Practice MOT is the outside eye that recovers the income your practice has earned but isn't claiming, automates the admin that drains your team, and steadies your staffing — so the partners get a clear view of the business and the medics get back to medicine.
Money leaks in three places at once, and no one inside has the time or the outside lens to see it.
Under-coded registers quietly suppress QOF; vaccinations, local services and claims slip past their windows unclaimed.
Coding, recall and document processing — repetitive work that's now safely, NHS-approvedly automatable.
Churn and the scramble to replace someone who resigns or goes off sick, with no bench and no pipeline.
No headline Global Sum cut — but the Carr-Hill formula is being rewritten to redistribute the same pot, the 10-Year Plan is shifting money into capitated budgets, and core funding is down over 10% per weighted patient in real terms since 2018/19. More income now arrives as flat lump sums — so margin comes from doing the work more cheaply, not from doing more of it.
Recover earned-but-unclaimed income — QOF prevalence accuracy plus the Funding Radar across every claimable stream.
Automate the grind, put every SOP in one searchable place, and strengthen your CQC position — all from the same work.
A compliant hiring pipeline, a fair AI-assisted rota, and retention analytics — so one leaver isn't a crisis.
NHS-approved tools, DPIA, clinical-safety, ICO-clean. The layer a cautious partnership can't build alone.
The GP market splits in two, and every vendor sits on one side. Plenty do compliance and SOPs; Ardens dominates coding. But you still stitch four or five vendors together — and no one joins your compliance posture to your income, or carries a human audit across the lot. That join, and the single accountability, is us.
Ardens (~87% of practices) + EMIS/SystmOne do QOF and coding. They don't touch rota, HR, SOPs or CQC.
TeamNet, CQC Ready and others do SOPs, CQC and rota. None touch your income or coding.
We integrate both sides, link compliance to income, recover the money and carry a human outside-audit — one accountable layer.
And the best tools on the market? We don't compete with them — we run them. Ardens, Suvera, certified scribes and the rest become our instruments. We own the integration, the human audit, and everything no single tool can touch.
Ardens, your clinical system, your practice manager — they surface the data and the worklists. But someone still has to run the searches every cycle, work the patient lists, get a clinician to confirm each code, submit the claims inside their windows, chase the scattered local and CQRS-Local money, and tie it all to your compliance evidence. Most practices don't have the hours — so the money sits in the dashboard, unactioned. A great tool unused is just an expensive dashboard. We're the execution.
We don't build software or sell a black box. We select the NHS-assured tools, configure them around your practice, and integrate them so they actually talk to each other.
Run every cycle, the under-coded worklist worked and clinician-confirmed — not left sitting in the dashboard.
Hospital letters read and the diagnoses/meds surfaced for one-click clinician approval — no manual re-keying.
Only NHS-assured (DTAC/MHRA) scribe tools, configured and governed — notes written as you consult.
Triage and comms flows configured to deflect avoidable demand and route the rest cleanly.
Electronic repeat dispensing stood up and prescribing prompts switched on — GP time and drug spend both down.
The right patients invited for the right reviews, multi-condition — so achievement isn't a March scramble.
We sit above your stack — we don't replace it. We run and join the layers you already have — Ardens (coding), TeamNet / CQC Ready (SOPs & compliance), AccuRx (comms), EMIS (clinical) — reconcile across them, and carry one accountable audit. No rip-and-replace; just the integration and the doing.
The Funding Radar maps where income is claimable; the detection runs inside your own clinical system (EMIS or SystmOne) using the NHS's own QOF rules. We surface three kinds of contradiction — then a clinician confirms every one.
On metformin with no diabetes code. The treatment is real — the register code that should sit beside it is missing.
HbA1c, eGFR or BP readings in range, with no matching code. The evidence is in the record, uncoded.
A jab or LD check done and recorded — but never claimed in CQRS. The work happened; the claim never followed.
Accuracy, never inflation. The search only produces a worklist of named candidates — a clinician confirms or rejects every single one. A code goes on only if the evidence supports it. Register-padding is a clawback risk; getting the register true is the point.
Your scribe, your triage tool, document and coding AI. The regulators — and now CQC at inspection — expect you to show it's governed. Most practices can't. We get you organised in half a day, and it's included free. Box-ticking and good order, not a course to sit through.
Every AI tool in use, written down — most practices never have. That alone is the finding.
DTAC, DPIA, DCB0160 + named CSO, MHRA status, ICO basis — RAG-rated per tool.
A signed staff acceptable-use policy and a 20-minute briefing. No patient data into public AI.
The folder ready for when CQC asks "how do you govern AI?" — already done.
Live picture, June 2026: the DTAC transition closed 6 April; a DPIA is legally required before any AI; the EU AI Act's core high-risk rules apply from 2 August. We keep you organised and ahead of it — we don't give legal advice or certify devices.
The MOT is the start. The programme is the whole engine — income, efficiency, compliance and workforce — and it keeps growing as we find new gaps to close.
Every claimable stream — national, PCN, ICB-local, council — with the claim windows tracked.
Clinician-confirmed case-finding across every register. Accuracy, never inflation.
CQRS & PCSE against activity — expired claims and missed payments, recovered.
Personally-administered items used but never claimed — reconciled and submitted.
AI coding of hospital letters — structured data for rapid clinician approval, not manual re-keying.
End the e-RS "black hole" — live status on every referral, rejections flagged and chased before they're lost.
Cut no-shows and control the new SMS costs — right message, right channel, fewer wasted sends.
Strip out the failure-demand and hidden admin that costs ~£410 per GP per day.
The clean-data work, surfaced as inspection evidence — ahead of the visit, not during it.
Every policy and procedure in one searchable place, with read-receipts as evidence.
The register, the checks and the staff policy CQC now expects — organised in half a day.
DPIA, DCB0160 clinical-safety, ICO-clean — the governance you can't build alone.
Who's in, who's off, who's available — the week auto-filled, sickness cover in seconds, locums from your own compliant bank.
On-ball and off-ball contribution per partner, pro-rata — the invisible load made visible.
A warm bench of consented, pre-vetted candidates — first-party sign-ups plus licensed databases — wired to NHS Jobs, so a leaver is covered in days. We build and hold the bank; you make the hire. We never place staff for a fee.
The programme expands with your practice — every new gap we find becomes the next module.
Funding rules change. New claim windows open. A regulation lands. A better tool arrives. The moment it does, we push it straight to you — so you're never the practice that finds out too late. You don't go hunting the next opportunity; it comes to you.
A new enhanced service, a repriced funding line, an opening claim window — alerted with the deadline, before it closes.
CQC, QOF, DTAC, AI governance — every change that affects you, in plain English while there's still time to act.
Every new capability we build lands in your programme automatically — no upgrade fee, no re-purchase.
It's a monitoring system, not a person reading the news for you — automated alerts off the official funding and regulatory sources, curated and segmented so you only get what's actually relevant to your practice.
Not a member yet? Join the free funding & regulation alert list — the same income and compliance changes we push to members, straight to your inbox.
Three ways to proceed — pay once and own it, spread it monthly, or pay only from what we recover. The free MOT comes first either way, so you see the numbers before you choose.
We're running our revenue audit at Trent Meadows at no cost — a fresh pair of eyes on a top-tier practice. If even an NHS-England-recognised, AI-triage, research-grade practice has money slipping through the scattered local and enhanced-service claims, what's sitting in yours? The result — found money, or a clean bill of health — becomes the reference every other practice sees.
Trent Meadows is already an NHS England published case study — 168 GP appointments freed a month by redesigning repeat-prescription and medication-review processes. We're building on a practice NHS England has recognised for exactly this kind of work.
MRCS, MRCGP. Clinical Director. Keeps everything clinically safe and credible — the reason a cautious partnership can trust us with their data and their registers.
Managing Director. A background in razor-margin logistics and funded-training compliance — trained to see the money hiding in the inefficiency everyone walks past.
The detection mechanism, plus exactly who we interview and what we gather.
The hard questions a cautious partner asks — answered straight.
Put a practice's real figures in; the opportunity updates live.
Every income stream by tier, the leaks ranked.
The slide version for a partners' meeting.
How to use this site and how we roll it out.