This document contains a presentation given by Maxine Pott, Director of Healthcare Group at RMT Accountants & Business Advisors Ltd, at the General Practice Management Conference in Nottingham on June 4, 2015. The presentation provides an overview of the current state of GP practice finances, challenges they face, and opportunities for practices to maximize income and thrive financially. It discusses national healthcare trends, the current financial situation for practices, tips for practices to improve their finances, and potential new initiatives and opportunities for practices.
In “Valuing Healthcare Management Services Agreements,” PYA Principal Tynan Olechny discussed the types of management services found in the healthcare marketplace. Her NACVA webinar presentation addressed the valuation of these services with a focus on how the appraiser can analyze the key economics of management services agreements. She also examined how the commercial reasonableness of these arrangements can be evaluated and assessed as part of the valuation process.
The Role of Fixed Asset Appraisals in Healthcare Valuations PYA, P.C.
PYA Principal Darcy Devine and Consulting Manager Emma Miller presented “The Role of Fixed Asset Appraisals in the Valuation of Healthcare Entities” during NACVA Webinar Week. They provided an overview of fixed asset appraisals including how they are performed, the definitions of value, and why they are necessary when conducting a business valuation of a healthcare entity. Their presentation also demonstrated how the resulting value from a fixed asset appraisal can vary significantly from simply using depreciated values.
In “Valuing Healthcare Management Services Agreements,” PYA Principal Tynan Olechny discussed the types of management services found in the healthcare marketplace. Her NACVA webinar presentation addressed the valuation of these services with a focus on how the appraiser can analyze the key economics of management services agreements. She also examined how the commercial reasonableness of these arrangements can be evaluated and assessed as part of the valuation process.
The Role of Fixed Asset Appraisals in Healthcare Valuations PYA, P.C.
PYA Principal Darcy Devine and Consulting Manager Emma Miller presented “The Role of Fixed Asset Appraisals in the Valuation of Healthcare Entities” during NACVA Webinar Week. They provided an overview of fixed asset appraisals including how they are performed, the definitions of value, and why they are necessary when conducting a business valuation of a healthcare entity. Their presentation also demonstrated how the resulting value from a fixed asset appraisal can vary significantly from simply using depreciated values.
OpenBC leaves you free to run your business without the day-to-day hassles of managing a conventional office space with flexible lease terms, ready-to-use executive suites, immediate office setup, receptionist and maintenance services http://openbc.ae/
OpenBC leaves you free to run your business without the day-to-day hassles of managing a conventional office space with flexible lease terms, ready-to-use executive suites, immediate office setup, receptionist and maintenance services http://openbc.ae/
PYA Principal Lori Foley presented on “Hospital-Owned Orthopaedic Practices” at the Tennessee Orthopaedic Society Annual Meeting. With many providers considering hospital employment, this session focused on:
Employment activity specific to orthopaedics including some of the pros and cons that private practice physicians should consider when evaluating this option.
Other alignment arrangements taking place between hospitals and orthopaedic practices.
A Practical Guide To Implementing Bundled Payment ProgramsWellbe
As value-based programs continue to expand in adoption, providers who are not participating need to determine how to get involved as quickly as possible. Ignoring this trend is no longer an option. This webinar will present a practical approach to designing, implementing, and operating a successful bundled payment program leveraging “lessons learned” and applying real-world experiences.
The discussion will cover:
• Overview of bundled payments
• Initiating your bundled payment project
• Bundle design
• Contracting models
• Workflow issues
• Cost tracking and management
• Monitoring performance and program expansion
About the Speaker:
sheldonSheldon Hamburger serves as a Principal of The Aristone Group, a Raleigh, NC based healthcare consulting group. With focus on helping healthcare enterprise organizations address emerging trends, Aristone provides expertise in strategy, process, and technology.
With over 30 years of experience in developing and marketing healthcare technology products and services, Mr. Hamburger’s career includes various “firsts” in medical and pharmaceutical financial processing systems including electronic claims and payment applications. His solutions have been adopted by some the country’s largest companies and he continues to spearhead developments in healthcare technology applications.
Hamburger earned a bachelor’s degree in Computer Engineering from the University of Michigan. His career includes service on numerous professional and nonprofit task forces and committees.
IQ from a QOE: Key Considerations When Performing a Quality of Earnings Analy...PYA, P.C.
Given the complexity of healthcare’s reimbursement environment, determining the quality of reported earnings during a transaction’s due-diligence process can prove challenging. In his presentation, “IQ from a QoE: Key Considerations When Performing a Quality of Earnings Analysis Involving Healthcare Entities,” PYA Pricipal Michael Ramey introduced key considerations when planning and performing effective QoE engagements for various healthcare entities.
Using simulation to drive changes in health and care - long term conditions Year of Care model
Bev Matthews and Claire Cordeaux
Presentation from Day 1 of the Health and Care Innovation Expo 2014, Manchester Central
Physician contracting compliance is a serious concern for healthcare executives, attorneys, and compliance professionals. Maintaining compliance of physician contracts requires balancing physician relationships and paying fairly.
This webinar will cover best practices hospital leaders can use to refine their organization's compliance processes, including:
-Educating staff
-Determining and documenting FMV
-Identifying and handling potentially risky contracts
Midlands and East GP Forward View update event May 2017NHS England
A presentation from the GP Forward View update event in May 2017 for Midlands and East, giving the latest information on what the Forward View is delivering.
Bundled Payment Changes: Learn What’s New and How to SucceedHealth Catalyst
In January, CMS announced the Bundled Payment for Care Improvement Advanced “BPCI Advanced” program, initiating renewed interest in a total cost of care payment model for specific episodes of care. Regardless of your organization’s current decision to participate, it’s important to understand how bundled payment programs have the ability to significantly decrease your internal costs, broaden your revenue opportunities, and improve patient outcomes across specific populations. The Center for Medicare and Medicaid Innovation’s newest iteration of bundled payments provides another tightly-defined program that allows organizations to scale Population Health Management. Best practice suggests that tactical interventions to assess clinical variation, implement strategic care redesign programs, and to adjust care management-facilitated patient stratification models are important to be successful with bundled payments – so knowing how to implement them is crucial. One organization’s savings is another’s income and without making overhead allocation changes, bundled payments may reduce revenue that has been critically important to maintain hospital profitability. Join this webinar to learn:
* What is new with bundled payments.
* The ramifications bundles can have across organizations.
* Leveraging data and strategic analysis to identify opportunities for bundled payment success.
* Operationalizing successful care program tactics to be successful in bundled payment contracts.
As an owner and operator of urgent cares, Premier Health occupies a unique space because of it's joint venture business model. This electronic brochures gives readers insight into why Premier Health's motto "Your Business...Our Model" perfect describes what this company does and the competitive advantages for healthcare providers looking to get into urgent care.
Achieving Sustainable Savings in Purchased Services Through Best PracticesModern Healthcare
Purchased-service agreements present an area of potential savings for operational budgets if hospitals have the right data, research and tools to control and reprioritize their purchased-services spending.
Join us as we learn how SSM Health, a four-state non-profit health care system, implemented a best-practices approach to purchased services to secure large-dollar savings across its entire purchased-services spend. During this webinar Cris O'Neal-Gavin, System Contract manager for Purchased Services at SSM Health, will share how they drove savings in large national purchased-services categories, and achieved even larger savings in more strategic regional services. Also get exclusive access to MD Buyline's most recent research showcasing how the nation's most innovative hospitals are implementing common strategies to reduce the cost and complexity of purchased-services contracts.
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
Tuesday 24 June 2014: 15 Hatfields, Chadwick Court, London
Similar to Maxine Pott Funding and Contract Review (20)
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Navigating Women's Health: Understanding Prenatal Care and Beyond
Maxine Pott Funding and Contract Review
1. Maxine Pott FCA
Director of Healthcare Group
RMT Accountants & Business Advisors Ltd
SPECIALISTS IN GP PRACTICE FINANCE
www.rmthealthgroup.co.uk
General Practice Management Conference
Nottingham 4 June 2015
2. RMT Healthcare Group
Experts in Practice Finance
www.rmthealthgroup.co.uk
Specialist division focussing on the health sector:
• GPs Care Homes
• Locums Nurseries
• Dentists Opticians
• Pharmacies Veterinarians
3. Our Credentials
• Experience within medical sector in excess of 25 years
• Founder members of AISMA
• Contributor to Medical Press and National Seminars
• Expert team of 20+ dealing with in excess of 100 GP practices and over
1,000 other healthcare professionals
• Part of a full service Practice
Maxine Pott FCA – Director of Healthcare Group
& Corporate Finance
Tel: 0191 256 9580
Mobile: 07977 446 872
Email: maxine.pott@r-m-t.co.uk
Web: www.rmthealthgroup.co.uk
Web: www.r-m-t.co.uk
5. Overview
• National context – direction of travel
• GP Practice finances – current and future, challenges
and initiatives
• Opportunities arising for GP Practices – survive and
thrive!
6. The National Picture
The five year forward view
• Need for radical change
– Health and wellbeing gap
– Care and quality gap
– Funding and efficiency gap
• Additional government funding
• Public and private collaboration
7. The National Picture
• Finances remain tight £30bn gap
• Budget pressures are expected to continue
Solution?
GP Practices are central to success in all 3 areas!!!
Patient
Demand Resources
Reduce
Demand
How?
Prevent
Poor Health
Empower
Patients
Engage
Communities
Why?
8. The Current Situation
• GMS vs PMS – ongoing debate
• Costs increasing & erosion of income
• Reducing drawings & cash flow management concerns
• Increasing work pressures – bureaucracy vs patient care
• MPIG straight line loss over seven years
• Seniority lost over six years, nothing for new starters
• Lack of new partners & succession issues
• Outdated premises
9. Financial Top Tips
a) Carry out a strategic review
b) Prepare a detailed budget and cash flow for 2015/16 and use to monitor
during year
c) Look to maximise income
d) Review and control costs
e) Look to achieve the right partner/staff structure
f) Review financial and other procedures
g) Choose the right accounting software for the practice
h) Review superannuation and seniority payments
i) Keep partners capital / current account balances in line
j) Ensure partnership agreement is up to date
10. Maximising Income
• Do you claim for everything you can claim for?
• Are you recording all necessary information?
• Do you randomly audit to ensure you are actually claiming for everything
you think you are?
• Do you do comparisons during the year to compare income levels with
prior periods rather than waiting for the year end.
• Do you have a robust process for identifying and objectively appraising
enhanced services?
• Are you doing all you can do — e.g. extended hours?
11. Maximising Income – Let’s get specific
Core funding
Increase list and check weighting factor data
Seniority
Ensure seniority payment consistent with reckonable years of service per the SFE
Enhanced Services
Make enhanced services work and pay....
- What is the workload and who will do it?
- Do we have the skills already?
- Or do we need to train up? Cost?
- Will other services suffer if we take this on?
- Do we want to be involved in this type of service?
12. Maximising Income – continued
QOF
• Less points available but review disease registers
• Consider a Quality Management team
• Points and prevalence data
Other NHS Income
• Ensure Golden Hello claimed for new partners if available
• Consider becoming a training practice
• Consider outside appointments
Non-NHS Income
• Maximise variety of sources from list (see following slides)
• Consider renting out surplus space to other healthcare professionals
14. Financial Forecasting
• A key element of every practice financial strategy
• Key to profit maximisation
• Ensures income is received / maximised
• Enables costs to be monitored
• Ensures sufficient cash is held
by the practice to meet future
costs
15. Financial Forecasting - continued
• Enables partners drawings to be set at a sustainable level
• Enables financial decisions to be made during the year — NOT
just at the end
• Detailed budgets and cash flows should certainly be compiled
for the next year — ideally for the next 3 years
• Involvement of practice manager and finance GP
• Update forecasts and monitor during the year
16. • Promotion of GP services
• Alternative sources of income (linking with secondary care?)
• Consolidation + Collaboration
• Corporate and private competition
• Multi-speciality community providers (MSPs)
• Integrated primary & acute care systems (PACs)
• Creating viable small hospitals
• Enhanced health care homes
VANGUARD SITES ANNOUNCED MARCH 2015!
The Future Development of Primary
Care - opportunities
17. • Community hospital appointments
• CCG/NHS trust appointments
• Training income
• Reimbursement of premises costs (rates, water)
• Notional or cost rent
• "Improvement" grants
• Golden Hello
No longer automatic — needs to be evidence of
recruitment difficulties (implemented 1st January 2015)
Opportunities - continued
18. acupuncture sessions minor surgery - non GMS
authorship fees minor surgery - vasectomies
bail hostel fees monitoring - anticoagulant, methadone etc
benefits agency work NHS direct fees
biopsy clinics NHS direct posts
blue badge examinations NHS trust board fees
character references NSPCC
committee fees - BMA occupational health
committee fees - GMSC passport counter signature
committee fees - MDU CCG board fees
committee fees - RCGP CCG compensatory allowance
coroners court reports and attendance CCG meeting fees
court of protection reports and certificates pilot licence reports and examinations
court reports and attendance fees police training centre retainer
cremation fees private consultancy work
data collection private medical examinations & reports
deputising income - cooperatives private prescriptions
deputising income - Healthcall private vaccinations - Yellow fever, travel etc
deputising income - rotas public health appointments
directorships - ambulance trusts reports - department of social services
directorships - co-operatives reports - insurance companies
directorships - deputising companies reports - solicitors
drug company - research retainer - air force
drug company - trials retainer - airports
Opportunities - continued
Non NHS Income
19. Opportunities - continued
hire of rooms - NHS retainer - army
hire of rooms - other health professionals retainer - commercial
hospice appointments retainer - industrial
hospital work - NHS bed fund retainer - local authority
hospital work - NHS casualty service retainer - navy
hospital work - NHS clinical assistant retainer - nursing homes
hospital work - NHS practitioner retainer - police
hospital work - private retainer - prison
hypnotherapy sessions retainer - residential homes
impotency clinics retainer - retail
independent tribunal service retainer - school
insurance reports retainer - university
lecturing fees retainer - young offenders
life assurance reports review panel - disciplinary
LMC chair/ secretary shotgun licence certificates
local initiatives - diabetes, smoking, IHD etc. sick notes
locum work sports - event attendance
McMillan service sports - football club doctor
medical audit advisory group work sports - injury clinics
medical research ethics committee sports - rugby football club doctor
medicals - government departments summative assessments
medicals - health authority teaching fees - medical school
medicals - local authority undergraduate training
medico legal work visiting medical officer - local authority
mentoring fees vocational training course organiser
minor surgery - excess over GMS war pension domestic visits
Non NHS Income
20. New Initiatives
Premises
• Recognition of huge historic underfunding in GP premises
– GPs invited to submit bids using money from £1bn building fund announced
last year – 4 year period £250m tranches.
• Purpose
– Make improvement to existing premises
– Building new ones
• Success Factors
– Capacity to do more
– Provide value for money
– Improve access to services for the frail and elderly
21. New Initiatives - continued
People
NHS England providing £10m to expand General Practice – focus on areas
where difficulty recruiting
• Recruit
• Retain
• Return
Develop roles of other Primary Care Staff
• Nurses
• Pharmacists
• Associate physicians
22. Strategic planning
Consider six key questions
• What do we want to do?
• What have we done well in the past?
• What must we do well to succeed?
• What could we do?
• What might we do?
• What should we do?
25. Features of High-Earning Practices
• Stable partnership (low turnover of partners).
• Partners work as a team, trust each other, plan ahead, and meet regularly.
• Partners have similar philosophies in terms of the dichotomy between money and patient
care.
• Top rate databases on patients and treatments.
• Pro-active rather than reactive teams.
• Good managers of time.
• GPs with high list sizes.
• Well organised GPs with strong staff teams and good skills mix amongst them.
• GPs who delegate well to nurses, health visitors etc.
• GPs who work long hours, have low deputising costs, and high level of non-NHS earnings.
• GPs who have the ability to dispense.
• PMS GPs who have taken advantage of growth funding and freed up time to perform more
lucrative tasks.
• GPs who are heavily involved with their NHS Board.
• GPs with the most competent and skilled practice managers and specialist accountants.
26. Features of Low-Earning Practices
• Practices involved in partnership disputes.
• GPs with inadequate resources, such as staff, equipment and space. Such GPs often have the
wrong staff mix or have a loyal contingent of staff who have been promoted over the years
but do not necessarily have the relevant skills.
• Badly organised practices with poor internal controls.
• GPs who are bad managers of time.
• GPs who work as individuals and not as a team.
• New practices with low list sizes.
• Practices in very deprived areas.
• GPs who value 'time off' way over and above money, who incur very high deputising costs.
• GPs with poor patient data, either through neglect or poor skills
mix amongst the staff.
27. The Perfect Practice
• Focussed by a strategic plan Fully matched skills, with division of duties
• Well organised An executive/strategic practice manager
• Correct skill match Audit – and willing to follow up
• Fully embraces IT Employ enough staff to meet the highest
• Strong data management targets – and train them
• Focus on quality A balance of services and skills
• Diversity of services Strong financial monitoring and control
• Outside sources of income Proactive
• Protected time
28. Maxine Pott FCA
Director of Healthcare Group
RMT Accountants & Business Advisors Ltd
E: maxine.pott@r-m-t.co.uk
DDI: 0191 256 9580
M: 07977 446 872
Contact Us