Steady leadership for the moments a practice can't afford to wait.
ARO Practice Management Services provides interim and consultancy‑led support for GP practices, federations and PCNs — locum practice management, practice turnaround and rescue, CQC gap analysis and compliance preparation, practice finance turnaround, and PCN operations and finance. Delivered personally by a practice manager who has run large practices herself, not a generalist consultant.
ARO was founded by Afsaneh Oladi, a Practice and Business Manager with over 20 years leading large NHS GP practices — including a three‑site practice group taken through financial turnaround and operational merger to a sustainable, well‑led operation.
The track record behind ARO
Afsaneh's primary care leadership, prior to AROPractice revenue delivered to the partnership in a single financial year
GP Training Practice, South West London
Increase in enhanced services revenue during a practice turnaround
GP Practice Turnaround, South East England
Patients — practice list grown from 10,000 over eight years
GP Practice, South East England
Years leading large NHS primary care practices
Practice & Business Management
Five disciplines, one goal: a practice — and a network — that runs itself well.
Each service is delivered directly by Afsaneh — not handed off to a generalist associate network.
Locum Practice Management
StaffingExperienced practice management cover for planned leave, unexpected departure, or the gap while you recruit permanently — without the practice losing momentum.
- Day‑to‑day operational leadership from week one
- Continuity of HR, payroll and staff appraisal cycles
- Safe, documented handover into and out of the role
- Mentoring for newly appointed or acting managers
Practice Turnaround & Rescue
OperationsHands‑on leadership for practices in financial difficulty, under‑performing on QOF and enhanced services, or destabilised by a leadership vacancy, merger or rapid list growth.
- Operational diagnostic, typically within the first two weeks
- Stabilisation plan for finances, staffing and safeguarding risk
- Multi‑site merger and list‑growth management
- Direct liaison with GP partners, the PCN and the ICB
CQC Gap Analysis & Compliance Preparation
ComplianceA structured readiness review against the CQC's key questions, with a practical action plan behind it — not just a policy folder on a shelf.
- Full gap analysis across all CQC domains
- Mock inspection and evidence‑file preparation
- Policy, governance and clinical audit programme development
- Support from Requires Improvement or Inadequate through to Good
Practice Finance Turnaround
FinanceA detailed review of practice income, from core and enhanced services through to PCN funding streams, with a recovery plan built for GP partners to act on.
- Income and enhanced‑services optimisation (LES / DES / ARRS)
- QOF performance review and improvement planning
- Partnership accounts, budgeting and cash‑flow support
- PCN and ICB contract and funding‑stream advice
PCN Operations & Finance
PCNOperational and financial management for Primary Care Networks — keeping network delivery on track, money flowing correctly to member practices, and the Clinical Director and board properly supported.
- PCN DES and IIF delivery planning, monitoring and claims
- ARRS workforce planning, recruitment and reimbursement claims
- Network budgets, payments to member practices and financial reporting
- Network agreement, governance and board meeting support
A short, deliberate sequence — not an open‑ended retainer.
Every engagement follows the same discipline, whether it runs for six weeks or six months.
See the whole picture
On‑site review of operations, finances, compliance and team, usually completed within the first two weeks.
Deal with the urgent first
Immediate action on the risks that can't wait: safeguarding, compliance gaps, cash flow, staffing cover.
Deliver against a plan
Structured delivery against an agreed plan, working alongside partners and the existing team, not around them.
Leave it stronger
A practice left in a stronger position, with full documentation and a team equipped to sustain it.
Built for practices under real pressure, not routine reviews.
- — GP partnerships needing credible interim management cover
- — Practices rated Requires Improvement or Inadequate by the CQC
- — PCNs and federations managing multi‑site growth or merger
- — Incoming partners inheriting a distressed practice
- — Practices facing a sudden management or leadership vacancy
- — ICBs and commissioners seeking turnaround support for at‑risk practices
One experienced practice leader, not a panel of consultants.
Afsaneh Oladi
Founder & Principal ConsultantPractice and Business Manager with over 20 years leading large NHS primary care practices. Currently leads a 4‑partner, two‑site training practice of 14,000 patients, having previously delivered the financial turnaround and operational merger of a three‑site practice group, and grown an earlier practice from 10,000 to over 15,000 patients across eight years.
- ACCA Accountancy
- AMSPAR Practice Management
- NVQ Level 4, Health & Social Care
- — Financial turnaround and operational merger of a three‑site practice group
- — £2m practice revenue delivered to the partnership in a single year
- — 250% growth in enhanced services income during a turnaround
- — Leadership of large, multi‑site GP training practices
- — Accountancy‑trained, with hands‑on partnership finance, QOF and CQC experience
Start with a confidential conversation.
Tell us what's happening in your practice and we'll come back with an honest view of what's needed — no obligation.
ARO Practice Management Services is based in London & South East England and works on‑site and remotely across the region. Engagements further afield are considered case by case.