The eight practices in our local practice-based commissioning (PBC) group have been working together successfully for 18 months or so now. We have a written agreement the practices have all signed up to which has proved adequate so far.
But with the general election not far off and talk of GPs gaining full responsibility for commissioning, do you think it is sensible to turn the group into a company with limited liability and with the practices as shareholders in preparation taking on higher levels of risk?
I suggest you do nothing that incurs new costs as the political environment is just too uncertain, I feel, at present. Keeping together under your written agreement is fine for now.
Watch out for new directions on PBC in the NHS Operating Framework to be published in December but remember all this could change after the election. The Conservative policies look bold but the detail is missing. In summary, be prepared but don't incorporate yet.