Select location
Membership information
0800 561 9000
Medicolegal advice
0800 561 9090
Refine my search

How super-practice models create sustainability for GP organisations

By: Iain Murray | Post date: 20/12/2017 | Time to read article: 1 mins

The information within this article was correct at the time of publishing. Last updated 14/11/2018

There are concerns around the sustainability of GP organisations and the numerous iterations – can I have your thoughts about the next 2/3 years?

Iain Murray, Managing Director of Allus Associates, discusses how super-practice models could improve sustainability for general practices.


Over the last 3 or 4 years, groups of practices have come together in loose associations or GP federations which have typically been able to access non-recurrent sources of income and also sources of income from smaller local contracts either subcontracted from other providers or through commissioning of local enhanced services and so on. The challenge for federations always has been and continues to be how they get to the nub of general practice and how they tackle the challenges that exist within our workforce but also how they exploit the potential of re-engineering our workforce so it operates more efficiently and effectively and also can deliver against the agenda of increasing amounts of out-of-hospital care. I’m convinced that the future of general practice is either through local mergers of organisations to create practices that are of the 30-50,000 scale or through the development of super partnership models such as those we’re seeing emerging in the West Midlands. I’m convinced that through those approaches and through the efficiencies that can be driven at that level and the decision making that’s possible within those types of organisations we can really maximise the opportunity that exists for our workforce and for creating a sustainable model for general practice. My fear is that our GP colleagues won’t take the leap of faith necessary to go through what can be quite a difficult process to create these new organisations. My advice to my GP colleagues would be to feel the fear and do it anyway. 

Share this article

Iain Murray Medical Protection Expert

Iain Murray

Iain Murray is the managing director at Heartbeat Alliance, a large GP federation in North Yorkshire. He’s also director at Allus Associates, another Yorkshire based organisation, this time committed to supporting the development and sustainability of primary care.

Load more reviews

You've already submitted a review for this item

New site feature tour

Introducing an improved
online experience

You'll notice a few things have changed on our website. After asking our members what they want in an online platform, we've made it easier to access our membership benefits and created a more personalised user experience.

Why not take our quick 60-second tour? We'll show you how it all works and it should only take a minute.

Take the tour Continue to site

Medicolegal advice
0800 561 9090
Membership information
0800 561 9000

Key contact details

Should you need to contact us, our phone numbers are always visible.

Personalise your search

We'll save your profession in the "I am a..." dropdown filter for next time.

Tour completed

Now you've seen all of the updated features, it's time for you to try them out.

Continue to site
Take again