Health and Social Care Act 2008




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Statement of purpose

Health and Social Care Act 2008




Statement of purpose

Health and Social Care Act 2008



Version

1

Date of next review

Apr 2015




Service provider

Full name, business address, telephone number and email address of the registered provider:

Name

Drs Cameron-Blackie, Willett and Watts

Address line 1

Chiddingfold Surgery

Address line 2

Ridgley Road

Town/city

Chiddingfold

County

Surrey

Post code

GU8 4QP

Email

contacts.chiddingfold@nhs.net

Main telephone

01428 683174

ID numbers

Where this is an updated version of the statement of purpose, please provide the service provider and registered manager ID numbers:

Service provider ID

1-199743755

Registered manager ID

CON1-528468048



Aims and objectives

What do you wish to achieve by providing regulated activities?

How will your service help the people who use your services?

Please use the numbered bullet points:

1. To provide high quality primary care services to the residents of Chiddingfold, Dunsfold and the surrounding villages.

2 Promote and maintain good health, diagnose, treat and care for sick patients, from birth through to the end of life

3. Be courteous, approachable, accessible and accommodating to provide timely and responsive care

4. Maintain a personal list system and value the importance of continuity in care

5 Ensure every patient is treated equally regardless of race, gender, disability, age, lifestyle and involve patients in decisions regarding their health and treatment

6. Act with integrity and complete confidentiality ensuring effective and robust information governance systems

7.Work in partnership with our patients and other health and social care professionals in the best interests of our patients

8 Maintain a motivated and skilled team through continuous education, support and a no blame culture.

9 Review, audit and monitor our services with a view to improve and ensure the safety of patient care.

10 Encourage, listen and respond to feedback from our patients

11 We will work in collaboration with other GP surgeries and the local CCG to improve the health and quality of services for the population of Guildford and Waverley.


Legal status


Tick the relevant box and provide the information requested for the type of provider you are:

Use

Individual




Partnership



List the names of all partners

Dr Gwenda Cameron-Blackie

Dr Claire Willett

Dr Darren Watts


Limited liability partnership registered as an organisation



Incorporated organisation



Company number




Are you a charity?

 No

 Yes


Charity number:


Please repeat the following table for each of your regulated activities1





Regulated activity 1

As shown on your certificate of registration

Diagnostic and screening procedures

Services

What services, care and/or treatment do you provide for this regulated activity? (For example GP, dentist, acute hospital, care home with nursing, sheltered housing)


GP

Regulated activity 2

As shown on your certificate of registration

Family Planning

Services

What services, care and/or treatment do you provide for this regulated activity? (For example GP, dentist, acute hospital, care home with nursing, sheltered housing)


GP

Regulated activity 3

As shown on your certificate of registration

Maternity and Midwifery services

Services

What services, care and/or treatment do you provide for this regulated activity? (For example GP, dentist, acute hospital, care home with nursing, sheltered housing)


GP

Regulated activity 4

As shown on your certificate of registration

Surgical Procedures

Services

What services, care and/or treatment do you provide for this regulated activity? (For example GP, dentist, acute hospital, care home with nursing, sheltered housing)


GP

Regulated activity 5

As shown on your certificate of registration

Treatment of Disease, Disorder or Injury

Services

What services, care and/or treatment do you provide for this regulated activity? (For example GP, dentist, acute hospital, care home with nursing, sheltered housing)


GP



Locations
As listed on your certificate of registration. Please repeat the section below for each location for this regulated activity

Location 1:

Name of location

Chiddingfold Surgery

Address line 1

Ridgley Road

Address line 2

Chiddingfold

Address line 3

Surrey

Address line 4

GU8 4Qp

Address line 5




Brief description of location2


Single storey, purpose built surgery consisting of 5 consulting rooms, 2 treatment rooms, a health promotion room and a meetings room. The surgery also contains a dispensary.


No of approved places/beds
(not NHS)3


None

Name and contact details of registered manager(s)
(if applicable)4


Full name, business address, telephone number and email address of each registered manager.

For each registered manager, state which regulated activities and locations(s) they manage.

Copy and paste the sub-section if they are more than two registered managers


Registered manager 1

Full name: Dr Gwenda Cameron-Blackie

Full time

Contact details: 01428 683174

Business address:

Chiddingfold Surgery

Ridgley Road

Chiddingfold

GU8 4QP


Telephone: 01428 683174

Email: g.cameron-blackie@nhs.net

Locations:

Chiddingfold Surgery

Ridgley Road

Chiddingfold

GU8 4QP


Regulated activities:

1. Diagnostic and screening procedures

2. Family Planning

3. Maternity and Midwifery services

4. Surgical procedures

5. Treatment of disease, disorder or injury

Registered manager 2:

Full name: Amanda Howell

Proportion of time spent at each location:
Full time

Contact details:01428 683174

Business address:

Chiddingfold Surgery

Ridgley Road

Chiddingfold

GU8 4QP


Telephone: 01428 683174

Email: amanda.howell1@nhs.net



















Service user band(s) at this location5

Use


Learning disabilities or autistic spectrum disorder



Older people



Younger adults



Children 0-3 years



Children 4-12 years



Children 13-18 years



Mental health



Physical disability



Sensory impairment



Dementia



People detained under the Mental Health Act



People who misuse drugs and alcohol



People with an eating disorder



Whole population



None of the above

Please give details:






Notes:
1. Regulated activity – If you use a combined statement of purpose, repeat the information for each of the regulated activities for which you are registered. You can do this by copying and pasting the whole regulated activity table.
2. Locations – For each location registered for a particular regulated activity (including your headquarters), please provide a brief description, including whether the services at that location are specifically adapted or suitable for people with particular needs or where you can meet requirements for special facilities or staffing. You can do this by copying and pasting the relevant lines for each location.

You may also give details around ‘listed buildings’, shared occupancy, and special facilities (for example hydrotherapy pools).


3. Overnight beds – If the location provides overnight beds, please state the number.
4. Registered manager(s) – Where the regulated activity is managed by a registered manager(s), please enter his or her full name, contact address (if different from the location address), telephone number and email address. Please state how much time is spent managing the regulated activities where more than one manager is in post for each location. This may be in days or hours. Where the regulated activity has no separate manager but is managed directly by the provider, leave the box empty.
5. Service user band(s) – Tick all the boxes that describe the service user needs or groups of people who use your service.

PoC1C 100457 1.00 Statement of purpose: Template for service providers


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