Primary Care Development

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  • Quality improvement in primary care
  • Support to practices to ensure resilience and
  • Skilled data analysis and business intelligence
  • Governance review
  • Business Planning
  • Financial analysis
  • Clinical records assessment
  • Support for practices wishing to work ‘at scale’

CQC Compliance

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  • Support with CQC inspections
  • Assistance to practice that Require Improvement or are Inadequate
  • Turnaround support

Clinical Supervision and Support

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  • Leadership development
  • Coaching and mentoring
  • Clinical supervision for nurses
  • Development support for non-medical clinical


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  • Assessment of team dynamics and team development
  • Use of psychometric tools to aid the individual
    and the team for example use of the Myers Briggs Type Inventory (MBTI)
  • Facilitation of high level groups to develop networks 
  • Dispute Resolution

Risk Management

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  • External scrutiny of systems of risk management and governance 
  • Action planning to assure governance is fit for purpose 
  • Practical support in designing and developing
    effective risk management systems


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  • Provision of complaints investigation teams that
    understand the NHS complaints process
  • Investigation of complaints that span more than one service or organisation
  • Support to commissioners in the management and investigation of complaints about any commissioned service

Service Review

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  • Assessment and review of current service provision
  • Governance reviews of ‘stand alone’ services
  • Assessment of compliance with remedial notices or externally imposed action plans

Serious Incident Investigation

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  • Provision of trained and experienced reviewers who can use Root Cause Analysis methodologies to investigate incidents in any clinical environment
  • Critical appraisal of SUI reports and recommendations for action

Death in Custody Review

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  • Liaison with Prison and Probation Ombudsman
  • Structured clinical reviews
  • Production of clear easily accessible reports for family and other interested parties

Statutory Reviews

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  • Undertaking any form of statutory review, for
    example domestic homicides, serious case
    reviews, child death reviews, learning disability mortality review

Independent Confidential Advice

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  • Skilled and detailed advice around assessing clinical concerns
  • Local investigation services
  • Case management
  • Reports for Coroners

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