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Exploring the development of a GP Federation

The new NHS market, and the contractual changes in the way Local Enhanced Services are being tendered, are a very real challenge to General Practice.

The RCGP defines federating as - Practices 'working together to share resources, expertise and services'. In effect this means a group of practices collectively,

1. Developing new services
2. Tendering for services
3. Jointly gaining efficiency savings and economies of scale
4. Improving local service integration
5. Being able to better compete with private providers
6. Strengthening clinical governance, quality and safety
7. Developing training and education capacity.

At BW Medical Accountants we firmly believe that it is essential that General Practice, as providers, meet these challenges head on. To do that though they need to be prepared to re-think the current delivery models, particularly if they are to be in a position to secure services for patients at a local level, whilst maximising control of delivery and quality.

One solution to meet these challenges is to develop a GP Federation. A GP Federation can simply be an informal association of practices; equally it might be the full amalgamation of GP Practices into a "Super Practice"; however, many Practices prefer to remain independent and instead choose to form a company to protect income and allow them to bid for services.

To obtain a copy of our free guide; Forming a Federation, get in touch by phone or email We have a number of guides to assist you.

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  • 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.  We 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.

    GP Partner
    GP Practice, 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 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

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