Updated 17 December 2025
Date of Assessment: 20 July 2026 to 18 August 2026 Trinity Medical Centre is operated by Conexus Healthcare CIC. The provider delivers a number of contracted services which includes a clinical assessment service (CAS), a lung health check programme, a mining respiratory health project, as well as delivering workplace NHS health checks. These services, projects and activities were the subject of this assessment. Details of these services include:
- Clinical assessment service – this is commissioned by the local primary care networks and Integrated Care Board and supports extended and urgent care. The service offers remote consultations and assessments using telephone discussions and submitted images to patients from the Wakefield area. Patients can either contact the service directly during operating hours or be referred into the service. These referrals/contacts are then screened by trained staff for suitability and if so are passed on to the CAS for action. Outcomes can include being offered specific care advice by the CAS advisors, being supported by the CAS attached GPs and advanced nurse practitioners, being offered dedicated appointments face-to-face with the extended hours service, being referred back to their own GP or being signposted elsewhere. This service is delivered under a sub-contract with a local GP provider, with support from clinicians employed by Conexus Healthcare CIC/GP Care Wakefield.
- Lung health check programme – part of a wider NHS initiative providing lung health checks and computed tomography (CT) scans to high risk and vulnerable patients such as older adults who are current smokers or who smoked in the past. The service identifies patients and then undertakes structured checks with them via remote telephone calls to review their lung health. Those identified as high risk are referred for a low-dose CT scan. This service is delivered in conjunction with a local Hospital Trust.
- Mining respiratory health project – commissioned by NHS England and the Health Innovation Network to improve health amongst members of local mining communities. Actions include screening, respiratory testing, reviews and care planning. The service works closely with 2 charities to deliver this outreach project.
- Workplace NHS health checks – commissioned by the local authority, these deliver NHS health checks in outreach workplace settings.
In addition, the provider also delivered other services including extended hours and urgent care services under the operating name “GP Care Wakefield” to patients registered with GP practices in the Wakefield area, as well as a number of other contracted projects and services which include respiratory care projects. These services did not form part of this assessment, and were part of a separate CQC assessment.
The CAS and remote lung health programme is delivered from Trinity Medical Centre, Thornhill Street, Wakefield, West Yorkshire, WF1 1PG, and the mining respiratory project and workplace NHS health checks are delivered from outreach sites. The CAS service is delivered via a sub-contract with a GP provider, but was partially staffed and supported by GPs and advanced nurse practitioners from Conexus Healthcare CIC/GP Care Wakefield.
This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
The service had a strong learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe. Staff understood and managed risks. The outreach facilities and equipment used met the needs of people, and were well-maintained and any risks associated with outreach activities were mitigated. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care. Processes were in place to effectively work with sub-contracted staff within their clinical assessment service. Staff managed medicines well.
People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Activities and projects were closely monitored, and we saw patients had improved health outcomes from these activities and projects. Staff made sure people understood their care and treatment to enable them to give informed consent.
People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service supported staff wellbeing.
People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The service via its health programmes and projects worked to reduce health and care inequalities.
Leadership and governance was exceptional, as was partnership working and learning. Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. Managers worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.