Start from here: support for federations

20 November 2015
GP federations are the building blocks of new models of care, but they need assembling with care and attention to detail.
While there is broad consensus about the purpose of collaboration and the principle that form must follow function, the reality is that GP collaboratives are at different stages of development with some growing organically and others being pressed into service to meet the needs of national programmes or local commissioning plans.
Our support for federations recognises that they are at different stages in their development journeys with a range of ambitions about the route they wish to take and the type of organisation they want to end up with, from loose federal arrangements that preserve the autonomy of member practices to formal corporate structures.
According to a report in the Health Service Journal, most CCGs with delegated responsibility for primary care are investing in development of federations to help their member practices future-proof their businesses, and because they recognise that their own commissioning ambitions depend on resilient primary care organisations operating at scale.
Federation is a by-product of national initiatives including the Prime Minister’s GP Access Fund and the vanguard programme, as collaborative working and service innovation create de facto requirements for organisational development.
Even practices without the benefit of CCG investment or national funding are being driven by necessity to consider some form of federated working as seven-day working, rising demand and continuing economic pressure threaten the viability of independent general practice.
PCC delivers a range of support from one-off interventions to programmes to facilitate initial engagement, planning and lifecycle development. We have delivered programmes for a number of emerging federations or mergers covering one or more of the following areas.
  • Awareness raising and engagement
  • Development of mission, vision and values
  • Legal frameworks for collaboration
  • Business planning
  • Preparing partnerships for merger
  • Financial frameworks
  • Contracting
  • Premises
  • Planning and delivery of launch event for members
  • Project planning and programme support
  • Working with the wider system
  • Relationship development
  • Integrated care planning
For further information contact:
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