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Care Quality Commission - CQC

From 1st April 2013, GP practices became one of the services to be regulated by the Care Quality Commission (CQC). Their job is to check that hospitals, care homes, dentists, GPs and services in peoples homes are meeting national standards. Below is our Statement of Purpose outling who we are as a practice, our vision and the services we provide.  For more information on CQC, please contact our Practice Manager Nicola Hone


Statement of Purpose

Herstmonceux Integrative Health Centre

Hailsham Road


East Sussex

BN27 4JX

01323 833535


Web address:



This is a Statement of Purpose for Herstmonceux Integrative Health Centre which sets out the following information:


The full name of the service provider and of any registered manager together with their business address, telephone number, and where available electronic mail addresses

The legal status of the service provider

Details of the locations at which the services provided for the purposes of the regulated activity carried on      

Our aims and objectives in carrying on the regulated activity;

The kinds of services provided for the purpose of carrying on of the regulated activity

The range of service provides and the health or care needs that the service sets out to meet.


Herstmonceux Integrative Health Centre is a small rural, General Practice open to all patients living within our Practice boundary from North Hailsham to Ninfield and the surrounding villages. We work in partnership with our patients and our Patient Participant Group to provide safe quality medical care for our patients.


Our current premises is a purpose built environmentally sensitive building that complies with all current DDA legislation and infection control directives. We provide our services to the whole population in the area, should they wish to register with the practice.


The clinical staff is composed of the following: One male GP lead, three female salaried doctors and two long term locums, two female practice nurses and a female HCA.



We have been an accredited training practice for foundation Doctors for the last two years and are due to start training GP registrars from 2017. HIHC is also a community nurse training practice also offering nurse mentoring.





The Practice is located at:

Hailsham Road, Herstmonceux BN27 4JX



Herstmonceux Health Centre Statement of Purpose

HIHC is a small rural health centre within Wealden. It is based in a larger village acting as a hub for the peripheral isolated villages. Up until 2014 the practice operated from a small building within the village car park that was not fit for purpose.

The local population is expanding rapidly and the new facility was built to cater for this and specifically as a sustainable building mirroring our environmental ideals.

HIHC is a pivotal component to the rural community and we have endeavoured to build our relationship with the local community and schools, ensuring that we maintain good communication links, identify local health needs and develop appropriate health care provision.

We have been collaboratively working with Sussex Community Development Assoc (SCDA), Wealden District Council (WDC) and Vitality Villages to identify vulnerable patient groups and develop innovative health intervention plans. We are currently looking at obesity within the community developing greater access to exercise for all ages and health status. A directory of local community services is being established for use in social prescribing and enabling people to be better informed about support and deal with the issues of isolation and loneliness in rural communities.

The new premises has enabled the practice to deliver safe, quality care, facilitating health care services to the rural population.

We host the Community Cardiology service, Dementia Service, Community midwife and offer a full range of GMS and enhanced services to our patients.

Our patient population has expanded steadily since our move, from 2800 in 2014 to 4200 in 2016. Meeting the increasing demand has been a challenge as a single handed practice. The increasing regulation and training needed in primary care is difficult to manage as a single handed partner. As we have expanded, the clinical provision has increased in line with demand but finding suitable Locum cover remains a real problem.

There are 4 regular salaried and long term locum Doctors working at HIHC and we recruited an HCA in 2015 to support the nursing team. The administration team have developed also with more designated and specific roles evolving away from the generic receptionist.

In March 2015 both the Practice and Business Manager left (maternity and relocation). With internal restructuring, Maternity cover was provided internally but this did not offer the strategic leadership and support for the lead GP that had been afforded before. In March 2016 an external candidate was recruited as PM, this appointment was not beneficial to the practice and the contract was ended.   Internal managerial cover was established until a PM was appointed on 9th September 2016. The lack of strategic managerial direction has become an increasing issue in supporting,
managing and coordinating all areas of the practice. In August, a management consultant company were engaged to assist in the risk management and recruitment process, a clear action plan has been established to identify partnership options and extended salaried clinical roles.

We now have a clear strategy in place to address the issues that were determined; these have been set out in the CQC action plan.

As a practice we have continued to attain maximum QOF points providing excellent quality health care and achieve very high patient satisfaction reviews also offering all enhanced services. At HIHC we are a low referring and prescribing practice managing as much patient health as possible locally which was identified from local patient requests in surveys.

All clinicians are patient centred and wish to offer integrative health care by empowering patients to take control of their health status working with the health care teams rather than becoming passive recipients of care. Working collaboratively with Vitality Villages, WDC and ESCC we are looking at ways of developing this health care model within the NHS. These community initiatives in no way undermine conventional NHS services but rather compliment patients in achieving their health goals.

Working closely with the local community ensures that we continually garner patient opinions in local health care provision.

Our Mission Statement


We, at Herstmonceux Integrative Health Centre are a Patient centred practice, providing a calm relaxed environment for Patients and Staff.
We are committed to sustainable living, sustainable working, providing safe and effective quality health care in an environment of equality and respect.

We are passionate about healthcare striving to support our Patients in achieving their health goals. We are integrated within our Community working with our Partners to identify, support and respond to our Patients health care needs.





We achieve this by using Integrative Medicine, which utilises the broadest range of approaches to emplower patients to take control of their health and enhance the self-healing mechanisms necessary to regain an individual's health and wellbeing.


We complement orthodox medicine with sustainable integrative healthcare practices exploring the multifaceted nature of disease.


Our 'patient centred care' approach means we look at all aspects of an individual's needs - psychological, physical and social - and treat them as a whole.



Our Aims and Objectives


  • To provide high quality, safe, professional General Practice services to our patients
  • Along side conventional medical approaches, integrate the best evidence based complimentary and alternative approaches to support patients individual health needs and goals.
  • To focus on prevention of disease by promoting health and wellbeing and offering care and advice to our patients
  • To work in partnership with our patients, their families and carers towards a positive experience and understanding, involving them in decision making about their treatment and care.
  • To be a learning organisation that continually improves what we are able to offer patients.
  • To treat patients as individuals and with respect.
  • To work in partnership with other agencies to tackle the causes of, as well as provide the treatment, for ill health and where appropriate involve other professionals in the care of our patients.
  • To encourage our patients to communicate with us by joining our Patient Participation Group, talking to us, participating in surveys, and feeding back in our comments book on the services that we offer.
  • To ensure that all members of the team have the right skills and training to carry out their duties competently
  • To take care of our staff offering them support to do their jobs and to protect them against abuse
  • Have a zero tolerance of all forms of abuse.
  • To provide our patients and staff with an environment which is safe, friendly and accessible
  • To operate on a financially sound basis.


Our Services


The GMS services provided by our GPs are defined under the General Medical Services Contract. These services are mainly split into three groups:






Essential services


We provide essential services for people who have health conditions from which they are expected to recover, chronic disease management and general management of terminally ill patients.


  • GP consultations
  • Nurse Consultation
  • Health Screening
  • Phelbotomy



Additional services


  • Cervical cytology screening
  • Contraceptive services
  • Child health surveillance
  • Maternity services
  • Certain minor surgery procedures
  • Vaccinations and immunisations


Enhanced services


  • Anticoagulant monitoring
  • Alcohol Screening
  • Childhood vaccinations and immunisations (provided to higher specified standard)
  • Extended minor surgery
  • Flu immunisation
  • Minor injury service
  • Near Patient Testing
  • Palliative Care
  • Phelbotomy
  • 24hr Blood Pressure monitoring
  • Sexual health
  • Smoking Cessasion
  • Health Checks
  • Learning Disabilities
  • Wound Care
  • Extended Hours



Other services


Our Practice also offers services including:


  • Ear wax and syringing
  • ECGs (electrical heart trace)
  • Epilepsy
  • Lung function testing (spirometry)
  • Medication review
  • Men’s health
  • Mental health
  • Pregnancy testing
  • Ring pessary replacement
  • Travel advice
  • Women’s health




Non-NHS Services


Our Practice also provides services which are non NHS and are paid for by the patient.


  • Insurance claims forms
  • Non NHS vaccinations
  • Private sick notes
  • Medicals - sports, pre-employment and HGV
  • Vaccination certificates
  • Private Blood Tests
  • Shotgun Licences
  • Solicitor reports


Regulated Services as directed under CQC:


  • Treatment of Disease, Disorder or Injury
  • Surgical Procedures
  • Diagnostic and Screening Procedures
  • Maternity and Midwidery Services

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