Risk's Blueprint: if you are faint-hearted, please delete now.

The Firm (PCG) having done away with the initial 'niceties' and
political correctness should move quickly to establish the following:

1.  Convene a General Meeting of all its Principle GPs
2.  The General Meeting appoints a Board of Directors
3.  The Board is charged with the task of establishing Firm wide
philosophy, structure, policy and SOPs
4.  The Board may co-opt members from PAM
5.  The Board may also appoint professional Chairman and CEO.  The
Chairman may be part time but not the CEO
6.  One of the first tasks of the Board is to establish the mechanisms
that will make the Firm as independent as possible
7.  That would include distancing the Firm from the HA and other 'old
world order' structures
8.  This could be achieved, for example, by deciding what services the
Firm might require of the HA and looking at all the possible providers
to obtain value for money
9.  The Firm's assets:
	-  people: doctors, nurses (undemarcated), resceptionists and
practice managers, other managers, etc
	-  buildings: gp surgeries, clinics, sheds, shacks, etc
	-  equipment: clinical, non-clinical, technological, etc
	-  non-tangible assets: contacts, networks, friends, goodwill,
coops, etc
10.  The Firm, through its Board of Directors should have total control
over all of its assets
11.  That contol would include deployment, procurement and facilities
management from any source
12.  The Board, in its capacity as the executer of the Firm's policy
and achiever of its objectives, would prepare and implement all the
changes requried to achieve item 10 above
13.  The Board must also develop and implement measures to generate
income for the Firm as a whole that include mergers and acquistions

The question of remuneration:

1.  This will reuqire a pay policy based on the principles of Partners
(the GPs) and Employees (everybody else)
2.  Partners pay will be decided by a points system.  Each point is
worth X,000 pounds per year
3.  The points system is linked to performance and profit of the whole
enterprise.  Good years=fat points, lean years=less fat points
4.  The AGM of Partners decides what criteria should be used to remove
partners from the Firm
5.  The AGM decides what criteria should be used to allocate initial
and subsequent points per partner
6.  Employees pay will be decided by the Board and is subject to direct
negotiations and competence assessment

Ahmad

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Dr Ahmad Risk
http://mednetics.org
home: +44 1273 748198
work: +44 1737 240022
fax:  +44 1737 244660




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