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Primary care management consulting for GP practices and PCNs across England. IGPM Accredited Member.

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Operational Debt: The Hidden Drag on General Practice Operational Debt: The Hidden Drag on General Practice
  • Ben Haresign
  • General Practice

Operational Debt: The Hidden Drag on General Practice

Operational debt builds when today’s workaround becomes tomorrow’s normal process. In general practice, old spreadsheets, duplicated trackers, unclear …

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NWRS Is Not Just a Return: Using Workforce Trends to Support GP Reimbursement Evidence NWRS Is Not Just a Return: Using Workforce Trends to Support GP Reimbursement Evidence
  • Ben Haresign
  • Data & Analytics

NWRS Is Not Just a Return: Using Workforce Trends to Support GP Reimbursement Evidence

NWRS is often treated as a monthly workforce return, but trended properly it can become a useful part …

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CQC Readiness Is Not a Folder: It Is How Your Practice Runs CQC Readiness Is Not a Folder: It Is How Your Practice Runs
  • Ben Haresign
  • CQC

CQC Readiness Is Not a Folder: It Is How Your Practice Runs

CQC readiness is not about creating a tidy folder before inspection. It is about building clear accountability, live …

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The Ready Reckoner Can Show Income. It Cannot Show the Fatigue The Ready Reckoner Can Show Income. It Cannot Show the Fatigue
  • Haresign Consulting
  • Finance

The Ready Reckoner Can Show Income. It Cannot Show the Fatigue

The income ready reckoner is a useful planning tool, but it does not replace local financial judgement. Practices …

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Recording the Slot Is Not Managing the Risk Recording the Slot Is Not Managing the Risk
  • Ben Haresign
  • Access

Recording the Slot Is Not Managing the Risk

The 2026/27 GP Contract places a clearer requirement on practices to deal with clinically urgent patient requests on …

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Your Inbox Is Not a To-Do List Your Inbox Is Not a To-Do List
  • Ben Haresign
  • Digital Tools

Your Inbox Is Not a To-Do List

Email management in general practice is not about having a tidy inbox for the sake of it. It …

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GP Contract 2026/27: The Small Print That Becomes the Working Day GP Contract 2026/27: The Small Print That Becomes the Working Day
  • Ben Haresign
  • Access

GP Contract 2026/27: The Small Print That Becomes the Working Day

A practical reflection on how the 2026/27 GP Contract supplementary information affects access, workforce, digital routes, data, referrals …

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Digital Services Are Not Just IT Digital Services Are Not Just IT
  • Benjamin Haresign
  • Access

Digital Services Are Not Just IT

A reflection on why digital services in general practice are not just IT, but core operational infrastructure affecting …

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How a 10,000 Patient GP Practice Works Financially — 2026/27 View How a 10,000 Patient GP Practice Works Financially — 2026/27 View
  • Ben Haresign
  • Finance

How a 10,000 Patient GP Practice Works Financially — 2026/27 View

A practical explanation of how NHS general practice funding flows into income, expenditure, workforce, premises, digital systems and …

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