We know Primary Care

We have more than 25 years' experience of driving positive lasting change in NHS organisations across the UK.

We understand the need to juggle endless demand, rigorous regulation and limited capacity. A clear, manageable approach to meeting these challenges delivered by an experienced team of primary care practitioners is more vital than ever.

Challenges in General Practice

In the fast-moving world of healthcare, many GP practices find themselves confronting some vital questions.

"Is the service we offer patient-centred and sustainable?"

"What are the most effective methods to help us work at scale?"

"How does the NHS Long-Term Plan affect my GP practice?"

"How do we adapt to new ways of working?"

"Are we the best we can be?"

Our Workshops and Courses



Our answer to those questions is a ready-made framework of hand selected courses to give GP practices the tools and knowledge they need to prosper in today’s challenging healthcare environment. We call this our Four Pillars Model. 

Based around the core frameworks of Leadership Development (transformational) and Operational Development (transactional), each ‘pillar of learning’ provides your organisation with the foundations it needs to grow, develop and thrive. 

Our frameworks put your staff on a vocational learning path that supports their unique needs, and provide structured learning and visible improvement.

Straightforward Consultancy


Our people are all experienced primary care practitioners, and can bring a vast breadth of knowledge to bear. Using an approach that develops people and processes to to meet a purpose, our suite of consultancy tools are designed to get the best from your organisation. We can help you and your team deliver sustained high performance that is aligned to the needs of your operation.

ILM Accreditation - for your career


Nationally accredited by the Institute for Leadership & Management (ILM), these courses provide leaders and managers with the skills to thrive in the highly pressured world of primary care. Every leader works under unique circumstances, so Thornfields offer help and advice to find the right training solution for your needs. Our specialist trainers help delegates build skills in leadership, management and coaching, exploring topics such as innovation, change, partnership and practice finance. 

Our three Institute of Leadership & Management programmes are an investment in personal development of people and offer a career progression path and are awarded by the City and Guilds of London Institute. Our trainers are passionate and dedicated to supporting leaders, managers and assistants as they work towards gaining their Institute of Leadership & Management qualifications.

What are people saying about us?

A very informative, interactive and relaxed atmosphere. Gave me a lot to go away with and work on in our practice to ensure we comply with legislation... One of the more enjoyable courses I have attended. Thank you!

NHS Education for Scotland
Employment & Contractual Responsibilities Course

Many thanks for the feedback report, I can honestly say that I haven’t received a single negative comment from anyone who has attended one of the sessions, which is obviously backed up by the report. I think there’s an art to delivering training and your trainers have definitely mastered it.

Neil Rotherham
NHS Knowsley CCG Bespoke Training Programme 2015/16

I thoroughly enjoyed (my course) and will be using the useful handbook as a reminder of what we should be doing. I have learnt some very useful information today.

Hywel Dda Health Board
Telephone Communication Skills Course