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Vincent Buscemi is a health and social care lawyer and a partner at Bevan Brittan, a leading commercial law firm. Vincent has wide experience of advising independent and public sector organisations on a wide range of issues including powers, decision-making and governance arrangements. In this episode Vincent takes Ben through the fine detail of setting up limited companies, forming “back-office” hubs and avoiding the potential pitfalls of both.

Show Notes

Vincent moves to the UK from the US 25 years ago and gets involved in primary care (51secs)

Vincent’s experience in the new models of care vanguards (1min 38secs)

What is an incorporated identity? (3min 17secs)

Achieving economies of scale (5mins 21secs)

Can limited companies hold GP contracts? (6mins 55secs)

“Qualifying companies” (8mins 03secs)

Why isn’t this happening so much now? NHS England’s involvement (8mins 55secs)

Potential for a legal challenge (10mins 17secs)

Scale influences NHSE’s view (11mins 55secs)

Start at a local level – and early (13mins 11secs)

Reticence to fait accompli and the policy book (14mins 25secs)

Downsides to check for – paying VAT and pension arrangements (16mins 07secs)

Sub-contracting from core contracts leads to a pension issue… (17mins 23secs)

…and a tax issue. Cost sharing groups (19mins 44secs)

Get the financial advisor in the room as soon as possible (21mins 29secs)

Isn’t a merger a far easier alternative? (23mins 09secs)

Pre-existing and prior liabilities (24mins 20secs)

How is the corporate infrastructure of general practice likely to change? (25mins 23secs)

Getting in touch with Vincent (27mins 23secs)

Contacting Vincent: Telephone 03701943016 or e-mail Vincent.buscemi@bevanbrittan.com