PracticeFit™ Programme
Income, Finance & Service Design
Most GP practices are leaving money on the table — not through carelessness, but through small accumulated gaps. This 16-week programme closes them systematically and leaves you with recovered income, controlled costs and a financial governance structure that runs without us.
Most practices are leaving money on the table.
Not through carelessness — through the accumulation of small gaps: an enhanced service not claimed, a QOF code not applied, a service running at a loss nobody has measured. Add a staffing cost ratio above 80% and a forecast that exists only in the accountant's head, and the practice feels financially precarious even when the income line looks adequate.
This is not a finance course. It is a programme of work that leaves your practice with recovered income, controlled costs, a functioning financial governance structure, and services designed around what the contract will actually fund.
Who this programme is for
- GP practices with QOF or enhanced service performance below local or national average
- Practices where staffing costs exceed or are approaching 80% of total expenditure
- Practices that have not reviewed their full income position in the last six months
- PCNs or federations with variation in financial performance across member practices
- Any practice where partners do not have a shared, current view of the financial position
What the programme delivers
Four outputs your practice will own
Income Audit & Recovery Plan
A structured review of every income stream the practice is eligible for, with quantified gaps and a 90-day implementation plan.
- Core contract & capitation — list accuracy, temporary residents, dispensing
- Enhanced services — sign-up, delivery evidence, claiming accuracy
- QOF — trajectory, exception reporting, coding gaps, achievable uplift
- DES, IIF and locally commissioned services — eligibility & delivery
- ARRS utilisation against entitlement and non-GMS income review
Staffing Cost & Workforce Modelling
Where staffing costs exceed 80% of expenditure, a structured review with scenario options for partner discussion.
- Current staffing cost ratio and trajectory
- Role-by-role cost and productivity analysis
- ARRS cost offset against direct employment
- Skill mix optimisation opportunities
- Phased reduction options that protect service and CQC standing
Financial Governance Framework
A practical structure for ongoing financial oversight — implemented and in use by the end of the programme.
- Monthly finance reporting template — income, expenditure, variance, forward view
- Partner finance meeting agenda and standing items
- 12-month rolling forecast model (Excel, practice-specific)
- Contingency planning framework for funding reduction or restructuring
Service Design Review
A review of services delivered against what the contract and system will actually fund.
- Mapping of current services against funding streams
- Services delivered at a net cost without strategic justification
- Opportunities for redesign, renegotiation or ARRS substitution
- PCN service alignment — what the PCN funds vs what the practice absorbs
- Where relevant, a business case for renegotiation with the ICB or PCN
Programme structure
16 weeks, four phases, practice-owned at the end
Diagnostic
Income stream audit across all funding sources, staffing cost analysis, review of current financial reporting, partner interviews, and service mapping against funding streams.
Deliverable: Diagnostic Report — quantified income gaps, cost position, governance assessment, service design anomalies.
Planning
Income recovery plan drafted with partners, workforce cost model developed where relevant, governance framework designed, service design recommendations drafted.
Deliverable: Programme Plan — agreed priorities, actions, owners and 90-day milestones.
Implementation
Income recovery actions implemented — claims corrected, sign-ups completed, coding addressed. First monthly finance meeting facilitated. Workforce decisions taken. Service design changes initiated.
Deliverable: Implementation Progress Report at Week 12 — actions completed, income recovered to date, governance structure in place.
Embed & Evidence
Financial governance running independently with practice leads, forecast model owned by the practice, outstanding income recovery actions tracked to completion.
Deliverable: Programme Close Report — income recovered, cost position change, governance summary, recommendations for ongoing monitoring.
What PracticeFit™ does — and what the practice does
We support, we don't replace. Financial discipline only sticks if the partnership owns it.
Measures of success
How we'll know it has worked
- Quantified income recovered or secured within the programme period
- Staffing cost ratio at or below 80% — or a credible trajectory toward it
- Monthly finance meeting in place and running by end of programme
- 12-month financial forecast in place and owned by the practice
- All eligible enhanced services signed up and actively claimed
- QOF trajectory improved against baseline
Investment
Priced by scope and practice size
Available as a standalone engagement or as part of the PracticeFit™ Accelerator — the full eight-domain improvement programme.
Confidential discovery call. No obligation. We'll confirm fit before either side commits.
At a glance
- Duration
- 16 weeks
- Format
- Remote, partner-facing
- Audience
- Partners + finance lead
- Outputs
- Income plan · Workforce model · Governance pack · Service map
Enquire about Income, Finance & Service Design
Tell us a little about your practice. We'll be in touch within two working days to arrange a confidential discovery call.
Bundled options
Handle it end-to-end, not in five different places
Most practices run QOF, PCN DES, surveys and wellbeing as four separate jobs. We pull them into one delivery rhythm with shared reporting and named owners.
Operations Core
QOF + PCN DES, run as one programme.
- QOF assurance: registers, recall, year-end run-in
- PCN DES: IIF, capacity & access, enhanced access
- Single quarterly delivery rhythm with named owners
- One reporting pack — partners, PCN and ICB-ready
Best for: Practices losing time across two contracts that should be one workflow.
Operations + Insight
Add staff and patient surveys to the contract delivery.
- Everything in Operations Core
- Annual staff survey + quarterly pulse
- FFT narrative reporting and GPPS commentary
- Live action log and CQC well-led evidence pack
Best for: Practices that want contract delivery and well-led evidence in one rhythm.
Whole-Practice Accelerator
All four programmes, sequenced over 12 months.
- CQC, Patient Access, Wellbeing and Strategic Planning
- QOF, PCN DES, surveys and patient comms — done for you
- Quarterly board-ready report across all domains
- Dedicated programme lead + named associate
Best for: Partnerships that want one supplier, one rhythm and one accountable lead.
Explore the individual programmes
CQC Programme
Readiness, evidence and continuous compliance.
Patient Access & Comms
Demand, list growth and managed patient comms.
Staff Wellbeing
Surveys, framework, manager toolkit and content.
Strategic Planning
Strategy, oversight, PCN navigation, succession.
Survey Packages
Patient & staff surveys — setup, delivery, reporting.
Workforce, Skill Mix & Development
Workforce plan, skill mix, HR compliance, development.