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 - Developing a Risk Management Strategy

  • 5th August 2014

Developing a federated model of General Practice - Developing a Risk Management Strategy

The principal objective of the risk management strategy is to provide the Board of Directors with sufficient assurance that appropriate structures and processes are in place to minimise risks, loss of assets and reputation, and that reporting processes for risk are maintained, monitored and appropriate action takes place in line with agreed procedures.

The strategy will also seek to:

  • ensure that the risk management processes are integral to the federation working practices and culture;
  • encourage the reporting of incidents, within a fair blame culture ensuring that lessons are learned and preventative measures introduced;
  • ensure that, through the strengthening of risk management arrangements there are continual improvements to patient safety;
  • minimise claims for accident or injury against the federation;
  • support systems which eliminate, transfer or reduce risks to as acceptable a level as possible;
  • secure the highest possible standards of risk management in terms of external validation.

The organisation absolutely must recognise that effective risk management is essential to the overall performance of the company.

The strategic approach to risk management is therefore fundamental to the delivery of high quality care, as well as the organisational objectives in relation to performance, governance and controls assurance.

In the context of service delivery high quality care[1] requires three dimensions to be present[2],

1. Clinical effectiveness - quality care is care which is delivered according to the best evidence as to what is clinically effective in improving an individuals health outcomes

2. Patient safety - quality care is care which is delivered so as to avoid all avoidable harm and risk to the individuals safety

3. Patient experience - quality care is care which looks to give the individual as positive an experience of receiving and recovering from the care as possible, including being treated according to what that individual wants or needs, and with compassion, dignity and respect.

Effective risk management systems and the development of a committed approach to learning will ensure that the company continues to deliver high quality patient centred care while continually developing and improving its services.

In developing an approach to risk management your goal is to ensure:

  • all risks are identified that have a potential adverse effect on the quality of care, safety and well being of patients and staff, and on the business, performance and reputation of the organisation
  • the organisation recognises risk management as a key element of integrated governance
  • risk management systems and processes are embedded in business planning, service development, financial planning, project and programme management and education
  • the organisation adopts a coordinated and multi-disciplinary approach in managing its risks through a systematic process of identification, analysis, learning, control and management of risk

You need to keep in mind the Board of Directors carry the legal accountability.  Your approach to the management of risk becomes part of your approach to protecting your Board of Directors.

At BW Medical, our specialists include the approach to identification and management of risk within our set up workshops, ensuing on formation of the company, your first Board Meeting can complete the work and you have a robust approach to risk right from the start.

Next time we will we will explore why having a welcoming approach to feedback is a good idea, and helps you avoid problems.

For more information on how BW Medical Accountants can support you in forming a federation and beyond the set-up, or to arrange to speak to one of our experts please contact or call 0191 653 1022.

Additionally, if you should have questions for us please email and we will do our best to answer these within the blog.

[1] This definition of quality has now been enshrined in legislation through the Health and Social Care Act 2012.

[2] National Quality Board -Quality in the new health system, Maintaining and improving quality from April 2013

Who writes this?

Scott Mckenzie

Scott Mckenzie

NHS Management Consultant
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.

    Practice Manager
  • 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.

    Senior Partner
    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 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.

    GP Partner

Newsletter Signup