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How to help colleagues come together to drive change in GP organisations

By: Graeme Cleland | 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

One of the key challenges faced by GP organisations is the time and co-operation required from colleagues to progress and drive change within the organisation. Can you tell us please about how you achieved this?

Graeme Cleland explains the model and processes that can help facilitate change within GP organisations.


GP organisations and federations are primarily established from two routes. The first one being where Clinical Commissioning Groups determine that there is a need to come together at scale. The second one is where a primary care provider, or all the practices come together and they determine there is a need to create an at scale provider. In our case, the mandate for that came from the LMC so we took a mandate from all the constituent practices within our LMC and actually took them forward in a way to a new model. So, we have an ownership model that’s based on capitation of patient numbers and that is represented. Creating those new models and driving those new behaviours has been really, really interesting and we’ve done that through a process of active engagement, leadership forum events, meetings, shareholder meetings, workshops, various guises to actually create a leadership pool of people, and take people on a journey. I won’t say it’s been easy. Won’t say it’s actually a done deal, because if you get 154 GPs in a room you get 154 different opinions about what’s right – they’re all correct. But actually, moving things forward has been a case of corralling that interest taking people to a new place. 

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Graeme Cleland Medical Protection Expert

Graeme Cleland

Graeme Cleland is the managing director at Taurus Healthcare Ltd, a business he set up himself. Here, he helps to provide primary care services at scale, provide out of hospital care to the public and negotiate contracts with the NHS, CCG and regional commissioners.

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