Overview

When a GP surgery ""fails"", the obituary is usually short: recruitment crisis, rising demand, funding cuts. But that is rarely the whole story. The Death of a Practice walks you through the post-mortem. Drawing on real cases from the consulting room, the partners' meeting and the courtroom, this book exposes how practices actually die: not in a single catastrophic event, but through a series of unnoticed decisions, blind spots and legal traps. CQC enforcement, NHS England investigations, partnership disputes, Performers List suspensions, locum dependence, opaque finances - each can be survivable on its own. Together, they can be terminal. Inside, you will find: - Practice Autopsies - step-by-step dissections of failing and failed surgeries: what went wrong, what was missed, and where the law quietly shifted the risk back onto partners. - Hidden Law - the ""small print"" of regulation, contracts and guidance that turns everyday decisions into existential threats for the practice. - Early Warning Signs - practical indicators that your practice is on a dangerous trajectory long before the headlines or the inspectors arrive. - Survival Strategies - clear, actionable ways to renegotiate risk, strengthen governance, and protect both the partnership and individual clinicians. Written by Dr Oluwatoyin Ogunsanya - Consultant Obstetrician & Gynaecologist turned GP Partner, and later Solicitor Advocate - this book combines clinical insight with legal expertise. It is for GPs, partners, practice managers, PCN leaders, medico-legal advisers and anyone who suspects that ""business as usual"" in general practice is more fragile than it looks. If you have ever sat in a partners' meeting with a knot in your stomach, wondering whether your practice will survive the next inspection, letter or complaint, Death of a Practice is your wake-up call - and your roadmap. Before your practice becomes a case study, read the autopsy.

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9781834382418

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Dr Oluwatoyin Ogunsanya stands at the crossroads of medicine, law, and the business of general practice. He qualified as a doctor from the University of Ibadan and trained as an Obstetrician and Gynaecologist before becoming a GP and later a GP partner in the NHS. After many years of frontline clinical work, he retrained as a solicitor advocate, specialising in the regulation of doctors, NHS disputes and the legal anatomy of failing practices.In his legal practice, he has represented GPs and practices facing CQC enforcement, Performers List action, partnership breakdown, contractual disputes and high-stakes regulatory hearings. That dual perspective - from the consulting room to the tribunal room - underpins Death of a Practice.Dr Ogunsanya writes and speaks on the hidden law of general practice, the realities of GMC and NHS regulation, and the systemic pressures that quietly push surgeries towards collapse. His work is driven by a simple conviction: most ""failing"" practices are not reckless or indifferent - they are under-explained, over-exposed and structurally unsafe.He lives in the United Kingdom and continues to combine medico-legal practice with his commitment to supporting doctors, partners and practice managers to recognise risks early, ask better questions and keep their practices - and their careers - off the critical list.

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