James Gransby, Partner at RSM UK and medical financial expert, summarises the key considerations and implications for practices and new networks of their financial arrangements, particularly within the context of the new - and the since updated - draft primary care contract service specification.

Introductions (48 secs)

James’ initial thoughts on the formation of PCNs and their impact (1 min 22 secs)

Workforce implications (2 mins 15 secs)

How is the PCN’s money best held? Is there an ‘ideal’ financial model? (3 mins 51 secs)

The lead practice model (5 mins 21 secs)

Lessons learned so far, advice on setting up a new financial model - and all things VAT (6 mins 27 secs)

Let’s talk about pensions (7 mins 41 secs)

Clinical Director pay (9 mins 18 secs)

Check employment status for tax / HMRC (10 mins 4 secs)

Year End accounts (13 mins)

Showing a ‘surplus’ and how to manage a PCN ‘surplus’ (14 mins 21 secs)

Impact on practice finances as a result of PCNs (16 mins 15 secs)

Reflecting on the draft service specifications (the December 2019 version) (17 mins 37 secs)

General Practice sustainability in today’s world? (20 mins 10 secs)

James’ top tips for practices and networks (21 mins 55 secs)

Getting in touch (23 mins 10 secs)

The draft GP contract update – new reflections (23 mins 31 secs)

What differences do the changes in the draft contract make? (24 mins 19 secs)

Tax implications for contract incentives? (24 mins 55 secs)

HMRC updates discussed (26 mins 25 secs)

 

James is contactable at: [email protected]

https://www.rsmuk.com/