Updated 10 June 2021
Chiltern House Medical Centre is a GP practice located in a 17th century Grade II listed building in High Wycombe, Buckinghamshire. The practice has approximately 6,500 patients and is one of the practices within Buckinghamshire Clinical Commissioning Group (CCG).
The practice has been through a challenging three years with changes in provider and a number of GPs, managers and staff leaving, which had caused instability in the practice. Primary Care Management Solutions Limited, known as PCMS provided caretaker management of the practice between April 2019 and August 2019 and took over the contract following a procurement exercise led by the CCG in September 2019.
Clinical services are provided from:
- Chiltern House Medical Centre, 45 – 47 Temple End, High Wycombe, Buckinghamshire HP13 5DN
The practice website is:
- www.chilternhousemedicalcentre.co.uk
The clinical team consists of two salaried GPs, one advanced nurse practitioner, a lead nurse, a practice nurse and a health care assistant. At the time of the May 2021 inspection, a clinical pharmacist provided medicines optimisation services and was employed via a clinical recruitment agency. To further supplement the medicines team, the practice also accessed remote pharmacy and medicines support. A practice business manager, an operations manager and a team of reception and administrative staff undertake the day to day management and running of the practice. When required, the practice team could access additional support from the provider (PCMS) which included the Chief Executive Officer who was also the Registered Manager.
According to national data, the practice is located in an area of low deprivation, meaning very few patients are affected by deprivation in the locality. However, there are pockets of high deprivation within the practice boundary. The practice population has a higher proportion of patients aged between 15 and 24 and 50 and 59 when compared to the national average. There is also a high percentage of transient patients and patients from ethnic minority backgrounds at Chiltern House Medical Centre. People living in more deprived areas tend to have greater need for health services and people outside of the country for long periods often has an impact on screening and recall programmes.
The practice provides services for a high proportion of patients experiencing a long-standing health care condition, 55% compared to the local CCG average of 49% and a national average of 52%.
The practice also provides primary care GP services for a local nursing home (45 patients).
PCMS ‘The Provider’ is registered with CQC to deliver the following Regulated Activities:
- Diagnostic and screening procedures
- Family planning services
- Maternity and midwifery services
- Surgical procedures
- Treatment of disease, disorder or injury
The practice is part of a wider network of GP practices, this is known as a Primary Care Network (PCN). Chiltern House Medical Centre is a member of Dashwood PCN with five other local practices.
Chiltern House Medical Centre is open between 8.00am and 6.30pm Monday to Friday. Extended surgery hours are offered on Tuesday and Friday evenings until 8pm, Friday mornings from 7am the practice had reintroduced nurse led Saturday morning clinics. The practice have opted out of providing out of hours care when the practice is closed. This is offered by NHS111 telephone service who will refer to the out of hours GP service if required.
Due to the enhanced infection prevention and control measures put in place since the pandemic and in line with the national guidance, most GP appointments were telephone consultations. If it was clinically appropriate, a clinician would see a patient face-to-face following a telephone consultation.