GP federations are the building blocks of new models of care, but they need assembling with care and attention to detail.
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.
Long before the term federation was on the lips of every ambitious GP, the “primary care home” set out the idea of an NHS meso organisation, a generic name for primary care collectives irrespective of structure or legal form. David Colin-Thomé, whose 2011 first described the concept, explains why the primary care home is more relevant than ever in the world of new care models.
Peter Colclough and Phil Yates are the most recent additions to the PCC governing body. Peter Colclough had a 37-year career in the NHS, serving as CEO for organisations as diverse as PCTs and acute trusts and leading the development of integrated services in Torbay. He is now a consultant and an associate of the King’s Fund.
Phil Yates is chair of GP Care, a GP federation set up in 2006. He is also chair of the recently formed National Association of Provider Organisations (NAPO).
When the Health and Social Care Act 2012 came into being, it attempted to put in place structural safeguards against conflicts of interest in health commissioning. If GPs were to commission secondary care services, then at least those GPs couldn’t commission themselves to deliver primary care. Co-commissioning changes all that. This article from law firm Blake Morgan considers the consequences.