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41
The Private Practice
Summer 2013/14
Did that last one surprise you?
It might seem like the kind of growth
strategy usually associated with the
launch of a practice, but why shouldn't
one end serve as another beginning?
A CASE IN POINT
Don't assume you already have
successors. Let's look at a case study
whereby Gillian, 56, is a GP and co-
owner in a group medical practice with
physiotherapist Jeremy, who is 62.
The practice offers a mix of GP
and complementary healthcare
services, and is very busy. Gillian and
Jeremy both have full patient loads
and oversee the management and
administration, as well as making all
key business decisions. The business
supports three younger practitioners:
Janine (38), Ben (46) and Kelly (43).
Jeremy wants to retire on his 65th
birthday ­ less than three years away.
He and Gillian discuss their plans, and
Gillian says she wants to retire in six
years. Based on casual conversations
in the past, both are confident that
the younger practitioners will be keen
to take over the practice, and they
decide to call a meeting to formalise
those arrangements.
But Gillian and Jeremy get a shock.
At the meeting, Janine announces she
wants to spend two years as a volunteer,
and is planning to leave for Africa the
following year. Ben's father has been
diagnosed with Alzheimer's, and he was
about to ask if he could go part-time so
he can spend more time caring for him.
Only Kelly is ready and able to step up
into ownership of the practice.
CONSIDERING YOUR
OPTIONS
Before we return to Gillian and
Jeremy, let's have a look at the pros
and cons of three options.
1. Wind down and close the doors
4
Shorter timeframe.
7
Continuity of patient care can be
difficult to achieve.
7
Declining revenue but constant
or increasing overheads during
wind down.
7
Employees may decide to leave
during wind down.
7
Income declines with no goodwill
value to compensate.
2. Maintain status quo and try
to find a buyer or successor
4
Potential to realise greater
financial return.
4
Increased likelihood of continued
patient care.
4
Increased likelihood of continuing
employees.
7
Timing uncertain.
7
Retiree may have less control
over the speed of transition from
full patient load to few or no
patients ­ and it can be sudden.
7
May end up having to close
the doors after all if a buyer or
successor can't be found, or the
arrangement does not work out.
3. Grow and transition the practice
to one or more successor
4
Greater financial return.
4
Smoother transition in patient care.
4
Employees continue in the practice.
4
Administrative and management
stability and continuation ­ better
for employees and patients.
4
Option of more than one
successor to reduce the chances
of `succession failure'.
4
More control over speed and level
of transition: partial ownership or
small patient load can be retained
as ongoing income streams.
7
Reduction in income if
patient load is shared with
successor during transition.
7
Requires fresh investment of energy.
7
Requires discipline of
formulating and executing
a sound strategic plan.
7
May require a longer timeframe
(especially if there are no suitable
successors already working
in the practice).
When I help GPs with these
options, they often feel option three is
ideal but daunting ­ after all, they're
planning to retire not relaunch. But
the planning can be broken down
into simple steps and, with the right
guidance and a forward-thinking
approach, the rewards and satisfaction
of `passing on the torch' ­ and
maintaining a retirement income ­
are fully achievable.
PLANNING TO SUCCEED
WITH YOUR SUCCESSOR
These are the basic steps to successful
succession planning:
1. Plan your strategy
· Decide what you are aiming for and
when you would like it to happen.
SUCCESSION PLANNING