GP mergers and acquisitions

Hempsons’ experienced team of primary care specialists provide comprehensive guidance to GP practices seeking to merge, acquire, or restructure. From individual GP practices aiming to grow, to groups of practices contemplating unification, as the largest primary care corporate team, we are able to provide bespoke solutions to meet your unique requirements and keep your transaction on track efficiently.

Contact us today to discuss your GP merger or acquisition needs.

With the primary care landscape constantly evolving, an increasing number of GP practices are contemplating mergers as a strategic move. This trend is often prompted by solo practitioners planning for retirement or by practices recognising the advantages of scaling up—not just for cost savings but also for the myriad opportunities that come with larger operational units.

However, what may not be immediately evident is that merging two or more practices also means inheriting each other’s historical issues. A process that seems a straightforward negotiation with NHS England to merge contracts in fact is the acquisition of another business, which has its own history, other contracts and premises matters which all need addressing. With a merger each partnership is, in effect, acquiring the other practice, and it may be that certain elements need to be ring fenced.

Our approach to seamless mergers

Due diligence

Meticulous due diligence is essential before entering into any merger or acquisition. Our experts assess financial, operational, and contractual aspects, identifying potential risks and opportunities. We help you make informed decisions by analysing practice performance, patient lists, leases, and employment contracts.

Partnership agreements and practice incorporations

Creating robust partnership agreements is vital for the success of merged practices. We draft and review partnership agreements, addressing issues such as profit sharing, capital contributions, premises arrangements, decision-making and dispute resolution.  You may want to consider forming a company by incorporating the merged practice, and we will guide you through that procedure. Our goal is to establish clear terms that promote collaboration and minimise conflicts.

Premises matters

GP practice mergers will almost certainly involve property transactions. Hempsons’ primary care property team assists with premises due diligence, including lease reviews, property transfers and mortgage arrangements.  If a site is to close as part of the merger we help with its sale or disposal, including lease terminations, and the acquisition or leasing of new sites.  Whether you are acquiring new premises or consolidating existing ones, we aim to ensure a smooth transition.

Employment and HR

Managing staff during mergers requires careful planning. Our employment team advise on employment contracts, TUPE (Transfer of Undertakings Protection of Employment) regulations, and staff consultations. Our focus is on maintaining staff morale and continuity of patient care.

Financial considerations

Financial implications play a significant role in GP mergers. Working alongside specialist accountants, we will advise on funding agreements. Our aim is to optimise financial stability while achieving your strategic objectives.

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