Practical leadership for better primary care
RJS Care Ltd helps GP practices, PCNs, integrated neighbourhood teams and ICBs improve performance, strengthen governance and deliver safe, sustainable change.
10+
Healthcare organisations supported
21
Years of NHS management experience
4
Specialist service areas
NHS experience. Practical delivery.
Led by Ryan Smith, RJS Care Ltd provides practical consultancy and delivery support across primary care. We combine operational leadership, financial and performance expertise, CQC readiness, digital clinical safety and neighbourhood development—working alongside teams to turn plans into measurable results.
A small, experienced team
RJS Care Ltd combines hands-on NHS management experience with focused business-development support. Clients work directly with the people responsible for delivery.
Ryan Smith
Founder & Director · Primary care operations, strategy and transformation
Oscar Cheek
Business Development · Partnerships and new opportunities
Haseeb Azher
Business Development · Client support and growth
How we help
Focused support where primary care needs it most—from practice operations and income to governance, digital clinical safety and neighbourhood transformation.
Practice performance
Income optimisation, cost control, workforce and rota planning, operational improvement and hands-on transformation support.
PCNs & neighbourhoods
Strategic leadership, PCN DES delivery, service development and readiness for single- and multi-neighbourhood provider models.
Governance & CQC
CQC readiness, audits, policies, registration support and practical improvement plans that stand up to scrutiny.
Digital clinical safety
DCB0160 assurance, hazard management, AI deployment controls and expert implementation support for ICBs, PCNs and providers.
Experience grounded in delivery
Our advice is informed by current, hands-on work across GP practices and networks—not theory alone.
Abbey Medical Centre
During Ryan’s time as business practice manager and partner, he modernised legacy processes and introduced more efficient, technology-enabled ways of working.
Kenilworth + Warwick PCN
Operational, financial and strategic leadership across network services, commissioned projects, workforce planning and transformation.
Chase Meadow Health Centre
Hands-on operational management and improvement support, delivered alongside the practice manager and partners.
Selected impact
Recent work includes CQC preparedness, policy and website improvement, vaccination delivery, operational review and income optimisation across practices and PCNs.
Hazelwood GP
Equipment review and CQC-readiness support that helped the practice prepare for an inspection resulting in a Good rating.
Hartshill
A focused programme of audits, checklists and CQC preparedness that supported improvement from Requires Improvement to Good.
Woodlands
Website content, CQC preparedness and development of appropriate private-service opportunities.
Ready to make progress?
Practical support for primary care organisations that need clarity, capacity and delivery.
Contact us
Telephone: +447411778536
E-mail: ryan.smith7@NHS.NET (Founder), oscar.cheek1@nhs.net (Business Development)
Address: