Built during the recovery — not designed in response to it
I came into general practice management almost by accident. Two weeks into a Data Manager role at a Darzi Centre, the Practice Manager left and the directors asked if I'd give it a go. I found work I loved.
Over the next twelve years, across three practices — as Data Manager, Practice Manager, and eventually Managing Partner — I built something that felt like it was working. Until 2019, when the practice I was leading received an Inadequate rating from CQC.
"The Good rating we'd had before didn't tell us what we didn't know. The framework that rated us Good wasn't designed to test what the current inspection now tests."
Inadequate rating received. Appeal submitted with over 500 pages of evidence.
Requires Improvement. Framework begins taking shape during recovery — and through a pandemic.
Good rating achieved. Framework codified. Harmony CQC programme begins.
Supporting practices across the UK to build governance systems through distributed leadership and shared ownership.




