The Death of A Practice: How to Avoid Practice Failure
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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