Practice Development and Resilience

We often get requests at the LMC to help practices to take a deeper dive into understanding their business, to support their development and/or improve their resilience.  Below is a range of tools, resources and support we offer.  If you are unsure what you need, or would like further information, please contact the office.


Partner Competency-Based Self-Assessment Tool

This self-assessment tool is designed to test a Partner’s confidence in eight key areas; Four competencies are identified as Leadership and Governance skills and four competencies are Management skills.

The tool aims to help Partnerships better understand their competencies as a team and to identify gaps in the group’s skills or experience.

Read more here


Parliamentary Constituency Dashboard

The Parliamentary Constituency Dashboard is designed to help LMCs and GPs to present data to their local Members of Parliament (or Parliamentary Candidates in the upcoming election).

Read more here


Business Fundamentals Programme

Following our initial resilience work with practices we identified that many GPs lacked a good understanding of their business. Many GP partners have had no business training and need to develop skills to run a sustainable practice.  In 2018, we designed the Business Fundamentals Programme to provide GPs with an opportunity to acquire these skills. The modular course takes place over a six-month period, with practical workshops covering key areas including legal, HR, finance, operations, business planning, leadership and strategic planning.

We have also offered Practice Managers a similar programme as well as a New to Practice Programme which is an introduction to the business basics at operational level.

For more information, please contact [email protected].


Mentoring Programme for GPs

The NHSE Supporting Mentors Scheme, offers mentoring sessions for GPs. For further information, please contact your local ICB Training Hub:


Practice Mergers

In simple terms, a practice merger is when two or more practices join together to form a single practice. Ultimately, each practice wishing to merge will need to weigh up the potential advantages and disadvantages of merging to establish whether it is right for them.

The ‘Beds & Herts LMC Guide to Practice Mergers’ is intended to act as a guide for practices that are considering merging and to give an overview of areas that need to be considered through the merger process.

This toolkit has been created with advice sought from organisations that are involved in the merger process as well as input from various practices within Bedfordshire & Hertfordshire that have merged. Please note this guide is not exhaustive but aims to highlight the main areas and concerns to be considered if merging and full support should be taken from relevant, professional advisors throughout the process. The document was prepared with support from LMC Law, HBLICT, Herts Valleys CCG and BLMK CCG.

View here: BHLMC Guide to Practice Mergers June 2022


Practice Healthcheck Questionnaire (PHQ) 

This is an online tool that GMS practices completed to provide a high-level summary of how resilient the practice is. Each practice received an individualised feedback report, showing their overall score, identifying areas where they can increase their resilience, and giving comparative data so they can benchmark themselves against other practices.

In 2019, 138 practices completed the PHQ (70% of the GMS practices in our area) and so the dataset was large enough for us to do some statistical analysis on the drivers of practice resilience. A full report is available here.