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David Pannell: developing a federation
David Pannell: developing a federation
David Pannell: developing a federation
David Pannell: developing a federation
David Pannell: developing a federation
David Pannell: developing a federation
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David Pannell: developing a federation

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  • 1. 1Developing a FederationDavid Pannell & Tim ReedMay 2013
  • 2. 2Welcome to Suffolk
  • 3. 3Who we are? 40 practice Federation covering 360,000 patients inEast Suffolk – not for profit Started April 2013 – long process of discussion Practices stay independent Designed to overcome the weaknesses of the cottageindustry structure Mix of rural/dispensing & urban – mean practice size9,000 – 1 single hander
  • 4. 4Objectives1. Maintain the independent contractor model - build onstrengths and develop2. Help practices address local issues e.g. workload &recruitment3. Ensure primary care can compete for contracts
  • 5. 5Our business model Provide patient services e.g. ultrasound etc – generatea surplus Use management infrastructure to provide services topractices Bidding on behalf of practices Reducing costs GP development programme Commercial research offering Recruitment package Retain local feel for members e.g. locality groups
  • 6. 6Five issues1. Getting quick decisions – can we compete with theintegrated model?2. What if a practice does not deliver?3. Extracting cash savings e.g. from back officecentralisation4. Financing the significant start-up costs5. Need for scale v desire for localness

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