Before jumping into a GP practice merger, ask yourself:
If you're saying yes to most of these, merging could be the right move. If not, there may be simpler solutions worth exploring first.
Mergers can work, but they’re not a fix-all. That’s where a checklist comes in.
Tip: Write down what success looks like 12 months after the merger.
Don’t wait until everything is “ready” - early input avoids delays later:
Merging operations is often harder than merging contracts - start early:
Tip: Archvale helps practices resolve premises issues, including buying your building.
Early, honest communication helps staff feel safe and supported:
Tip: Reassurance is key. You may consider saying “Your care won’t change. We’re doing this to serve you better.”
Mergers don’t end on “go-live day”. They require ongoing commitment and evolution:
Mergers sometimes collapse, often late in the process. Reasons include:
If the merger falls through:
Set pause points and mutual exit clauses to protect both GP practices.
Partner power dynamics is where many mergers hit problems.
If these aren't answered early, you’ll end up with resentment and power struggles. Have hard conversations upfront, even if they feel uncomfortable.
Merging might seem like progress, but it isn’t always the right call. Ask yourself:
You may want to consider exploring other options like succession planning or selling your GP practice.
Many mergers fail because of culture mismatch, not finances. You can use this example table to compare practice cultures and operations side by side:
❌ Merging without a shared vision
❌ Not discussing leadership or profit shares
❌ Leaving staff in the dark
❌ Rushing timelines to please outsiders
❌ Ignoring estate and CQC issues until it’s too late
We’ve been through this process ourselves. We can support you with:
- Premises strategy and purchase
- GP partner succession or retirement
- NHS contract variation
- Clinical model integration
- Staff communication and TUPE
- Patient engagement and ICB relationships
A well-managed merger can transform your practice for the better. But a rushed or reactive one can cause stress, burnout, and regret.
This checklist helps you do it the right way, with your team, patients, and future in mind.
We’re here if you want a trusted, clinically-led partner to help you make it happen.
👉 Talk to Archvale about your merger plans
Disclaimer - This content is for general information only and is not legal, financial, or professional advice. We’ve done our best to ensure it’s accurate at the time of writing, but rules and guidance may change. Always seek advice from qualified professionals before making decisions. If you spot an error or something that needs updating, please contact us.
Thomas has dedicated his 20-year career to making NHS primary care more sustainable. In his roles at Push Doctor, Medloop, GPCA, and Archvale, Thomas helped practices improve efficiency and quality of care, ultimately leading to happier clinicians, GP partners, and patients.
He works closely with clinical governance, operations, recruitment, and product teams to help GP partners seamlessly transition into salaried or locum roles, achieving the work-life balance they deserve. By introducing GP partners to trusted surveyors, lawyers and accountants, Thomas also helps GP partners unlock the equity in their property and transition lease liabilities to new partners.
