The Irish College of General Practitioners (ICGP) is the professional body for General Practitioners (GP’s) in Ireland. The College’s primary aim is to serve GP’s and their patients by encouraging and maintaining the highest standards of general medical practice. The ICGP is the representative organisation on education, training and standards in general practice. Prospectus worked with the ICGP to review the current governance structures and arrangements within the ICGP and in particular, how its structures and processes might be changed to improve accountability and decision-making at director and senior management levels within the organisation.