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.


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. 

In 2022-23, 157 Medical Practice has continued to flourish and grow under our management and the established leadership team there have been able to expand the range of services offered to patients to include family planning.

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.


Charlton House Medical Centre

Our caretaking contract for Charlton House Medical Centre began in 2021 and the work continues throughout 2022-23. Significant progress has been made to improve the practice for patients. This progress has been externally recognised with our three clinical leads being award prestigious Haringey Hero awards. 

We will continue to operate Charlton House into 2023-24 and are proud to have successfully supported their move to new premises.