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0845 388 0302

Primary Care Support

Federations, Practice Mergers, Income Generation & Access

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For more information on how we can help you,please contact  

Frances on 0845 388 0302 or


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Gain Share Workshop

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Recent work with a GP Federation in the midlands successfully secured them a gain share agreement from the local CCG.


A gain share approach, creates a win:win situation. It is a way of sharing risk between a CCG and a provider, where any planned savings are shared at an agreed percentage between each organisation. Where a GP Federation can agree gain share, it should then be confident that this approach encourages collaboration between the CCG as a commissioner and the federation as a provider, to identify savings and then work collaboratively to achieve them.


This scenario opens a significant new opportunity for the Pharmaceutical Industry, where you can work alongside the local GP Federation to execute the gain share and then support the reinvestment in to value added pathway projects.


To ensure that you and your representatives can maximise this opportunity Scott McKenzie UK has developed a one day workshop to help you understand and then use the gain share approach within your work.

Within this workshop, you will learn:

Slice of the cake
  • What a gain share is


  • How gain share works


  • The opportunity for Pharma


  • The projects my client base a has then invested their share of the money in to


  • How you create your value-added projects and align them with the federation to secure investment

We will also provide an understanding of at scale provision in the NHS. This includes Sustainability and Transformation Plans, how pharmaceutical companies can interact with the STP and the New Models of Care, through Multispecialty Community Providers (MCP), which also includes the Primary Care Home ( and Primary and Acute Care Systems (PACS).


The workshop ensures you understand the process and the outcomes you can achieve.  This will provide a firm platform to build from, in developing and implementing remarkable projects within the NHS.


No two gain share agreements are the same, nor are the services into which the savings have been reinvested. What they do have in common, though, is the ability to first transfer the care from in hospital to out of hospital care and then, through the federations, transform the delivery – normally onto a hub and spoke basis to avoid unnecessary duplication in service provision.


The key in developing an MCP or PACS is that there are numerous basic services that can easily be shifted from in hospital to out of hospital delivery. By generating efficiency through a gain share and then investing it in to this type of service, you can start to drive a change in the way Practices engage and work at scale.


In most parts of the country the local GP federation badly needs a catalyst; a gain share agreement is one way to provide that catalyst. The reinvestment in services further underpins that by building a platform for changing the way practices work together, through hub and spoke, underpinned by inter practice referral.

Understand the wider opportunities

Stones on scale - operating at scale

The goal of achieving one, high quality and standardised approach without unwarranted variation, is deliverable through these projects, which provides a platform for the larger and more complex system-wide changes required.


The drive behind this workshop is to upskill the Pharmaceutical Industry, supporting you to understand the wider opportunities within the NHS, which underpin a window of opportunity now for developing and implementing gain share agreements between CCGs and providers, which in this instance is the GP federations.

This is an opportunity for the Pharmaceutical Industry to become a partner in developing new ways of working within the NHS. This opportunity brings you genuine engagement in your value added projects and a vested interest from the GP Federation in jointly gaining the outcomes agreed.