor injury
• Phlebotomy
• COPD
• Integrated diabetes
• Paperlight practices

• Sexual health
• Homeless
• Refugee
• Diabetes
• Anti coagulant
• Contraception
• IUCD fitting and checks
• Drug misuse
• Near patient testing
• Long term conditions mgt
• Extended hours
• Access - telephone triage / consultation
• Using technology within a practice environment

19
Innovative Services

• Revised model of care
• PBC Lead
• Identifying health inequalities and improving
  patient health and wellbeing
• Telemedicine and Development of the Expert
  Patient
• Extended scope of practice for Nurses within
  Primary Care
• GPwSI - GPs with special interest
• Moving secondary and acute care into a primary
  care environment

20
Contact Details

• Dr. Sarah Chilvers D.Prof MBA BSc (Hons) RGN RHV
  Chief Executive
• Telephone [phone] Mobile [phone]
• Email sarah_at_chilversmccrea.co.uk
• Dr. Rory McCrea MBBS MSc MRCGP Chair
• Telephone [phone] Mobile [phone]
• Email rory_at_chilversmccrea.co.uk
• Jennifer Hurn MBA MCSP SRP Dip RGRT Director
  of Business Development
• Telephone [phone] Mobile [phone]
• Email jennifer_at_chilversmccrea.co.uk