Fulcrum Managed Services Programme
Quality, governance and regulatory assurance for care providers.
Fulcrum’s Managed Services Programme provides structured monthly support to strengthen oversight, identify risk earlier and maintain inspection readiness between inspections.
Structured Monthly Support For Stronger Care Governance
Care providers need clear, consistent systems that stand up to CQC, commissioner, board and owner scrutiny.
Fulcrum’s Managed Services Programme has been designed to help providers move away from one-off reviews and towards continuous assurance. It creates a stronger evidence trail, clearer accountability and a repeatable monthly rhythm for improvement.
The programme is designed to wrap around your existing structure, not replace it. Fulcrum works alongside your provider, Registered Manager and leadership team, adding independent scrutiny, practical challenge and expert support where it is needed most.
MSP supports providers across key areas of quality, governance and regulatory assurance, including:
Inspection Readiness
Governance Oversight
Risk Management
Evidence And Action Planning
Regulatory Assurance
Practical Improvement Support
Download The Full Managed Services Programme
A detailed overview of our Managed Services Programme, including the scope of support, delivery approach and what to expect when working with Fulcrum.
Fulcrum MSP Support Packages
Core MSP: Governance Assurance Standard price: £1,185 + VAT per month Introductory offer: £995 + VAT per month for 6 months
Best for: Stable services that need external oversight, assurance and early warning, but not heavy intervention.
What is included:
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Monthly remote quality review and governance call
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Review of manager returns and escalation of significant risk themes
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Light-touch oversight of incidents, safeguarding, complaints, audits and action plan slippage
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Inspection-readiness check against available evidence
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Email and telephone advisory support during office hours
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Concise monthly governance summary with key risks and recommended next actions
The Benefit:
Core MSP gives providers light-touch external assurance, helping identify risk themes early and maintain clearer visibility of governance, evidence and inspection readiness.
Enhanced MSP: Quality Improvement Cycle Standard price: £1,495 + VAT per month Introductory offer: £1,250 + VAT per month for 6 months
Best for: Services needing more structured monthly oversight, care plan and risk assessment review, and stronger accountability.
What is included:
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Everything included in Core MSP
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Structured monthly quality improvement cycle with action tracking
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Monthly review of selected care plans and risk assessments
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RAG-rated risk profile covering key governance themes
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Monthly governance meeting with manager, nominated individual or provider representative
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Support to maintain inspection-readiness evidence and demonstrate progress over time
The Benefit:
Enhanced MSP creates a recommended monthly improvement rhythm, helping providers track actions, evidence progress and strengthen accountability across key areas of service quality.
Comprehensive MSP: Virtual QA Partner Standard price: £1,995 + VAT per month Introductory offer: £1,695 + VAT per month for 6 months
Best for: Providers without a strong internal QA function, or services needing senior oversight, deeper challenge and owner-level assurance.
What is included:
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Everything included in Enhanced MSP
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Enhanced governance reporting for provider, owner or board-level review
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Named Fulcrum lead for continuity, challenge and escalation
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Deeper review of risk themes, including medicines, staffing, safeguarding, incidents, care records and regulatory correspondence
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Support with CQC action planning and evidence preparation
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Priority focus for services with elevated regulatory risk or weaker internal QA infrastructure
The Benefit:
Comprehensive MSP gives providers a high-assurance quality partner, helping strengthen oversight, improve evidence, support CQC readiness and give owners clearer visibility of risk and progress.
What Is Included In Each Tier
| Feature | Core MSP | Enhanced MSP | Comprehensive MSP |
|---|---|---|---|
| Monthly remote quality review and governance call | Yes | Yes | Yes |
| Review of manager returns and escalation of significant risk themes | Yes | Yes | Yes |
| Light-touch oversight of incidents, safeguarding, complaints, audits and action plan slippage | Yes | Yes | Yes |
| Inspection-readiness check against available evidence | Yes | Yes | Yes |
| Email and telephone advisory support during office hours | Yes | Yes | Yes |
| Concise monthly governance summary with key risks and recommended next actions | Yes | Yes | Yes |
| Structured monthly quality improvement cycle with action tracking | No | Yes | Yes |
| Monthly review of selected care plans and risk assessments | No | Yes | Yes |
| RAG-rated risk profile covering key governance themes | No | Yes | Yes |
| Monthly governance meeting with manager, nominated individual or provider representative | No | Yes | Yes |
| Support to maintain inspection-readiness evidence and demonstrate progress over time | No | Yes | Yes |
| Enhanced governance reporting for provider, owner or board-level review | No | No | Yes |
| Named Fulcrum lead for continuity, challenge and escalation | No | No | Yes |
| Deeper review of risk themes, including medicines, staffing, safeguarding, incidents, care records and regulatory correspondence | No | No | Yes |
| Support with CQC action planning and evidence preparation | No | No | Yes |
| Priority focus for services with elevated regulatory risk or weaker internal QA infrastructure | No | No | Yes |
Getting Started With MSP Structured Support From Day One
Fulcrum’s MSP has been designed to make the move into structured monthly support clear, practical and manageable. From the outset, we work with your team to understand your current position, agree the right level of support and establish a monthly rhythm of review, reporting and follow-up. This gives providers a consistent process for identifying risk, evidencing progress and maintaining stronger oversight between inspections.
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Select your preferred tier
Choose from Core, Enhanced or Comprehensive MSP, based on your current risk profile, internal governance capacity and improvement needs.
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Complete The Baseline Review
Fulcrum will conduct an initial baseline review to establish the current risk profile, identify priority themes and set the foundation for the monthly governance cycle.
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Select your preferred tier
Choose from Core, Enhanced or Comprehensive MSP, based on your current risk profile, internal governance capacity and improvement needs.
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Agree The Start Date And Service Contacts
Confirm the start date, key service contacts, scope, evidence access arrangements and preferred reporting format with your Fulcrum lead.
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Complete The Baseline Review
Fulcrum will conduct an initial baseline review to establish the current risk profile, identify priority themes and set the foundation for the monthly governance cycle.
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Begin The Monthly MSP Cycle
The structured monthly rhythm begins, covering review, reporting and follow-up. Progress is assessed after month three, giving the provider the opportunity to confirm continuation at the standard monthly price or adjust the tier.
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Agree The Start Date And Service Contacts
Confirm the start date, key service contacts, scope, evidence access arrangements and preferred reporting format with your Fulcrum lead.
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Begin The Monthly MSP Cycle
The structured monthly rhythm begins, covering review, reporting and follow-up. Progress is assessed after month three, giving the provider the opportunity to confirm continuation at the standard monthly price or adjust the tier.
What's Included In Every Package
Monthly Governance Oversight
Every MSP package includes a structured monthly quality review and governance call, helping providers keep key risks, actions and evidence under regular review.
Clearer Risk Visibility And Early Escalation
Fulcrum reviews key areas such as manager returns, incidents, safeguarding, complaints, audits and action progress, helping services identify risk earlier and respond with greater confidence.
Practical Reporting And Expert Support
Each package includes clear monthly reporting, recommended next actions and access to Fulcrum’s experienced care consultants for practical advice during office hours.
Fulcrum Works Alongside Your Existing Team External Support That Strengthens Internal Leadership
Fulcrum’s role is to support, challenge and strengthen your existing leadership and governance structures.
The provider and Registered Manager retain full accountability for the safe running of the service, including regulatory notifications, staffing decisions, day-to-day management, implementation of agreed actions and operational decision-making.
Fulcrum provides expert external oversight, advice, review, challenge and support. Your team remains in control, while Fulcrum adds structure, scrutiny and practical improvement support to strengthen quality, governance and regulatory assurance.
Ready To Strengthen Your Quality, Governance And Regulatory Assurance?
Speak to Fulcrum Care about the Managed Services Programme and how it can support your care service or group.
Ready To Strengthen Your Quality, Governance And Regulatory Assurance? Speak to our friendly team today