A few years ago I wrote an outline of a training programme for new GP Partners. In recent months I have received regular requests from GPs interested in accessing the programme. Whilst we never set it up at the time, I am working with some great partners to now make this happen.
Below is an updated and adapted version of the original blog:
“Taking on responsibility for a business, for its staff, for its performance, and for its liabilities, is a big commitment. While in the past GPs took it on because that was the established career route for them, that no longer appears to be the case. Increasingly GPs are opting out of being a partner, and taking on salaried, locum or portfolio careers. Even GPs who had previously become partners are now choosing these alternatives.
It is into this environment that we are developing a training programme for GP partners. It is for those GPs who are considering becoming a partner, want to understand better what is involved, and want to develop the skills to be a good partner should they choose to make that step. It is also for those GPs who have already made the decision to become a partner, and want training and development to ensure they can be successful in the role.
The programme will comprise of the following areas. We will work with participants to tailor it to their individual needs through the course of the programme
Section 1: Internal – understanding the business
Success Measures: What constitutes success for the practice? Is the practice there to serve patients or to make money? What does independent contractor status really mean?
Partnership: What is a partnership; why partnership agreements are important; what makes a good partnership agreement; building a strong partnership team; “last man standing” and strategies for dealing with it.
People: How to lead people, how to manage people (and understanding the difference!); dealing with difficult people (including other partners!); staff appraisals; staff surveys; team meetings; the importance of coffee.
Finances: Partner financial responsibilities; dealing with accountants; understanding cash flow; how to manage the finances.
Processes: Appointment systems: the good, the bad and the ugly; DNAs; workflow redirection; active signposting. How to implement change within the practice.
Property: Understanding premises; types of ownership of property; leases and rent reimbursement; working with NHS Property Services.
Practice Manager: What to expect from your practice manager; how to get the best out of them; understanding the difference between the role of the practice manager and the role of a GP partner; how to know if you need to change your practice manager and how to do it.
Section 2: External – understanding the environment
NHS: Understanding where GP practices fit within the NHS; the different structures and types of organisation within the NHS and how they impact on GP practices.
Commissioners: Friend or foe? Understanding the GP contract and how it works; understanding the different commissioners; how to build effective relationships with commissioners.
Regulators: The role of the CQC; surviving inspections
Primary Care Networks: What is a Primary Care Network (PCN); how to build relationships with other GP practices in the PCN; overcoming history and other barriers to joint working.
Integrated Care: What is integrated care? What is an Integrated Care System? What does it mean for my practice? Is building relationships with other organisations, such as community pharmacy, community trust, local voluntary organisations, local council, local hospital important? Who to prioritise; how to do it.
Section 3: Future – understanding the risks
Changing NHS: The changing NHS, including the new (2019) GP contract; integrated care systems; and the role of PCNs moving forward.
Strategic Change: Understanding strategic options for your practice for the future; how to develop them; how to implement them.
Practice mergers: When to consider it, when not to, and how to do it successfully.”
If you are interested in being part of our pilot cohort which has a maximum of 15 place available, please get in touch (ben@ockham.healthcare). The course will start in September, and will be delivered online. We will work with this cohort to tailor the programme to the specific needs of those on the programme. I am hugely excited about taking this forward, and I will share more details as we finalise the programme over the coming weeks.
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