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As all GPs know, Minor Surgery is sometimes needed to correct a problem.

Sometimes, our statistical comparisons throw up a shortfall in a practice's income generation from some source. Or perhaps staff reimbursement percentages have fallen compared to the previous year. Or maybe costs of medical supplies are out of line with other practices. Our Profit Improvement scheme tackles any such area, making tangible improvements to the bottom line.

When things are going well in a partnership, a Partnership Agreement is almost superfluous. But when things go wrong! A well constructed, easily read Partnership Agreement will pay for itself 100 times over if there is a partnership dispute, and may well prevent the dispute arising in the first place. Read the Partnership Agreement tips contributed by our legal practice associates, Davidson Chalmers.

Most GPs have a very full life outwith the practice - with large financial commitments! School fees, big mortgages, kids at university - the list goes on and on . Many want to retire at 55, but the strain on their finances prevents them from doing so. But it is all achievable if you embark on a Financial Planning exercise early enough. Read our financial planning section contributed by our associated independent financial advisers, Condies Wealth Management Ltd. to see what steps you can take.

 

 

 

Profit Improvement

As explained in our Annual Accounts page in the Medical Records section, part of the process involves a detailed comparison of the practice's financial performance against the previous year, against published national averages, and against our own Inter Practice Comparison. There is little point in doing this unless the information is going to be used in some way.

Sometimes, our statistical comparisons throw up a shortfall in a practice's income generation from some source - perhaps fees from writing insurance reports have fallen by 10% on the previous year, and are below the average for a practice with your list size. Or maybe locum reimbursements have fallen compared to the previous year. Or costs of medical supplies are out of line with other practices . Our Profit Improvement scheme tackles any such area, making tangible improvements to the bottom line.

 

The scheme involves one of our specialist team spending time with your Practice Manager at the practice, reviewing the relevant internal procedures, and carrying out further analysis of the offending item(s). We then prepare a detailed report explaining how the problem has arisen, and what corrective action is needed. Often, if our findings are that the practice has missed out on a claim or reimbursement to which it is entitled, the Health Authority can be persuaded to make up the shortfall retrospectively.

Because Profit Improvement assignments can be quite varied in the extent of the remit, this work is charged for on the basis of time necessarily spent on the task. An indicative fee will always be given in advance if requested however.

 

Partnership Agreement

Our legal services are provided by Davidson Chalmers, a medium sized commercial firm based in Edinburgh.

Modern Partnership Agreements provide an opportunity to avoid some of the pitfalls of the Partnership Act 1890 which is still in force today and is the legislation responsible for setting out the general law of partnerships. Unless your Agreement provides otherwise the Partnership Act will apply in a number of ways, the effect of which might be to create a situation which none of the partners had contemplated. For example, any partner withdrawing from your practice will have the effect of dissolving it.

  Click here for more information about the services Davidson Chalmers provides for TFHC

This could have serious consequences for the practice, and could afford the withdrawing partner an opportunity to have patients transferred with him to his new practice. Your Agreement should have clearly worded provisions dealing with withdrawal and specifying that unless a specified majority, usually 75%, agree with the withdrawing partner, the partnership will continue to operate between the remaining partners.

Your practice should also consider whether or not to restrict a withdrawing partner from attempting to take some of your practice's patients and employees with him to his new practice. While this may not be relevant if he is contemplating a move out of town, it is a consideration if he is or could be moving to another practice nearby. Generally, the courts take a dim view of these restrictions, called restrictive covenants, as they seek to prevent someone from earning a living and so to be enforceable the covenants must be reasonable. There is little value for example in preventing a colleague from poaching an office cleaner or restricting him from taking patients to his new practice in Glasgow when yours is in Edinburgh. You are likely to be able to enforce a covenant if it relates to poaching senior employees like your practice manager and seeks to prohibit the transfer of patients to his new practice a mile or so away from yours. Much depends on the circumstances however and the mood of the judge on the day if you end up disputing enforceability in the courts. A carefully drafted provision in your Agreement is vital.

 

Partnership Agreements are not all doom and gloom! There are some day to day issues to deal with governing, for example, the financial aspects of the practice and also decision making. As the numbers of partners in a practice increase, it may be easier to circulate details by email of any issues requiring a partnership wide decision. But should a decision be by simple (50.1%) majority or a special (75%) majority or even higher? Much will depend on the circumstances. What is crucial though is that the issues are thought through in advance and your practice has a clearly defined procedure for decision making. It may be more efficient to structure your partnership into committees where each takes responsibility for a different area of management such as finances, buildings or employees.

If your surgery premises are owned by a group of partners in your practice, it may not be appropriate or desirable to have incoming partners sharing in the future increase in value of the building. Property ownership will be more complex when there are loans and endowment policies involved. Your practice premises are a very valuable asset and merit detailed thought. There are numerous issues to address when sitting down to consider a new Partnership Agreement. We would like to have the opportunity of helping you to identify the issues which are appropriate for your practice and to save you time and money by avoiding unnecessary complications in the future.

Should you wish to discuss your Partnership Agreement, or any other legal aspect of your practice, please contact Andy Drane at andy@davidsonchalmers.com

 

Financial Planning

Regulated by the Personal Investment Authority, Condies Wealth Management Ltd provides independent, impartial advice on all aspects of financial planning tailored to GPs' requirements. In the complexity of today's marketplace our Advisers have the knowledge and experience to confidently guide you through the financial maze.

Not always thought of as a 'people business' our vision is just that; to develop and nurture long term relationships with the emphasis firmly based on trust. Of course, we are equally aware that professional integrity is just as important and that decisions taken based on the advice given are vital to your financial security, and peace of mind.

 

Click here for more information about the services Condies Wealth Management Ltd provides for TFHC

It is a notoriously well-known fact that GPs have a distinct lack of time. We aim to provide you with adequate information and advice to allow you to make the decisions necessary to meet your financial objectives with the least amount of fuss. Below we have identified just some of the areas giving GPs sleepless nights!

Early Retirement
Many GPs are seeking to take early retirement from the NHS. Taking pension benefits from the Scheme will result in an actuarial discount being applied to the benefits. The tax-free lump sum and pension income can reduce considerably upon taking early retirement from the NHS. The earlier you retire, the greater the reduction in benefits. A strategy of building up capital will provide income independently from the NHS Scheme allowing early retirement to take place and avoiding the actuarial discount.

 

Pension Provision
GPs contribute 6% of their NHS earnings as a personal contribution into the NHS Scheme. Retirement benefits can be augmented by giving up the tax relief on the 6% contribution. Giving up the 'A9 benefit' will allow NHS earnings to be pensioned in full leading to potentially large levels of income tax relief. For those GPs who have private earnings pension contributions may also be made against these earnings, once again attracting tax relief. Alternatively, NHS benefits can be enhanced by contributing into Additional Voluntary Contributions also attracting tax relief.

Income Protection
Statistically, you are 4 times more likely to be diagnosed with a critical illness than you are to die prematurely (as you should know!). Are you confident that adequate income arrangements are in place to ensure financial security in the event of long-term illness or disability? The consequences of inadequate protection could severely compromise you and your family's future security. A financial review of your existing protection arrangements would ascertain whether they are appropriate to meet your objectives.

Mortgages
Interest rates are presently at their lowest for 35 years. Perhaps your mortgage would benefit from a health check. A quick phone call and a few simple questions will enable us to diagnose if you will be better off transferring to another lender. We have access to all major and minor lenders in the UK and their interest rates which are updated on a daily basis. We will do the legwork on your behalf comparing all rates, and the small print.

Please feel free to contact Callum Reid on 0131 622 4400. Alternatively, you can email Callum on callum.reid@condieswm.co.uk.