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East Norfolk Medical Practice. Merger of 3 practices in Great Yarmouth 2013. Jonathan Knights – Managing Partner Karen Mitchell – GP Partner. Where we were. 2 GMS – 8,500pts between them struggling with recruitment, financial pressures 1 PMS – 12,200pts 2 sites
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East Norfolk Medical Practice Merger of 3 practices in Great Yarmouth 2013 Jonathan Knights – Managing PartnerKaren Mitchell – GP Partner
Where we were • 2 GMS – 8,500pts between them struggling with recruitment, financial pressures • 1 PMS – 12,200pts 2 sites successful, profits consistently increasing over 5 years
Why? Opportunity for more services to patients Recruitment GP Reducing income/ increased demand Opportunity to diversify and increase non NHS income Private providers
Why? • To maintain traditional general practice on a financially viable scale
Where we are now • 5 new GPs recruited • Improved profitability/ income maintained • GPs feel supported and can pursue individual interests • Personal continuity of care with improved access • Traditional general practice maintained
Considerations • How long will it take? • How much will it cost? • How will we form – merger/take over? • How will we work together?
The “little” things! • Due diligence • Legals • TUPE • Redundancies • Contracts • Premises/ property ownership • Asset valuations + contributions
The “big” things! • New identity • People • Culture • Leadership • Pace • New ways of working
Next steps Your next steps? Merger, restructure, business redesign, do nothing Our next step was: Winners of RCGP Practice Team of the Year Birth of GP Business Support to assist with: Mergers, restructure, cultural change, change management, business redesign, training etc. Contact: jonathanknights@nhs.net