SCW’s primary care team has been commissioned to work with several groups of practices to explore the opportunities of working at-scale, leading to the formation of companies limited by shares.
Our experience in this area has also enabled us to work with existing at-scale direct primary care providers to:
- Undertake due diligence exercises.
- Provide assurances to commissioners that these organisations are ‘contract ready’ with robust accountability and governance processes, clearly defined operational policies,
- Ensure that they meet the statutory obligations inherent with being the holder of an NHS contract.
We facilitate the development of provider organisations based upon local circumstances and the way the practices want to work. The developed company principles will be as unique to the federation as the member practices and population. Our approach follows a 4-stage process:
- Stage One - an exploratory meeting with practices interested in knowing more about what federating would mean for them.
- Stage Two - a facilitated first meeting of the workgroup, using numerous testing scenarios to reach agreement on the best way forward.
- Stage Three – a second workshop to further refine the company principles and explore; Corporate and Clinical Governance, Risk Management Strategy, Outline Business Plan, Communications and Engagement
- Stage Four – launch meeting to discuss the work undertaken and the decisions that have been made to inform the development of their company principles.
At this point, decisions relating to practices joining, director appointments, and legal and accounting procedures are taken.
- The establishment of three companies limited by shares: Berkshire Primary Care LTD, Wessex Healthcare Alliance and the Minerva Healthcare Group.
- Berkshire Primary Care Ltd awarded a contract by the CCG for the provision of the primary care extended hours service.
- The Wessex Healthcare Alliance’s first contract was for the provision of a screening test for heart irregularities targeted at vulnerable and at-risk patients.
- We have also worked with the Southern Hampshire Primary Care Alliance to provide assurance to the CCG prior to the commissioning of a £4m contract for the provision of extended access.
- These provider organisations are now supporting the ‘care out of hospital’ agenda delivering services at-scale in primary care.
“The Fareham and Gosport and South East Hampshire CCG generously funded support from the SCW in the person of Alison Westmacott. This assistance has been invaluable to the Board and Executive Team. Her guidance and leadership ensured that the Company, its Board and Executive Team are fit for purpose and able to lead the GP Extended Access Contract effectively.”
Joe Todd, Practice Manager