Working at scale has become a key driver across general practice and all other areas of the wider NHS – presenting opportunities for new ways of working and for the development of new services all driven by the goal of improving patient care.

‘At scale’ provision of care, will increasingly see practices shift towards collaborative working models – formal mergers, partnerships and federations and Multi-Specialty Community Providers (MCPs) – key advantages of this approach are the ability for practices to build on their strengths, improve their reach and also share the workload. But what are the practicalities of working at scale?

Essentially, it’s about developing new ways of working that will enable you to meet the increasing challenges and demands placed on your practice. It’s about working collaboratively with other practices and other healthcare providers across the NHS – and this has evolved as a key element of the new models for general practice. The number of large-scale primary care organisations that can cover much bigger population groups than the traditional small-scale model of general practice.

At the PMA we pride ourselves on the understanding that one size doesn’t fit all and – therefore, we have various formats of our workshops and can adapt any programme / agenda to suit your local needs and necessaries – so, please get in touch to discuss your requirements.

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Who should attend?

Don't miss opportunity to work with leading specialists in a series of full day workshops specifically focused on the ‘business’ aspects of General Practice.
  • General Practitioners

  • Practice Managers

  • Senior Practice Nurses

  • GP Administrator Managers

Learning Outcomes

Participants will gain an understanding of the demands of the Federating, merging and working at scale and the fundamental considerations around your practice in merger and partnership discussions. Different solutions will suit different practices and the people who work within them – so it’s crucial to be aware of the possibilities and opportunities that are available.

The GPFV 10 High Impact Actions will form a thread throughout the day as they represent a pivotal collection of ways to improve workload and improve care through working smarter, not harder.

  • Help practices lay the foundations for new models of integrated care
  • Understanding the delivery as part of a sustainable and high-quality NHS
  • The different options of working at scale
  • Identifying who you could collaborate with
  • How the change could affect your practice’s identity
  • Practicalities of merging – shared services & ‘back-office’ functions
  • The business considerations of merging, partnerships, federations and MCPs
  • Identifying the right services

Workshop Agenda

Below is an outline of the proposed agenda, if you have any questions please get in touch.

Welcome & Introduction
General Practice – Scene Setting

  • Why are we here?
  • What do we want from this session
What is working at scale?

  • Perceptions
  • Scope
  • Impact
Working at scale – the different models

  • Federations
  • Mergers – Super-partnerships
  • Soft Mergers
  • MCPs
  • PCNs
What is a Federation?

  • Practices working together to deliver patient-focused services
  • Single voice representing practices across the commissioning landscape
  • Allowing practices to share resources, expertise and services.
  • Improving integration of services across practices and other providers.
  • Forming an entity that can tender for services.
Developing a Federation

  • Shared vision
  • Practice buy-in
  • How will it be funded?
  • Organisational structure
  • Legal and financial implications
  • Do we need one?
What is a Merger / Super Partnerships / Soft Merger

  • Group Exercise
  • Key differences
  • Consolidation of patient list
  • Creation of a new partnership structure
  • Contractual changes
  • Fundamental changes to delivery model
Key considerations for merging

  • Mergers and the myths!
  • Why merge, is it the right time?
  • Managing a merger- key steps
  • Clear owners within the process – delivery structure
  • Openness and trust
  • Ability to make tough decisions
  • If done correctly it will destabilise the workforce. Be brave!!
  • Financial considerations, overhead reduction and improved margins
  • Building considerations
Multispeciality Community Providers (MCPs), ACO, ACS, ICP

  • MCPs helping to support new models of care.
  • Integration across the healthcare services.
  • Redesigning care around the needs of the population.
GPFV 10 High Impact Actions – What does this mean to us a practice? (Part 1)

  • Active signposting
  • New consultation types / technology
  • Reduce Did Not Attend (DNAs)
  • Develop the team –including group session
GPFV 10 High Impact Actions – What does this mean to us a practice? (Part 2)

  • Productive workflows – including group session
  • Developing personal resilience
  • Partnership working
  • Social prescribing
  • Support self-care
  • Develop QI expertise
Open Discussion & Summary
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Contact the PMA now

If you would like more information about any of our workshops, the timings or adapting our programmes to your local needs / requirements, please call 0330 111 6459 or email

Please note that all workshops are delivered online as web workshop sessions – however, if you require face to face workshops, please get in touch and we will be happy to discuss this.

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