Under the Pensions Act 2008, every employer in the UK must put certain staff into a pension scheme and contribute towards it. Whether you’re a hairdresser, an architect or a partner in general practice, if you employ at least one person you are an employer and you have certain legal duties.

This case demonstrates some of the risks practices face when working at scale, and the importance of ensuring effective systems and communication across practices.

Dr Nick Clements, Head of Risk and Underwriting Policy, answers questions about how new care models and other changes in primary care can affect your medical indemnity.

Clinical Risk Education Manager Diane Baylis explains how our risk education team can support GP federations and other organisations working at scale.

Dr Rob Hendry, Medical Director at Medical Protection, explains how we are adapting to the changes affecting primary care

In this issue we focus on Priory Medical Group, which is pioneering a new joined up care model across the City of York. Managing Partner Martin Eades explains the initiative his organisation has put forward in the past two years

Medicolegal Adviser Dr Helen Hartley provides advice on the top medicolegal challenges posed by new care models.

Croner provides advice on the key considerations on staffing for organisations working at scale.

Dr Michael Holmes, RCGP Clinical Lead for the Supporting Federations Programme, looks at what is next for general practice.

With increasing pressure on GPs, many practices are looking towards super-practices and federations as solutions. In theory, working at scale makes for better contracts, more funding opportunities and the benefit of shared resources. But is this the reality of the new care model? Rosie Wilson investigates

Dr Rachel Birch shares a recent case where a member asked for advice on how to deal with a patient who persistently emailed a doctor at the practice about medical issues, instead of attending for a consultation.

HR experts Croner share a case where a practice sought their advice to deal with an employee with a disciplinary issue who was on long-term sick leave.

Medical Protection has seen a steady rise in the number of claims involving practice nurses. Kate Taylor and Diane Baylis, Clinical Risk and Education Managers, examine what areas of practice nursing carry the most risk.

Editor-in-Chief and MLA (medicolegal adviser) Dr Rachel Birch answers some recent queries from practices.

Data from the NHS National Reporting and Learning System shows that more than 800 reported patient safety incidents relate to test result management.

How can employing a clinical pharmacist help your practice?

Mr S was a 60-year-old lorry driver. He was overweight and smoked, and couldn’t walk far because he suffered with pain in his calves. This became so severe that he attended the out-of-hours service that evening.

Baby T was eight weeks old when his mother brought him to his GP’s morning surgery.

When Mrs C, a keen golfer in her early 40s, began to experience constant pain in her lower back, she consulted a GP at her local surgery.

Practical advice and resources to support you with revalidation and GMC requirements.

In this series we explore the key risk areas in general practice