Like many relationships in life, GP partnerships often start on a relatively informal basis before developing over time. Some partnerships might evolve organically from a natural practice break-up whilst others might be based on little more than a handshake or a ‘gentleman’s agreement’. In the latter case the explanation we hear most from clients is that, when they started out with their business partner(s), they got on well and never disagreed about anything. However, whilst such sentiment is understandable it is also potentially dangerous.
It’s a fact of life that disagreements can, and do, arise even among the closest of allies and, when they do, our experience is that it’s far easier to resolve when the parties have agreed in advance just what will happen in such an event. While it’s true to say that the law will generally step in to provide a limited level of governance in circumstances when parties have no formal Partnership Agreement (courtesy of the provisions of the Partnership Act 1890) it is important to recognise that the Act applies a broad-brush approach which is not suitable for all partnerships.
How should general practitioners go about ensuring they get off on the right foot?
The precise terms of any Partnership Agreement will, of course, depend very much on the nature of the GP practice and the individual circumstances of its partners. However, there are a number of important considerations that, in our extensive experience, are usually relevant.
The first is to decide at the outset what will happen if a GP wishes to leave the partnership. This is something that’s often overlooked but it is far better to put in place a mechanism for dealing with it at the start – at a point when the partners are on good terms – rather than waiting until a party wants to leave, particularly as this may be contrary to the wishes of the other partners, or as a result of a dispute with them.
The Partnership Agreement should then clearly spell out whether or not the partnership will continue with the remaining partner(s). For example, how much will s/he be paid for their share? When will they be paid it? Without the protection of a Partnership Agreement the partnership may be forced to dissolve which could, potentially, lead to the loss of important, lucrative contracts.
The second is to set out any circumstances in which a GP partner can be forced by the other partner(s) to leave the partnership – for example, if his or her performance falls below a certain level. Thirdly, the majority of a GP’s day is occupied with their own practice. It’s therefore important to set out how the business will be run and managed around them.
Identifying what is expected of each partner
Most GP practices, for example, will have partners of varying experience and seniority and each individual is likely to want to take a different approach to the day-to-day running of the business. It will help to identify early what is expected of each partner, such as how much capital is to be contributed and what happens financially if one partner is required to devote more time to the business than the others.
These are just a few of the many potential pitfalls of a failed practice partnership so our advice – particularly with primary care in such a state of flux – is to seek help early and set firm foundations in place that will serve all parties in the event of a partnership coming to an end.