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GP Federations

An important element of the organisational design of a GP Federation is that it is based on a federation model.

The definition of a Federation proposed by the CCG’s Clinical Operations Group is,

a group of GP practices who have agreed to work collaboratively, for the benefit of the patients, the local population, local health services and the wider NHS’.

Members of Federations currently include GPs, practice managers, practice nurses, Administrators, Patient Group Representatives and other parties as agreed by the individual Federations.

There are nine federations in Somerset, each with a nominated clinical delegate (GP) who sits on the Somerset CCG Clinical Operations Group (COG), with four of those delegates nominated to the Governing Body.

A Memorandum of Understanding (MoU) between the Somerset CCG and the nine federations has been developed. It sets out the general consensus on:


  • the ways in which federations can contribute to clinical commissioning in Somerset
  • the process for releasing federation commissioning budgets, and
  • some features of the communication between federations and the Somerset CCG
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