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 () ★ Communicate Contracts Financial management Marketing & business development New care models Show More 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. Transcript 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 Share Tweet 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.