Clinical Correspondence Management

‘The Medical Centre’ was a large Practice based in London with a growing population of around 13,100, increasing at an average rate of 400 new patients per annum. A recent capacity plan drafted by the CCG highlighted that the population would increase significantly (17%) over the next 15 years due to redevelopment in the area.

The Practice faced the challenge of a higher than average elderly population and a growing number of young families with a diverse ethnic background.


Practice Diagnostic. Really Understanding your Practice

A GP Practice based in the South West of England requested support for an assessment to find out what was really underlying their problems and causing falling income, increasing workload, recruitment issues and increased stress.

The practice served a patient population of 7,500 and were under pressure in ways they have not had to deal with in the past. Some individuals were finding it increasingly challenging to continue to deliver the quality of patient care that they would like.

Working at scale

A group of practices in the London area had, after 6 months of monthly meetings, not made progress towards working at scale. Xytal were asked to facilitate a process to move things forward.


Care Navigation

A 6,000 patient practice in a Market Town noticed the rising demand for GP appointments. The feeling was that other services were often better placed to meet these needs and wants, allowing the clinicians to dedicate their time to clinical matters.

Clinical Correspondence

In 2017 Xytal were commissioned by a Community Education Provider Network to deliver correspondence management training to 11 practices. The objectives were:

  1. Save Clinical Time
  2. Streamline the Clinical Correspondence Process
  3. Provide Experience of using Quality Improvement techniques
  4. Build capability around service improvement

Practice Diagnostic

A practice in the South West was receiving good feedback from CQC and patients but the clinical workload was inexorably increasing and there was no time to stop and review the whole practice.

Managers were working long hours but somehow the results were not as desired.
Key individuals were approaching retirement – what would be the best way of replacing their contribution?

Process Improvement

Xytal were commissioned to deliver process improvement support to a thriving large practice in East Anglia.


We can create a bespoke solution to help with any particular issue your organisation is facing