A complete, CQC and NHS application-ready GP medical practice. Registered company, 313-document operations library, six financial models, professional digital infrastructure. Take it as a partnership and run it.
Ashgrove is a general practice modelled on a registered patient list growing from 2,000 to 5,400 over three years. It delivers NHS primary care services: consultations, chronic disease management, immunisations, minor procedures, QOF clinical work, and Enhanced Services.
Revenue comes from NHS England: Global Sum (~£123 per weighted patient), Quality and Outcomes Framework (QOF), Enhanced Services, premises cost reimbursement, and private services. Multiple revenue streams provide resilience; Global Sum scales directly with list size.
The UK has a structural shortage of GP practices. NHS England actively encourages new providers and supports list growth. The infrastructure, documentation, and financial modelling needed to apply for a GMS or APMS contract and register with CQC is prepared and included.
The company is given to you free. Your 12-month infrastructure service agreement at £199/month (by direct debit) covers everything below, unlimited and unrestricted, for as long as you run the venture. No add-ons, no upgrade paths, no support tiers.
Projections are illustrative. Actuals vary by area, ICB allocations, list growth pace, and operating model. All inputs are adjustable in the Excel models.
Primary care is doctor-led by NHS contract design. The clinical leadership has to be GMC-registered. The business leadership doesn't — many of the most successful primary care groups separate clinical and business roles cleanly.
If you are a GP, the partnership conversation includes how to structure the GMS/APMS application. If you are not, we discuss the clinical-lead route.
The venture itself has no purchase price. Capital is needed for premises fit-out (or premises lease deposit), pre-trading clinical and admin staffing, IT systems (EMIS or SystmOne), and working capital through the patient list ramp. Modelled requirement: £150,000.
Adekunle has been salaried at a 12,000-patient practice for ten years. He runs the diabetes clinic, does QOF lead, and has more than enough clinical and operational chops. The traditional partnership route in his area is closed — existing partners don't want to dilute, premises rights are expensive, and contract transfer is messy.
He applies to Zundara, takes Ashgrove as his partnership venture, signs the 12-month service agreement at £199/month by direct debit, and is appointed director. He brings a practice-manager co-founder; together they hold 85%, Zundara holds 15%. They secure a £150K commercial loan against the NHS contract, lease premises in an under-served area, and submit GMS and CQC applications in parallel.
By month 9 they are on the contract and accepting list registrations. By month 18 the list is at 2,200 patients. Year 2 revenue lands at £804,924 with £165,650 net profit (20.6% margin). Adekunle takes the GP-partner profit share; the practice manager takes a director salary plus dividend.
Heavy-regulatory tier reflects the higher complexity of CQC and NHS contract build and ongoing governance support. After the first 12 months the service agreement continues monthly until cancelled. Voluntary buyout option from either side at fair market value — operator never forced to sell.
The application is the qualifying conversation — mutual fit, not a sales call. We come back within 5 working days with a yes, a no, or a route in.
