An expert medical secretary, ready from day one
The calls, letters, billing and diary — all handled by an experienced medical secretary who already knows how private practice works, so you can get back to your patients.
Everything a private practice runs on, already in place
The phone line, the software and the cover are set up before you start — you don’t hire, onboard or manage anyone. We shape the desk around how your practice already works, not the other way round.

Correspondence
Clinic letters and medical typing, turned around the same day — not when the list finally clears.
Billing
Invoicing, statements and debt chasing through Healthcode, so nothing slips.
Front desk
New-patient enquiries, the diary and the inbox, expertly handled.
Results & reports
Chased, filed and actioned before they become a backlog.
You deal with one medical secretary, with a healthcare-trained team behind them. Live clinical scribing is available too, where it helps your practice.

The work doesn’t wait for someone to be free
- A new-patient call comes in mid-clinic and goes to voicemail.
- A discharge summary waits until the afternoon list clears.
- Results come back, and sit until someone can chase them.
What a covered desk gives back
Not a longer list to manage — a shorter one. The work still happens; it just stops being yours to chase.

Your evenings
Clinic letters go out the same day, not after supper — and the laptop stays shut.
Your headspace
One medical secretary holds the desk, with a healthcare-trained team behind them. Nothing waits to be chased.
Your diary
New-patient calls answered while you’re in clinic, and the diary kept full without you touching it.
You pay for the hours you use
- The salary, before anything is added
- Employer’s NI and pension on top
- Software, a phone line and a desk
- Holiday, sickness and cover gaps
- A fixed cost every month — busy or quiet
Billed by the hour — the bill follows the work, not the calendar. You pay for the hours your secretary works, and nothing when the clinic is quiet.
The same work an in-house secretary does — the letters, the billing, the calls — without the fixed monthly commitment.
How practices work with us
Fractional
Part-time secretary support as and when you need it — a minimum of ten hours a week, and the clock only runs when your secretary is actually working for you.
Practice
Your own dedicated medical secretary — one person working only for you, still backed by our team for cover when they’re on the phone or away.
Enterprise
Two to four dedicated secretaries, with the same team support behind them.
Bespoke
Emergency cover, our platform for your own team, or anything not covered above — get in touch.
All prices + VAT. Tiered by the hours and the number of secretaries you need. See what each package includes →

Robbie Walker · founder, consultant ophthalmic surgeon
I built the desk I run my own clinic on
I’m Robbie Walker, a consultant ophthalmic surgeon. I couldn’t find admin support I trusted around patients and their notes, at a price that made sense for a single-handed practice.
So I built one, and ran my own clinic on it. It worked well enough that other consultants asked to use it too. I still run my list every week, with the same desk behind me.
Every PA we place is fully vetted, experienced, and has passed our rigorous selection process before they’ve even been introduced to you. We hire about 0.5% of the people who apply to us, so you can be assured you’re getting best-in-class service from day one.

Johanna anchors the desk as our named medical secretary, with a healthcare-trained team behind her.
Where your patients’ records live
All our staff are GDPR compliant.
Your data is secure by technology design, not just by contract.


Tell us what your practice needs
One enquiry, one reply from a person. No portal, no account, and no long contract. Healthcare-trained team.
