![]() The local LMC warned other practices, thinking of federating and delivering services at scale, that they needed to be aware of the liabilities they might be taking on. ![]() The “answer” in the commercial world after all is nearly always to save costs by operating at scale.īut is this business model risk-free? Reports emerged earlier this year about a federation in Doncaster going into administration after running into financial difficulties when it was unsuccessful in retaining contracts it had previously been awarded. The nearly 8,000 small businesses, many of whom are finding their current business model unsustainable, need to consolidate into a smaller number of larger organisations – federations or alliances are the accepted terms. To outside observers the problems facing general practice may seem quite straightforward. However welcome, the GPFV money is only half the answer to the GP crisis. The GPs to cover current working hours do not exist, and despite the promise of 5,000 more, the colleges are still predicting a shortfall of 10,000 GPs in five years’ time. NHS England wants 12 hours a day, 7 days a week opening in general practice. And for the other half, strings are inevitably attached. But the problem with money is that it gets swallowed up - half of the promised money funds year on year contract rises of less than 5% that barely keep up with inflation of GP expenses (GP indemnity costs continue to rise exponentially). ![]() The main strategy seems to be a promise of more money. ![]() In April this year NHS England published the General Practice Forward View (GPFV) with a sprawling list of initiatives designed to increase the overall investment in general practice by a recurrent £2.4bn by 2020/21. The problems in general practice have certainly not been ignored, in part due to the threat of mass resignations that coincided with the strike action of the junior doctors. So who will be the saviour of general practice? Does the answer lie in the hands of Jeremy Hunt and the Government? He certainly seems to think so. While in Manchester, the local LMC chair suggests that the primary reason GP practices in Manchester are signing up to the new multispecialty provider (MCP) contract is because they see it as a way out of their current pressures. In Yeovil, the Symphony Healthcare Services model, where GP practices are run by a company wholly owned by the hospital, is attracting more local practices. In Chesterfield a number of practices are now the responsibility of the local hospital, which now runs them through the Royal Primary Care banner. The extent of the crisis means something has to give. The impact of escalating demand and unmanageable workload is having a devastating effect, with GPs leaving the profession in significant numbers either through early retirement, or for a career change. Please contact us.That there is a crisis in general practice is not in doubt. We look forward to discussing new career opportunities with you. We invest in our people, offer attractive benefit and compensation programs, along with a culture that rewards progress and encourages active career and professional development. We are committed to expanding opportunities for our staff. By helping patients receive the therapies they need, you play a vital role in enabling efficiencies, ensuring compliance, and enhancing the experience for all involved in the patient’s journey. You will make a difference in the lives of patients and their families and friends each and every day. We offer a forward-thinking business model seeking to make a real difference in the quality of care for patients and uptake of powerful new therapies. You will have the opportunity to contribute alongside talented clinical professionals and motivated patient service teams, each dedicated to fulfilling our company’s full promise. By combining state-of-the-art technologies with clinical value-based programs and services, Occam Health delivers cost efficient and innovative solutions today and advances the frontier of what is possible tomorrow. Occam Health is at the leading edge of healthcare services, helping patients and their physicians find the right resources and therapies on behalf of our clients.
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