BCS

How a service with BCS begins

From first call to live service — without the guesswork.

No two practices are the same. So we don't start with a contract — we start with a conversation. Here's exactly how a service with Bespoke Clinical Services begins, and what happens once we go live.
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Starting a BCS service

The journey

Seven steps. One outcome.

From the first call to the first patient review, every step is led by a named person on our side and a named person on yours. Nothing happens without you in the room.

  1. Step 01

    Discovery call

    We listen first. No pitch deck.

    A 30-minute call with our Head of Service Development to understand your PCN or practice — the pressures, the priorities, the people. We share where we tend to add the most value, and where we don't.

  2. Step 02

    Needs deep-dive

    A clear, written picture of where you are.

    A structured session with your Clinical Director, Practice Manager and clinical leads. We review your workload, your QOF/IIF position, your high-risk cohorts and your existing pharmacy capacity — and map the gaps that medicines optimisation can close.

  3. Step 03

    Aligning expectations

    What we will deliver — and what we won't.

    We agree the scope, the cadence, the outcomes we'll be measured on, and the bits that sit outside our remit. Honest conversations now save difficult ones later. You leave with a written delivery plan, not a sales proposal.

  4. Step 04

    Recruiting the right pharmacists

    The right clinician for your practice — not the next CV on the pile.

    We recruit specifically for your contract: experience level, sub-specialty, working pattern, and personality fit with your team. ARRS-compliant. Fully vetted. Always interviewed by your Practice Manager or Clinical Director before they start.

  5. Step 05

    Workload design workshops

    A weekly plan everyone has signed off.

    Working sessions with your GPs and pharmacy team to design the pharmacist's week — which cohorts, which clinics, which queries, what gets escalated. Built around your EMIS/SystmOne setup, your protocols and your appointment book.

  6. Step 06

    Bespoke training

    Pharmacists trained for your practice — not generically.

    Our T&D team runs targeted training on your formularies, templates, local pathways, ICB priorities and high-risk cohorts before day one. National BCS protocols + your local context = a clinician who hits the ground running.

  7. Step 07

    Go-live

    Day one feels like week ten.

    Your pharmacist starts with the work mapped, the systems learned, the team introduced and a named BCS operations lead on the other end of the phone. Live monitoring begins the moment they log in.

The first 12 weeks

We don't disappear after go-live. We get closer.

The first three months are where a service either embeds or drifts. We treat them as a structured onboarding period — not a settling-in period — with weekly two-way reviews so anything that needs adjusting gets adjusted fast.

Weekly review — week 1 to week 12
  • 30-minute call between BCS Operations and your Practice Manager / Clinical Director.
  • Pharmacist attends — we hear directly from the clinician on the ground.
  • Workload, escalations, system issues, EMIS/SystmOne friction — surfaced, owned, fixed.
  • Two-way feedback. We hear what's working for you. You hear what we're seeing.
  • Lightweight written summary after each call — nothing falls through the cracks.
12-week rhythm
Week 1
Go-live & first impressions

Pharmacist embedded. First workload review. Any access/system issues fixed before week 2.

Weeks 2 – 4
Settling the workflow

Workload calibrated to real demand. Templates and protocols tweaked. First clinical audits begin.

Weeks 5 – 8
Clinical confidence

Pharmacist running independent clinics. High-risk cohorts being actively managed. Outcomes data starts flowing into the Impact Dashboard.

Weeks 9 – 12
Embedded

Pharmacist is part of the practice team. First 12-week impact review delivered. Transition to quarterly review cadence agreed.

Beyond the first 12 weeks

A rhythm you can rely on.

Once the service is embedded, the cadence shifts — but the support never disappears. You keep a named operations lead, a direct escalation route, and structured quarterly reporting that proves the value of every intervention.

Quarterly impact reports

Reviews completed, high-risk patients managed, monitoring gaps closed, GP hours released, IIF/QOF movement — all in one report, all aligned to the DES 26/27 expectations.

Quarterly partnership review

Sit-down with your Clinical Director and our Head of Service Development. Look at the numbers, talk about what's next, agree the focus for the next quarter.

Always-open channels

Direct line to your named BCS operations lead. Email. Teams. Phone. Whatever works for your practice. Escalation path defined and shared — you'll never be chasing the right person.

How we work

Professional in delivery.
Personal in relationship.

Every PCN we work with has a name on the door at BCS, not a ticket number in a queue. The channel stays open. The conversation stays honest. The service stays accountable.

Want to start with a conversation?

30-minute discovery call. No deck, no sales pitch — just an honest look at where BCS could add value to your PCN.

Book a discovery call