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0845 388 0302

Primary Care Support

Federations, Practice Mergers, Income Generation & Access

Logo Header 12th april 2017Artboard 1@2x joining the pieces

Achieving the results you want; the importance of involvement and engagement

Whether you are forming or already working within a federation, a super practice or merged practices, never underestimate the importance of the involvement and engagement of all those involved in your organisation, be that involvement direct or indirect.  This might mean the process of forming your at-scale organisation, or it might mean subsequent planning or changes.  Whichever it is, get it right and you will be able successfully form your organisation and deliver your plans, as well as be able to respond to future challenges.  Get it wrong, and at best you are unlikely to be able to properly or fully implement your vision and plans, and at worst you may risk the success and the future of your organisation


How often have you seen top-down, command and control change in the NHS, run by a steering group of a chosen few representatives, which then seeks the involvement of other stakeholders in the name of being able to say that all stakeholders have been involved?  And how often have you seen plans and projects born of that process fully delivered and sustained?


We would venture that the answer is not often, if ever.  This is because those who ultimately have the responsibility for delivering that change weren’t involved at the start, don’t have true and real ownership of the change, and may even resist it, regardless of how good or positive that change might be.  Those in senior roles struggle to let go of the process and need to control the outcome, and may only genuinely attempt to involve people, if at all, once the plans or direction of travel is a fait accomplish.  Even at that point, the number and range of people involved will often be too limited to ensure proper buy in.

When you are creating an organisation to work at-scale it is vital for success and sustainability that you have buy-in and engagement, not just from the practices with whom you are working, but also the wider care community in which you deliver services – from patients, to commissioners, to other health, social care and voluntary providers.


Consequently, we take a very different approach to change and development, which whilst challenging in its nature, ensures that all stakeholders in any change are fully involved right from the start through a programme of genuine engagement and collaboration.


Furthermore, if you have started with a process of planning and development, and are finding that you’re not achieving the results that you want, we would be delighted to support you by helping you to change your approach by use of our model of engagement and collaboration.

Whether engaging with us to support you is at the beginning of the process or mid development, the outcome of participating in our innovative approach will be a fully engaged and motivated community, committed to ensuring that your organisation and plans are successfully implemented.  Not only this, but by adopting our model to change and development, you will have sustained resilience and have the tools to cope with future challenges and change.

Our model of engagement and collaboration is founded on principles of the engagement and inclusivity of all stakeholders involved in the delivery of care e.g. General Practice, GP Federations/Super Practices, Clinical Commissioning Groups, Community Services, Hospital Trusts/Foundation Trusts, Mental Health, Social Care, Patients etc.   Whilst challenging, this ensures that the vision created is one that has been developed by all those who have a role to play locally, leading to buy-in and ownership of what you create as a “community for care” and bringing about a critical mass, underpinned by a real appetite and desire for change.  Furthermore, the process that we will support you through also ensures that your team has the capacity and resilience to meet future demands and challenges in a constantly changing world.


For more information on how we can help you, whether you are at the early stages of considering forming a federation

or you are already up and running please contact  

Frances on 0845 388 0302 or