Request a Quote

Request a Quote

Please complete the form below, we’d love to hear from you!

Developing a federated model of General Practice: Division of responsibilities within the board

  • 10th October 2014

Developing a federated model of General Practice: Division of responsibilities within the board

"The starting point of all achievement is desire. Keep this constantly in mind. Weak desires bring weak results, just as a small fire makes a small amount of heat.”
Napoleon Hill, Author

Sharing the workload equally amongst the Directors is not going to be as simple and straightforward as it sounds. It is however a crucial process that needs be worked established at the outset, or you risk one or two people having a significant workload and others with little to do.  The risk in that is we end up with one voice leading the whole process, which is a recipe for disaster. 

The early key roles tend to be:

  • Chief Executive
    This individual needs to drive the business forward, sharing the vision and values of the organisation and really selling your company to all stakeholders.
  • Medical Directors
    Individuals with strong clinical knowledge and an innovative approach is a must for the type of services you will be delivering.
  • Contract and contract monitoring
    Someone who will work to negotiate and secure business for the company.
  • Communications and engagement
    The key to early success is being able to demonstrate the engagement of the
    membership, and the ability to act as one corporate body.  Not an easy
    task to achieve and not a role to underestimate.
  • Corporate Governance
    One of the Directors will need to pay close attention to the articles of association and shareholders agreement and at the same time, start to get a grasp of basic company law. Clearly legal support for this role is recommended; however, it does need to sit within the company.
  • Finance
    An individual to oversee the income and expenditure, early support from a specialist medical accountant may be advantageous to guide you in the early stages.

Each role will find workload ebbs and flows depending on what the company is doing; however, based on experience it is safe to assume that planning for 3 or 4 sessions a month is not unreasonable. 

These sessions will of course need to be in normal working hours, as that’s when your other stakeholders will be available to work with you.

For those becoming Directors, it is therefore really a career decision they are making as this is not something you can simply fit in now and again when you have a bit of time, particularly when the company starts to grow and more time is required in your role as a Director.  To truly take ownership over your roles and to be successful, you have to allocate the right resource at the outset.

"All growth depends upon activity. There is no development physically or intellectually without effort, and effort means work."
Calvin Coolidge, 30th U.S. President

Who writes this?

Scott Mckenzie

Scott Mckenzie

NHS Management Consultant / Working at Scale
Find out more about Scott
  • Very smooth changeover to BW, with good communication at all times. Very efficient in the production of the accounts (as promised) and the Partners are delighted with the advice received to date.

    Paul Atkinson, Practice Manager
    Netherfield House Surgery, Northumberland
  • BW Medical Accountants have a good working knowledge of General Practice and are keenly aware of the challenges Practices face within the changing environment of the NHS.  Benfield Park have been very impressed by the way BW Medical continue to deliver the range of services they provide from Accounts to Tax and NHS Pension advice. 

    We have found Practice consultation and engagement from BW Medical specifically helpful to shape the future of the Practice.

    Jonathan McCutcheon, Practice Manager
    Benfield Park Medical Group, Newcastle
  • We had no hesitation in moving to BW Medical Accountants.  For any business your accountant is integral, and for us one of the most important factors to this relationship is to have a personal and trusting approach, which BW have undoubtedly achieved. 

    The service we receive and the interest they show in our practice assures us that they have a genuine interest in us and commitment to us.  More importantly they are always helpful and polite to answer even the dumbest of questions!  They give us confidence and reassurance knowing that they are always very up-to-date with all the numerous changes within general practice and we would have no hesitation in recommending them to other practices seeking a professional and personal accountancy service.

    Jackie Rotherham, Practice Manager
    The James Street Family Practice, Lincolnshire
  • We moved to BW Medical Accountants in 2013 and we are delighted that we have.  Having been in the same business for over 20 years it is important to have a relationship with the accountancy team but most importantly you need to have trust.  We made the decision to move our business to BW Medical Accountants and having worked with the Team especially Tina we are very satisfied.  Tina going through the accounts brought to our attention many things that I was not aware of in the past.  The first years' experience can only be described as excellent.

    Customer service is first and foremost with BW and this shines through as each and every one of them are approachable, helpful and most importantly understand and know the business.  General practice is complex and is going to get more complex in the coming years.  We need Accountants who truly understand our business. We as a practice and as individuals would certainly recommend BW Medical Accountants.

    Gloria Middleton, Managing Partner
    Westbourne Medical Group, Sunderland
  • We changed to BW Medical Accountants during this financial year and I would say we have just had the most transparent and understandable end of year meeting and the best planning advice I have ever had in 16 years of practice.

    Dr H Jervis, Partner
    Temple Sowerby Medical Practice, Cumbria

Newsletter Signup

Loading...