Stepping into private practice is an exciting and empowering move, however it’s also a major shift that requires more than just clinical expertise. Whether you’re looking to escape NHS burnout, build a more flexible career, or create something truly your own, making the transition from doctor to businessperson demands clarity, planning, and the right support.
Here Dr Lavan Baskaran, highly respected private GP and one of the Director’s of Cinnamon Healthcare, known for his holistic approach to patient care and commitment to innovation in healthcare delivery, shares an overview of his journey from NHS clinician to private practice leader.
Lessons from Lavan’s Private Practice Journey
Key insights:
- It’s important to embrace both NHS and private practice roles; show that it’s possible to do both with balance and impact
- Build a values-led group practice with close colleagues and friends, prioritising trust, collaboration, and a non-toxic environment
- Learn through experience – openly share mistakes and growth moments to support others starting out
- Advocate for building a fulfilling career with multiple income streams and a strong support network
Why Move into Private Practice?
- Greater control over patient care and workload
- Escape from NHS bureaucracy
- Potential for meaningful impact and increased job satisfaction
- Create a personal brand or niche within healthcare
- Opportunity to innovate and build a team culture on your own terms
- Greater control over patient care and workload
Vision, Structure and Set-Up Move
- Define long-term goals (e.g. number of clinics, ideal work-life balance)
- Clarify value proposition: what makes your clinic unique in the market?
- Conduct competitor analysis
- Understand financial foundations: revenue, overheads, cost of delivery
CQC Registration and Regulatory Pathways
- Understand the CQC registration process and timelines
- Alternative route: practising privileges
- Importance of documentation, interviews, and policy development
- Being well-prepared to save time and reduce stress
Clinic Growth and Daily Operations
Transitioning from solo practitioner to team-based care:
- Considerations for staffing: employee vs. freelance/contractor
- Managing clinical, commercial, and compliance responsibilities
- Role of support staff: Medical PAs, admin, accountants, marketing
- Considerations for staffing: employee vs. freelance/contractor
Key Takeaways
- Start with a clear vision and long-term goals
- Invest in planning and preparation, especially around CQC
- Define your unique value in a competitive market
- Build a strong support team early on
- Private practice offers flexibility, fulfilment, and long-term potential if approached strategically
Dr Lavan Baskaran’s path into private practice offers a first-hand insight into the realities of building a business as a clinician. From navigating the challenges of setting up a group practice to balancing NHS commitments with private work, his journey highlights the importance of vision, partnership, and adaptability.
The team at Designated Medical is proud to have supported Dr Baskaran and his fellow directors at Cinnamon Healthcare on their private practice journey. We value our ongoing collaboration and look forward to contributing to their continued success in the future.
Ready to get started?
Next steps…
- Speak to the Designated Medical Team – take advantage of our free 45-min consultation with our experts, who have a proven track record in private practice management, and will be able to provide you with practical help and guidance on building a successful private practice quickly and effectively, to book your session please email info@designatedmedical.com
- Join our community of practitioners on WhatsApp who are moving into private practice and share ideas and knowledge.
- Register for our ‘Building a Successful Private Practice’ series of free webinars.
- Next webinar: ‘Planning Your Exit – Retirement Strategies for UK Doctors’ on Thursday 18th September 2025 at 6:30pm.
As the demands on healthcare professionals continue to rise, doctors – particularly those balancing NHS responsibilities with the pressures of building a private practice – often find themselves stretched thin.
Here Designated Medical’s expert, Dionne Simons, Head of Medical Operations with more than 20 years’ experience in private healthcare management, shares how Medical and Virtual Personal Assistants (PAs) can play a crucial role in easing the burden and helping doctors regain valuable time and focus.
The Rising Challenge of Being a Doctor in 2025
With rising patient numbers, longer NHS waitlists, and the added responsibility of managing a private practice, today’s doctors are under immense pressure. Many report working late nights, facing decision fatigue, and sacrificing personal time, which are classic warning signs of burnout.
Signs You Might Need Support
If you often feel:
- Overwhelmed and stressed
- Stuck working evenings and weekends
- Disconnected from family or patients
- Struggling to sleep or stay organised
…it may be time to reassess your workload and consider bringing in a PA.
Medical PA vs Virtual PA – What’s the Difference?
Both roles offer vital support, but cater to different needs:
Medical PA
Ideal for clinical environments, they assist with:
- Preparing patient notes and consultation follow-ups
- Managing referrals, test results, and discharge summaries
- Ensuring documentation is accurate and compliant
- Freeing up time for research or complex cases
Virtual PA
Focused on administrative and lifestyle tasks, such as:
- Diary and email management
- Booking travel and events
- Handling expenses and personal errands
- Supporting work-life balance and even digital presence
The Added Value of a Practice Manager
As your clinic grows, so do your operational needs. A Practice Manager can oversee:
- Finances and KPIs
- Team and supplier coordination
- IT and communication systems
- Marketing strategies and CQC compliance
Where to Start: Audit and Delegate
Getting help starts with awareness. Spend an hour reviewing your weekly and monthly tasks. What can you delegate? Whether it’s booking appointments, managing your inbox, or clinical documentation, support is out there.
Designated Medical’s Solution
We offer expert guidance to help you build a successful private practice. Our services include:
- Medical and Virtual PA resourcing
- Practice setup and CQC registration
- Financial planning and billing
- Marketing and brand development
Ready to Reclaim Your Time?
Burnout isn’t inevitable. With the right support, doctors can refocus on patient care and enjoy a healthier work-life balance.
Next steps…
- Speak to the Designated Medical Team – take advantage of our free 45-min consultation with our experts, who have a proven track record in private practice management, and will be able to provide you with practical help and guidance on building a successful private practice quickly and effectively, to book your session please email info@designatedmedical.com
- Join our community of practitioners on WhatsApp who are moving into private practice and share ideas and knowledge.
- Register for our ‘Building a Successful Private Practice’ series of free webinars.
Setting up your own private medical practice can be one of the most rewarding steps in your professional career, however it comes with its challenges. One of the most crucial areas to get right from the start is CQC compliance. Getting this wrong could set your practice back months, cost you financially, and impact patient trust. However, with the right preparation and approach, it can become a core strength of your clinic.
Here Designated Medical’s experts, Dionne Simons, Head of Medical Operations, with more than two decades in private healthcare management, and Sarah Robinson, an experienced CQC Registered Manager, who successfully led The Harley Street Dermatology Clinic through inspections and audits, break down how to prepare for your first CQC inspection and maintain ongoing compliance with confidence.
Why CQC Compliance Matters
Whether you’re just leaving the NHS or already running a small practice, CQC (Care Quality Commission) compliance isn’t a one-time hurdle; it’s a continuous journey. It ensures your service is safe, effective, caring, responsive, and well-led – the five key domains that CQC uses to evaluate healthcare providers.
From registration to inspection and beyond, building systems and a culture that meet these standards will help your practice grow with integrity and confidence.
Compliance: Where to Begin
The first step is understanding the Fundamental Standards set out by CQC, which include:
- Person-centred care
- Dignity and respect
- Safety and safeguarding
- Consent, staffing, governance, and more
You’ll also want to be familiar with Quality Statements, which serve as commitments that align with the 5 Key Questions asked during inspections:
Safe, Effective, Caring, Responsive, and Well-Led.
Building a Culture of Compliance
Compliance isn’t just about ticking boxes; it should be embedded into the DNA of your practice. Here’s how to build a culture that supports ongoing success:
- Develop Standard Operating Procedures (SOPs): These serve as your blueprint for quality care and compliance.
- Involve Your Team: Everyone should understand the importance of compliance from the outset.
- Training and Onboarding: Make compliance a part of every new hire’s induction.
- Regular Check-ins: Schedule weekly or monthly meetings to review compliance topics and improvements.
- Delegate with Purpose: Assign responsibilities clearly and follow up regularly.
Proving It: The Power of Evidence
One of the golden rules in CQC compliance: If it’s not documented, it didn’t happen.
That’s why maintaining a comprehensive evidence folder is essential. Here’s what you should include:
- Policy reviews
- Incident logs and outcomes
- Patient feedback
- Cleaning schedules, temperature checks
- Training records and meeting minutes
- Certification tracking (e.g., PAT testing, insurance, ICO registration)
Preparing for Your First Inspection
Expect to receive around two weeks’ notice for your first inspection. Preparation is key. Here’s how to be ready:
- Organise evidence folders (digital or physical) mapped to each CQC domain.
- Ensure your entire team is trained and aware of their roles.
- Run mock inspections or spot checks.
- Prepare STAR (Situation, Task, Action, Result) stories for interview questions, such as:
“Can you give an example of how you improved safety?”
S – We had repeated issues with incorrect sharps disposal.
T – I needed to reduce risk and improve staff practice.
A – I ran refresher training, added signage, and updated our induction.
R – No further incidents for 6 months, and staff felt more confident.
Real-World Success: Harley Street Dermatology Clinic
Sarah shares the key steps she undertook to lead The Harley Street Dermatology Clinic through its CQC journey:
- Implemented robust governance and compliance systems
- Focused on training and evidence tracking
- Created a culture where quality was everyone’s responsibility
- Embedded daily practices that ensured ongoing CQC readiness; not just at inspection time
Are You Inspection-Ready?
A good rule of thumb:
“Would I feel confident if a CQC inspector walked in today?”
If the answer is no, it’s time to reassess.
Summary
- Compliance is ongoing, not a one-time checklist.
- Start with a full audit to uncover gaps.
- Embed compliance in your culture from Day 1.
- Document everything – if it’s not evidenced, it doesn’t exist!
Next steps…
- Take advantage of our free 45-min consultation with our experts, who have a proven track record in private practice management, and will be able to provide you with practical help and guidance on building a successful private practice quickly and effectively, to book your session please email info@designatedmedical.com
- Join our Private Practice Success WhatsApp group, a space where you can easily keep in touch, share information and ask questions with colleagues.
- Register for our ‘Building a Successful Private Practice’ series of free webinars.