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New Care Models – Working at Scale: Delivering Change

New Care Models – Working at Scale: Delivering Change


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Working at Scale has become a key driver across general practice and all other areas of the wider NHS – presenting opportunities for new ways of working and for the development of new services all driven by the goal of improving patient care. ‘At Scale’ provision of care, will increasingly see practices shift towards collaborative working models – formal mergers, partnerships and federations and Multi-Specialty Community Providers (MCPs) – key advantages of this approach are the ability for practices to build on their strengths, improve their reach and also share the workload. But what are the practicalities of working at scale'?

Essentially, it’s about developing new ways of working that will enable you to meet the increasing challenges and demands placed on your practice. It’s about working collaboratively with other practices and other healthcare providers across the NHS – and this has evolved as a key element of the new models for general practice. The number of large-scale primary care organisations that can cover much bigger population groups than the traditional small-scale model of general practice.

Learning Outcomes

  • Help practices lay the foundations for new models of integrated care
  • Understanding the delivery as part of a sustainable and high-quality NHS
  • The different options of working at scale
  • Identifying who you could collaborate with
  • How the change could affect your practice’s identity
  • Practicalities of merging – shared services & ‘back-office’ functions
  • The business considerations of merging, partnerships, federations and MCPs
  • Identifying the right services

Participants will gain an understanding of the demands of the Federating, merging and working at scale and the fundamental considerations around your practice in merger and partnership discussions. Different solutions will suit different practices and the people who work within them – so it’s crucial to be aware of the possibilities and opportunities that are available.

The GPFV 10 High Impact Actions will form a thread throughout the day as they represent a pivotal collection of ways to improve workload and improve care through working smarter, not harder.


09.00 Registration & Coffee
09.15 Welcome & Introduction
09.30 What is working at scale?

  • Setting the Scene - Partnerships and Mergers
  • Joining and Leaving Partnerships
10.00 Working at scale - the different models

  • Federations
  • Mergers
  • Super-partnerships
  • Governance
  • What it means for the GPs
10.45 BREAK
11.00 The Business View

Key points to consider on Mergers, Federations and collaborative working

  • Mergers and the myths!
  • Why merge, should you merge?
  • Managing a merger- key steps
  • How could a merger or federation impact taxation and superannuation?
  • What is the difference between merging and federation
  • How working together can help practices protect profits & improve resilience
  • Property Ownerships issues on Working at Scale
12.00 Multispeciality Community Providers (MCPs)

  • MCPs helping to support new models of care.
  • Integration across the healthcare services
  • Redesigning care around the needs of the population.
  • Prevention - reducing avoidable hospital admissions.
  • Impact and value for patients
13.00 LUNCH & Networking
14.00 What is a Federation?

  • Practices working together to deliver patient-focused services
  • Allowing practices to share resources, expertise and services.
  • Improving integration of services across practices and other providers.
  • Forming an entity that can tender for services
14.30 The practicalities of GP service redesign - GPFV 10 High Impact Actions

  • Active signposting – Directing patients to the most appropriate source of help
  • Technology –  improving continuity and convenience for the patient, and reducing clinical contact time
  • Reduce Did Not Attend (DNAs)
  • The Human Factor – developing the team
  • Workflow optimisation
  • Developing personal resilience
  • Creating partnerships and collaborations
  • Support self-care – supporting people to play a greater role in their own health and care
  • Develop QI expertise: a team supporting service redesign & continuous improvement
15.15 BREAK
15.30 GP participation in Federations/ Mergers/ Partnerships and (MCP)

  • The role of a GP
  • Why make the move
  • How it works
16.15 Open Discussion & Summary
16.30 Close

Who Should Attend?
General Practitioners, Practice Managers, Senior Practice Nurses and GP Administrator Managers

Don't miss opportunity to work with leading specialists in a series of full day workshops specifically focused on the ‘business’ aspects of General Practice.