Practice MOT is the outside eye that recovers the income your practice has earned but isn't claiming, automates the admin grind, and steadies your staffing — so the partners get clear sight of the business and the medics get back to medicine.
Money leaks in three places at once, and nobody inside has the time or the outside lens to see it.
Under-coded registers suppress QOF; vaccinations, local services and claims quietly go unclaimed.
Coding, recall, document processing — repetitive work that's now safely automatable.
Constant churn and the cost of scrambling to replace someone who leaves or goes off sick.
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 and outcome-based 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 your margin comes from doing the work more cheaply, not from doing more of it.
real-terms core funding per weighted patient since 2018/19
lost per GP per day to avoidable & hidden work
of GP appointments potentially avoidable
of ARRS funding left unspent nationally — paid-for capacity idle
Recover earned-but-unclaimed income — QOF prevalence + the Funding Radar.
Automate the grind, put every SOP in one searchable place, and strengthen CQC — all from the same work.
Compliant hiring pipeline, AI rota with fair holiday allocation, lower churn.
NHS-approved tools, DPIA, clinical-safety, ICO-clean. The bit you can't do yourself.
The GP market is split in two, and every vendor sits on one side. Plenty of tools 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, My Practice Manager 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.
Most practices have no idea what's actually available. Part of the MOT is mapping the NHS-approved, ICO-safe tools to your practice — and flagging the ones that cost you nothing.
Free or ICB/cancer-alliance-funded — recruitment, cancer decision support, prescribing savings.
Care coordinators, GP assistants and more — reimbursed. Unspent funding is lost money.
Only NHS-assured ambient-scribe tools (DTAC, MHRA) — we pick the compliant ones.
We select what fits your clinical system and do the DPIA / clinical-safety paperwork.
Free audit. We hand you your real number.
Claim the income, clinician-approved.
Stand up the right compliant tools.
Build the staffing pipeline & bench.
Keep it optimised, year-round.
We're proving the whole programme on Trent Meadows at no cost — in exchange for a reference and introductions through the partners' LMC and ICB relationships. The result becomes the number that every other practice sees. A quantified, real-world case study beats any brochure.
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.
13 slides: the problem, the pillars, the offer. ↑ ↓ to move.
Put a practice's real figures in; the opportunity updates live.
Every income stream by tier, the leaks ranked.
On-ball + off-ball contribution per partner, pro-rata. Surfaces the invisible load.
How to use this site, what's where, and how we roll it out.
At an ultra-conservative 0.1% of the UK's ~7,700 practices — just ~8 clients — this is a profitable, low-risk, largely solo business, and every step up compounds. The free, results-only offer is engineered for a high bite rate; the constraint is delivery capacity, not demand.
Full maths, pricing and resourcing in the revenue & cost model. Figures are a planning model with stated assumptions.
MRCS, MRCGP. Clinical Director. Keeps everything clinically safe and credible — the reason a cautious partnership can trust us with data.
Managing Director. A background in razor-margin logistics and funded-training compliance — trained to see the money hiding in the inefficiency everyone walks past.