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Starting Out in Private Practice? Here's Your First Step

4 Aug, 2026  ·  1 min read

A bright, newly furnished consulting room

Establishing yourself in private practice is one of the most rewarding milestones of a medical career. It brings greater autonomy, a better work-life balance and new financial opportunities.

It also brings new responsibilities outside the clinic. Before you see your first private patient, there is one step that sets everything else in motion.

Step One: Register on the Private Practice Register

The Private Practice Register (PPR) is a centralised credentialing platform backed by major insurers, including Bupa, AXA and Aviva.

Instead of completing separate applications for each insurer and hospital, you build one central profile. That profile then supports recognition across the organisations you work with.

Why the PPR Matters

Registering early can make a real difference to how quickly your practice gets up and running. The PPR:

  • Simplifies insurer recognition: one route to being recognised by participating insurers.
  • Reduces paperwork: your details, documents and credentials are held in a single profile.
  • Speeds up hospital approvals: helping you secure practising privileges more quickly.

For a newly independent consultant, every week saved on credentialing is a week sooner you can start treating and billing patients.

What Comes Next

Once you are registered, the business side of practice begins in earnest. You will need to think about:

  • Setting up your billing and invoicing process
  • Understanding insurer fee schedules for your specialty
  • Choosing practice management software
  • Arranging secretarial and booking support

Getting these foundations right from the start avoids costly delays and missed payments later. Our guide, Starting Strong: A Practical Guide for Medical Consultants Entering Private Practice, covers these steps in more detail.

Support from Day One

At Medserv, we have guided hundreds of consultants through PPR registration and beyond. From credentialing to your first claims, our team understands the admin that comes with starting out.

Starting out in private practice? Talk to our team about navigating PPR registration and setting up your practice the right way.

Ready to take billing off your plate?

Talk to our team about how Medserv can support your practice's financial health while you focus on your patients.