Wessex Local Medical Committees seminar

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Blake Lapthorn solicitors hosted a seminar from Wessex Local Medical Committees on 14 September 2010.

Blake Lapthorn solicitors hosted a seminar from Wessex Local Medical Committees on 14 September 2010.

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Transcript

  • 1. GP Federations The Nuts and Bolts Mary Chant - partner
  • 2. Where do Federations Come From?
  • 3. Federation - OED
    • A group of states with a central government but independence of internal affairs
  • 4. Federations - RCGP
    • A primary care federation is an association of general practices and community primary care teams that come together to share responsibility for developing high quality, patient focused services for their local community.
    • Primary Care Federations Putting Patients First - RCGP June 2008.
  • 5. Federations – “selling points”
    • Training primary care workforce
    • Continued viability of primary care
    • Economies of scale
    • Bid for primary care contracts
    • More efficient use of buildings
    • Build on practice based commissioning
  • 6. Federations – key features
    • High calibre management
    • Improved governance
    • Combine back office functions
    • Improvements for patient care and safety
    • Internal referrals
    • Specialist employees
  • 7. RCGP - Result
    • In essence, the ability to do more and achieve more for less
  • 8. Federation Structures
    • No blueprint – flexibility
    • Loose arrangements perhaps with simple agreement
    • Highly structured entity
    • Variations in between
  • 9. Governance
  • 10. Accountability
  • 11. To federate or not – that is the question
    • What do you want to achieve
    • How can you achieve it in practice
    • Who do you need to associate with
    • Then consider what sort of structure you need
  • 12. Business Structures
    • Contractual
    • Partnership
    • Company
      • Limited by shares
      • Limited by guarantee
    • Limited Liability Partnership
  • 13. Contractual
    • No formal structure created
    • Contract - who does what, who gets what
    • May be a need for a Lead Body
    • Big group / complex delivery - harder to make this work
  • 14. Partnership
    • Carrying on business in common with a view to profit
    • Partnership Act 1890
  • 15. LLP
    • Cross between partnership and company
    • Features of a partnership
    • But has limited liability
    • Taxed as a partnership
  • 16. Company structure Company Directors (management) Shareholders/ Members (owners)
  • 17. A Legal Entity Creditors Debtors Equipment Contracts With Specialist providers Contracts with Suppliers Contracts (PMS/ GMS/ APMS) Staff Company
  • 18. Shares or Guarantee
    • Purpose of company?
    • Share capital
    • Not for profit / charitable purposes
    • Realise investment
  • 19. Shareholders Agreement
    • Relationship between shareholders
    • Alters balance of power
    • Resolution of disputes
    • Exits
  • 20. Directors’ Duties
    • Statutory duties
    • Fiduciary duties
  • 21. Company Administration
    • Annual filings and actions
    • Event driven filings
  • 22. Which Structure?
    • Legal restrictions (GMS Regulations)
    • Goodwill
    • Pensions
    • Taking on contracts