Practice Turnaround

Helping struggling practices overcome challenges and improve standards of care




Our team of experienced clinicians and managers is able to develop a package of support, tailored to the needs of individual practices.  

We help identify challenges, devise improvement measures, improve access to skills, resources and training in order to raise and maintain high standards of patient care.


Staunton Group Practice

In 2019, we were invited to take on full caretaking of the Staunton Group Practice to enable the turnaround of the practice.

The goals were three-fold:

  • Provide an effective service for patients that meets their needs and achieves good patient outcomes
  • Improve staff satisfaction and retention
  • Manage and improve structural issues with the practice premises

A targeted plan of action was devised and agreed with the practice team to ensure positive change at the practice.

  • A focus on financial rigour enabled the financial sustainability of the practice and secured the levels of investment needed to undertake much-needed building improvements.
  • Improvements in management processes and changes to employment practices encouraged a culture of commitment to the practice among staff and leaders and achieved a sustainable staffing model.
  • Introduction of new working practices and processes support multi-disciplinary team working, regular clinical case reviews and better document management.
  • Closer working with the Patient Participation Group (PPG) helps better understand patient concerns. 

75% of patients now rate their overall experience of the practice as good, up from 53% (GP Patient Survey from 2019-20 to 2020-21).

By building a strong clinical and non-clinical team we have been able to achieve a sustainable and stable practice which is trusted by staff and patients, ready to handover to the permanent contract holder at the end of our tenure.


157 Medical Practice 

We took on the contract for the 157 Medical Practice in July 2019 at a time when it faced significant quality concerns. CQC registration had previously been refused, patient numbers had declined and urgent turnaround was needed in several areas.

The Federation team quickly established a positive working relationship with the practice team, helping to ensure it was able to become an active member of its primary care network.

Significant work was undertaken to ensure a functional and effective team, upgrade the building and grow the patient list. 

Investment in administrative and reception staff to ensure they have the skills, training and resources they need has been prioritised and the practice is now working towards becoming an Approved Learning Environment.

The establishment of medication reviews and regular audit schedules for patients with long term conditions has reduced overprescribing of higher risk medications and helped improve management of patient conditions.

The turnaround of the practice has been remarkable. 

  • It has achieved an overall ‘good’ CQC rating with an ‘outstanding’ for the Well-Led domain.
  • Patient numbers are rising as are QOF/LCS results for the practice.
  • Uptake for services like childhood immunisations mean the practice has gone from one of the lowest achievers in the borough to the highest.  A similar picture is emerging for uptake of cervical screening. 

Although there is still work to do to completely turnaround the practice, with the help of the PPG we continue to develop and improve the Practice, using innovative ideas wherever possible.