Other Information

The Practice is a “PMS” Practice. This means that the Doctors have a locally negotiated contract with the Primary Care Trust allowing them to concentrate on the provision of services that are a priority for this locality. The contractor agreement is NHS Warrington (details of primary medical services in this area may be obtained from NHS Warrington)

Accountable GP

The Practice is obliged to allocate an "accountable GP" to all registered patients (including children) who will be accountable for their care. Patients continue to be free to see any GP in the Practice.

Removal of Patients From Our Practice List

In exceptional circumstances we have the right to request a patient to be removed from our list. You would be informed in writing of this decision and the reasons for it. We would continue to treat you until you have been allocated a new doctor unless violence is involved when immediate removal would take place.

The Practice takes it very seriously if a member of staff or one of the doctors or nursing team is treated in an abusive or violent way.  A good patient-doctor relationship based on mutual respect and trust, is the cornerstone of good patient care.  When trust has irretrievably broken down, it is in both the patient's and Practice's interest that they should find a new Practice. An exception to this is on immediate removal on the grounds of violence.

The Practice supports the government's 'Zero Tolerance' campaign for Health Service Staff. GPs and their staff have a right to care for others without fear of being attacked or abused. To successfully provide these services a mutual respect between all the staff and patients has to be in place. All our staff aim to be polite, helpful, and sensitive to all patients’ individual needs and circumstances. They would respectfully remind patients that very often staff could be confronted with a multitude of varying and sometimes difficult tasks and situations, all at the same time.  The staff understand that ill patients do not always act in a reasonable manner and will take this into consideration when trying to deal with a misunderstanding or complaint.

However, aggressive behaviour, be it violent or abusive, will not be tolerated and may result in you being removed from the Practice list and, in extreme cases, the Police being contacted.

In order for the practice to maintain good relations with their patients the practice would like to ask all its patients to read and take note of the occasional types of behaviour that would be found unacceptable:

  • Using bad language or swearing at practice staff
  • Any physical violence towards any member of the Primary Health Care Team or other patients, such as pushing or shoving
  • Verbal abuse towards the staff in any form including verbally insulting the staff
  • Racial abuse and sexual harassment will not be tolerated within this practice
  • Persistent or unrealistic demands that cause stress to staff will not be accepted. Requests will be met wherever possible and explanations given when they cannot
  • Causing damage/stealing from the Practice's premises, staff or patients
  • Obtaining drugs and/or medical services fraudulently

We ask you to treat your GPs and their staff courteously at all times.

Removing other members of the Household

In rare cases, however, because of the possible need to visit patients at home it may be necessary to terminate responsibility for other members of the family or the entire household. The prospect of visiting patients where a relative who is no longer a patient of the practice by virtue of their unacceptable behaviour resides, or being regularly confronted by the removed patient, may make it too difficult for the practice to continue to look after the whole family. This is particularly likely where the patient has been removed because of violence or threatening behaviour and keeping the other family members could put doctors or their staff at risk.

Quality & Outcomes Framework (QOF)

The Quality and Outcomes Framework (QOF) is a system for the performance management and payment of General Practitioners (GPs) in the National Health Service (NHS). The QOF rewards GPs for implementing "good practice" in their surgeries.

Springfields Medical Centre is very proud to be a consistent high achiever and at our 2011 Practice review visit, Warrington PCT’s comments were:-

The PCT Qof lead felt that the Practice demonstrates excellent practice in its approach and overall the Qof team was impressed with the outcome of the visit. The GP Assessor noted that there are no areas of major concerns. Overall, the Practice has scored well in both the organisational and the clinical indicators and hopefully will be able to maintain and improve on good clinical practice in future.

GP NET EARNINGS - October 2018 - September 2019

All GP Practices are required to declare the mean earnings (ie average pay) for GPs working to deliver NHS services to patients at each Practice. Latest GP Net Earnings for accounting year Oct 18 - Sept 19

Type of GP Number of GP’s Net Earnings
F/T Contractor 3  
P/T Contractor 0  
Total 3 £ 213,455
Mean Earnings   £ 87,750


Please be aware that the following documentation is not covered by the NHS and the following fees apply to ALL patients.

Private Medical Examinations

The Doctors are happy to carry out medicals (such as for: Insurance and Driving Licence Medicals) by appointment outside surgery hours only. Please telephone the surgery for an appointment. Please ask for the charges of these services.


Please also note that these letters MUST be paid for prior to collection. We require 7 to 10 days to complete forms/prepare non-NHS letters

Please be aware that the following documentation is not covered by the NHS and the following fees apply to ALL patients.

Please note that all letters/forms MUST be paid for in advance.

There are 4 levels of payments dependent on the time/investigations needed to produce a report.

Level 1 – Simple Statement of fact

To Whom It May Concern £30.00

Level 2 – Professional opinion required

Emplyer / Insurance Letters £45.00
Holiday Cancellation £45.00
Fitness to Travel / Attend £45.00
Housing Letter £45.00
PIP £45.00

Level 3 – More complicated, lengthy letters

Army £70.00
Adoption £70.00

Level 4 – More complicated letters for insurance

HGV/Taxi/Driving Medical £100.00

Other General Fees

Photocopies 0.35p
Private Sick Note £20.00
Yellow Fever Vaccines £60.00
Hep B Immunity (private blood test at WDGH) £8.20
Private consultations:-
GP (10 mins)
Nurse (10 mins)
Blood Test


*Updated on 26.10.2018*

Disclaimer: NHS England require that the net earnings of GPs in Practice be published, see above. However the method of calculating this data does not take into account the time each GP devotes to the Practice and therefore should not be used to compare one Practice with another or to draw conclusions about GP earnings in general.

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