Since the formation of PCNs there have been many questions about how to manage the potential risk of employment liabilities arising at the end of the five-year period. In theory practices could find themselves with large redundancy bills should the funding come to an end or there not being appropriate mechanisms to manage the additional…
It’s likely that you have already seen the letter from NHS England to all GP practices and Primary Care Networks, asking them to pro-actively monitor care home residents for signs of deterioration. The new request, in response to the growing concern of COVID-19 in care homes, aims to minimize the impact on older people in…
The old expression of ‘herding cats’ was used when I first told people I would be moving into primary care and working with GPs. Moving from the structures of an NHS trust the initial impression of primary care did feel like this. Processes would be agreed and targets set but whether they were actioned felt…
Mergers are the ultimate form of marriage between GP practices. When they include the consolidation of the contract into a single patient list it becomes incredibly difficult, maybe impossible, to separate them again. As a consequence, the parties must understand the commitment they are entering into as there is no easy divorce. During my…