Primary care experts, Justin Cumberlege and Robert McCartney, discuss the intricacies of merging GP practices.

They begin by clarifying what a merger typically involves - two or more practices coming together to operate as a single entity.

The conversation explores the strategic motivations for merging, such as financial sustainability, improved service delivery, and increased influence within Primary Care Networks (PCNs). They highlight the benefits of scaling up, including shared responsibilities, enhanced workforce capabilities, and greater resilience in a rapidly evolving NHS landscape.

The episode also examines different structural models, including incorporation as limited companies, and how regulatory changes have made such models more viable. The importance of thorough preparation is emphasised - particularly in establishing a shared vision, conducting due diligence, and understanding each practice’s assets, liabilities, and staffing structures.

Key legal and operational considerations are discussed, including staff restructuring, premises management, regulatory compliance (such as CQC registration), and the novation of GMS contracts. The hosts stress the value of early legal input, confidentiality agreements, and well-drafted heads of terms to guide the merger process effectively.