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Help wanted


Indemnity Insurance for New Modles of Care / Working

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January 08. 2018
Cal Deane

A collaboration of  5 practices have developed a new outreach programme for care homes and house bound patients, where by clinical staff, i.e. nurses can see patients from any of the practices, plus the collaboration has employed, hosted by one practice, out-reach nursing staff to manager care home and house bound patients across the patch.

JDs, person specs, policies and procedures are all in place.

Most of the practices have a mix of indemnity cover, however, one practice is with a single provider and as such the collaboration are finding it difficult and costly to gain cover for the Out Reach Team is see other practices patients.

The problem is with the outreach staff as these are the only ones who are seeing patients outside of the practice they are employed by.

One is a nurse practitioner, and two are Practice Nurses working in advanced roles - all assessing patients in care homes and the housebound. The NP can prescribe in her own right, but the PNs report back to GPs for prescribing issues etc.

Has anyone found a solution to this issue?



January 11. 2018
Maria Louise Axford

Many thanks for your query.

PCC will be running some Busting the myths about collaborative arrangements for general practice workshops which may be of interest to you.

The workshops will be held on 31 January in Manchester, 13 February in London and 7 March in Birmingham. These will help you work through the answers, with an experienced lawyer who has supported a number of mergers, federations and super-partnerships.

If you require any more information, please contact events@pcc-cic.org.uk

Many thanks
Maria Axford
NHS Networks

January 12. 2018
Antony Nelson

Hi Cal.

We successfully supported the design and set.up of a Primary Care shared service across 38 practices using sessional practice staff.  Indemnity insurance was one of the more complicated issues we had to address in the project.

One practice hosts the employment of the staff for their sessions in the service and ensures they are indemnified for the activity they undertake on behalf of the service.  The host practice indemnity provider prices for the 'risks' of seeing patients registered with other practices as would be expected.

Getting indemnity right is complex, risky and costly as you will already have discovered.  You can get support on this from the usual suspects amongst the Primary Care Indemnity Provider organisations and it is worth knowing that there is a wealth of broker support available in the specialist medical insurance market.

Happy to provide more information if that would be helpful.


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