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Statement of Purpose Northowram Surgery

Health and Social Care Act 2008

Version: 1
Date of next review March 2016
Service provider
Full name, business address, telephone number and email address of the registered provider:
Name The Northolme Practice
Address line 1 Kos Clinic
Address line 2 Roydlands Street, Hipperholme
Town/city Halifax
County West Yorkshire
Post code HX3 8AF
Email d.branford@nhs.net
Main telephone 01422 205154
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 1-53866519
Registered manager ID GMC 3304460
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 the best possible quality service for our patients within a confidential and safe environment by working together
2. To show our patients courtesy and respect at all times irrespective of ethnic origin, religious belief, personal attributes or the nature of the health problem
3. To involve our patients in decisions regarding their treatment
4. To promote good health and well being to our patients through education and information
5. To involve allied healthcare professionals in the care of our patients where it is in their best interests
6. To encourage our patients to get involved in the practice through Friend and Family survey and encouragement to comment on the care they receive
7. To ensure that all members of the team have the right skills and training to carry out their duties competently
Partnership Yes
List the names of all partners 1. Dr Dominic Chin
2. Dr Alexander Ross
3. Dr Ruth Cameron
4. Dr Anna Louise Howes
5. Dr Senthil Santhanam
6. Dr Jon Malone
Limited liability partnership registered as an organisation  
Incorporated organisation  
Company number  
Are you a charity?   No
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 Northowram Surgery
Address line 1 Northowram Green
Address line 2 Northowram
Address line 3 Halifax
Address line 4 West Yorkshire
Address line 5 HX3 7JE
Brief description of location2 The building is single storey with car parking facilities and an automatic door at the entrance with steps and also a flat level path access. We have 1 treatment room and 4 consulting rooms in Kos building with additional rooms within the Annexe building for phlebotomy and chronic disease management, 3 consulting rooms and 1 large multi purpose clinic room together with toilets. Within the Annexe building we have administration offices, there is a kitchen within both Kos and Annexe
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 Dominic Chin
Proportion of working time spent at each location (for job share posts only):
Contact details:
Business address:
Dr Dominic Chin
Northowram Surgery
Northowram Green
Northowram
Halifax
HX3 7JE
Telephone: 01422 206121
Email: d.branford@nhs.net
Locations:
Northowram Surgery
Northowram Green
Halifax
HX3 7JE
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:
Proportion of time spent at each location:

Contact details:
Business address:
Telephone:
Email:
Locations:
Regulated activities:
Service user band(s) at this location5Use þ Learning disabilities or autistic spectrum disorder þ
Older people þ
Younger adults þ
Children 0-3 years þ
Children 4-12 years þ
Children 13-18 years þ
Mental health þ
Physical disability þ
Sensory impairment þ
Dementia þ
People detained under the Mental Health Act þ
People who misuse drugs and alcohol þ
People with an eating disorder þ
Whole population þ
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.

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The Northolme Practice - Northowram Surgery, Northowram Green, Northowram, Halifax , HX3 7JE
  • Telephone Northowram Surgery 01422 206121       Hipperholme Surgery 01422 205154
Hipperholme Surgery - Roydlands Street, Hipperholme, Halifax, HX3 8AF
  • Telephone 01422 205154
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