Practical insights from the front line of NHS primary care management.
Practical insights covering the operational and strategic challenges that come up most often in GP practice and PCN management — access, QOF, CQC, neighbourhood working, and more. Written from the inside, not from a boardroom.
Articles are a mix of personal posts and content also published on PracticeConnect — the operational platform built for GP practice teams.
2026-03-24 1 min read
The new practice-level GP reimbursement scheme is more than a funding change. This guide explains what is confirmed, what is still unclear, and what practices should tighten now around urgent access, reporting and GP capacity.
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2026-03-18 1 min read
Neighbourhood working is moving from policy language into operating reality. For practices, partners and PCN leaders, the question is no longer whether it is coming, but how prepared your organisation is when local structures start to harden.
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2026-03-17 1 min read
For GP practices, this is not just another policy paper. It sets out new neighbourhood-based structures, clear operational expectations, and a delivery timetable running from April 2026 to March 2029. For practice managers, that means changes to partnership working, data sharing, governance, access standards, and day-to-day operations.
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2026-03-12 1 min read
DCB0160 is the NHS clinical safety standard for how GP practices deploy and use digital systems. It is not about whether a supplier’s product is safe in general, but whether it is safe in your practice, with your workflows, configuration, staff training, and local processes. Here’s what practices need to know, what is usually in scope, and the practical steps to get compliant.
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2026-03-10 1 min read
The April 2026 contract change is close. For most practices, the challenge is not building a brand-new access model from scratch. It is tightening triage, recording urgency properly, stopping weak front-door habits, and putting enough cover in place to go live safely.
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2026-03-08 1 min read
The GP contract for 2026/27 is not just a funding story. It brings a set of operational and compliance expectations that practices need to be able to demonstrate clearly by April.
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2026-03-04 1 min read
<p><strong>Key changes to the 2026-27 GP contract explained quickly.</strong></p>
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2026-03-04 1 min read
The role of the practice manager has changed significantly over the past decade. What was once primarily an administrative leadership role has evolved into a complex position that combines operational management, strategic planning, workforce leadership, and governance oversight.
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2026-03-01 1 min read
The QOF 2026/27 business rules are still pending. System suppliers have not yet released updated templates, and the detailed SNOMED clusters, extraction logic, and exception rules are still to come.
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Reading about what needs to change is the easy part. If you'd like help making it happen in your practice, get in touch.
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