"Most practices we work with are not failing for lack of effort. They are firefighting because nothing is structured. The job is to give them back time to think — and the structure to act on it."
— Hannah Nurrish, Founder
What we do
PracticeFit is a structured operating improvement programme.
Not a report. Not a training day. A programme.
A different kind of consultancy.
Embedded, not parachuted in
We stay alongside your team until the job is done.
Diagnostic before prescription
We never recommend without first understanding what is happening.
Capability, not dependency
We build systems your team can own long after we have gone.
Directly led, always
Hannah leads every diagnostic and stays close to delivery.
Who we work with.
GP Practices
Single-handed to multi-site practices facing operational, financial or access pressure.
Primary Care Networks
PCNs building a coherent operational model across member practices.
GP Federations and ICS
Federations and ICS partners needing structured delivery at scale.
Neighbourhood Working & Workshops
Supporting integrated teams and running leadership development workshops.
Looking ahead
Primary care is changing. We are ready.
Neighbourhood working, integrated teams and the 2026/27 contract are reshaping the operating model for general practice. PracticeFit helps you build the foundations to thrive — not just react.
- Neighbourhood working and ICS integration
- Demand management and access strategy
- Workforce development and leadership coaching
Mission-led. Values-driven.
NHS-first
Built for NHS primary care — not borrowed from corporate consulting.
Anti-dependency
Time-bound work that leaves your team stronger, not reliant on us.
Honest
We say what we see. Even when it's uncomfortable.
Social value
Every engagement contributes to better care for patients and staff.
Stay connected.
Occasional updates from PracticeFit — no spam, ever.