GP Support

Who are we?

The GP support team provides expert, confidential and bespoke advice and support to individual doctors and practices in difficulty.

What can we help you with?

The GP support team is able to offer a range of advice and guidance on a variety of issues, that include:

  • Contractual, financial and practice performance issues.
  • CQC inspections and enforcement action.
  • Partnership issues.
  • Disputes between practices and commissioners.
  • Premises issues.
  • Clinical and non-clinical complaints.
  • Assistance with investigations undertaken under the Performers Lists Regulations, including those that are referred to the Performance Advisory Group (PAG) and the Performers List Decision Panel (PLDP).
  • Assistance with GP appraisal and revalidation.
  • Raising concerns about patient safety.
  • Advice re assorted matters that are encountered in day-to-day practice.

What we expect of you

Our Helping us to help you, explains how we can best collaborate in order to achieve the best possible outcome in your case.

When are we unable to assist?

The team will not be able to provide substantive assistance in the following circumstances (albeit we may be able to sign post you to appropriate sources of assistance and/or liaise with your instructed representative [with your consent] is it is appropriate to do so).

  • Matters relating to Employment Law.
  • The provision of specific/specialist HR advice.
  • General Medical Council (GMC) provisional enquiries, investigations and hearings before the Medical Practitioners Tribunal Service (MPTS) (medical defence organisations [or the equivalent] provide support, assistance and representation in relation to GMC and MPTS procedures).
  • Criminal investigations.
  • Representation at Coroner’s inquests (medical defence organisations [or the equivalent] provide support, assistance and representation in relation to Coroner’s inquests).
  • Claims (further guidance can be found as to who to who can assist you in relation to claims can be found here).
  • If you have instructed a legal representative to act for you.
  • Matters that require specialist legal or professional advice (for example – matters relating to premises etc).
  • Representation at a PLDP oral hearing in circumstances when removal from the Performers List is being contemplated (it is expected that a medical defence organisation would provide assistance or that the GP would privately instruct their own legal representative in such circumstances).
  • If there has been a breach of our Helping us to help you guidance.

Meet the team

Vicky Ferlia, Director, GP Support Team – A Counselling Psychologist by training, Vicky was a primary care commissioner in London for 14 years before joining Londonwide LMCs in 2010 as the head of the GP Support team. She has a special interest in contracts, regulations, partnership and PCN dispute facilitation, and practice training and development.

Nora Breen, Manager, GP Support – Nora started working in NHS Primary Care in 1994, initially at a Health Authority and subsequently at three PCTs. She was a Practice Manager from 2003-2006. She has worked at Londonwide LMCs since 2007, advising practices on contractual matters, partnership issues, mergers, and other areas. She has a particular interest in premises and is the Premises Lead for the team.

Jan Swannell, Manager, GP Support – Jan has worked in health care since 2000, first as a marketing manager in a private hospital and then in general practice as a practice manager, where she gained a wide experience of primary care. For ten years she also worked with the London Deanery as part of their annual GP Assessment panel, helping to select the GPs of tomorrow. She joined Londonwide LMCs’ GP Support team in 2016 and has an interest in the CQC, supporting practices with CQC and contractual concerns.

Jacqui Perfect, Assistant Manager, GP Support – Jacqui started working as a Practice Manager in North London in 2003. She gained experience in HR, finance, data analysis, patient engagement, CQC, clinical research and practice mergers and was an active part of the local Federation. She left primary care in 2018 to join the GP Support Team and enjoys applying her experience to support practices across the whole of London.

Yvonne Frank, GP Support Officer – Yvonne started working at Londonwide LMCs in 2013, having previously obtained experience in working at NHS Shared Business Services. She is frequently the first point of contact for GP Support, and her role also involves advising practices on queries they may have, facilitating our team with our clients in finding the best support from our organization for them. She also gets involved in contractual matters, partnership issues, 24-hour retirement cases, premises (as part of the premises group) and other areas. She has a special interest in regulations and policies, and very often is involved in the guidance given out to practices on changes in these.

Dr Elliott Singer, Medical Director, GP Support and LMC Secretary in the North East London Primary Care team – Dr Singer has been a member of the GP Support team for the past 10 years, he is a GP partner and trainer in East London and has a particular interest in supporting partnerships and partner development. He is experienced in providing support and representation to GPs undergoing investigation for performance concerns by NHSE.

Dr Kirsa Morganti, Medical Director, GP Support – Dr Morganti has six years’ experience of providing support and representation for doctors in difficulty with a wide range of medicolegal issues, with a particular interest in performance management processes. Her background is in General Practice as a GP partner prior to her move into medical law with a medical defence organisation before joining the GP Support team in 2021.

Dr Sara Riley, Medical Director, GP Support and LMC secretary in the South East London Primary Care team – Sara is a former GP (partner and salaried) of 27 years. She was Pastoral Support lead for Devon LMC from 2015-2018 before returning to London and has continued to work as an NHSE appraiser since 2014. She has trained as a mediator and works with individuals in conflict. She also has experience in coaching and supporting doctors in all aspects of their professional lives.

Dr Richard Stacey, Medical Director, GP Support – Formerly a GP partner (and GP Trainer), Richard worked with the Medical Protection Society from 2003 to 2019 and joined the GP Support Team in 2019. He has a significant amount of experience in assisting GPs with a wide-range of performance, conduct and health matters, and sits on the Performance Advisory Group as a co-opted (non-voting) member.

How can you contact us?

You can contact the team as follows: