Certificate of Registration This is to certify the following service provider has been registered by the Care Quality Commission under the Health and Social Care Act 2008 Certificate number: Certificate date: Provider ID: CRT1-2821518094 02/08/2016 1-199735989 Section 1 Name of service provider: Partnership members: Address of service provider: Service Provider details Dr Andrew David Baldwin, Dr Timothy David Caroe, Dr Rosamund Katharine Clift, Dr Nathaniel Charles William Dixon, Dr Jeremy James Durston, Dr Gregory Anthony Joseph Folwell, Dr Roisin Mary Helen Lucy McCloskey, Dr Maia Nicholles, Dr Alfred Sanjay Rajendra, Mrs Amanda Sayer, Dr Andrew Norman Stewart, Dr Amanda Woolhouse Date of Registration: 01/04/2013 Signed David Behan You can email CQC at: enquiries@cqc.org.uk You can contact CQC on telephone number: 03000 616161 You can write to CQC at: CQC National Correspondence, Citygate, Gallowgate, Newcastle upon Tyne, NE1 4PA Page 1 of 7
Chief Executive Page 2 of 7
Section 2 It is a condition of registration in respect of the regulated activity/ies shown below that the membership of the partnership is as follows: Dr Andrew David Baldwin Dr Timothy David Caroe Dr Rosamund Katharine Clift Dr Nathaniel Charles William Dixon Dr Jeremy James Durston Dr Gregory Anthony Joseph Folwell Dr Roisin Mary Helen Lucy McCloskey Dr Maia Nicholles Dr Alfred Sanjay Rajendra Mrs Amanda Sayer Dr Andrew Norman Stewart Dr Amanda Woolhouse Regulated Activity: Diagnostic and screening procedures For Regulated Activity Diagnostic and screening procedures the Nominated Individual (where applicable) is: for Diagnostic and screening procedures 1. The registered provider must ensure that the regulated activity Diagnostic and screening procedures is managed by an individual who is registered as a manager in respect of that activity at or from all locations. Page 3 of 7
Regulated Activity: Family planning For Regulated Activity Family planning the Nominated Individual (where applicable) is: for Family planning 1. The registered provider must ensure that the regulated activity Family planning is managed by an individual who is registered as a manager in respect of that activity at or from all locations. Page 4 of 7
Regulated Activity: Maternity and midwifery services For Regulated Activity Maternity and midwifery services the Nominated Individual (where applicable) is: for Maternity and midwifery services 1. The registered provider must ensure that the regulated activity Maternity and midwifery services is managed by an individual who is registered as a manager in respect of that activity at or from all locations. Page 5 of 7
Regulated Activity: Surgical procedures For Regulated Activity Surgical procedures the Nominated Individual (where applicable) is: for Surgical procedures 1. The registered provider must ensure that the regulated activity Surgical procedures is managed by an individual who is registered as a manager in respect of that activity at or from all locations. Page 6 of 7
Regulated Activity: Treatment of disease, disorder or injury For Regulated Activity Treatment of disease, disorder or injury the Nominated Individual (where applicable) is: for Treatment of disease, disorder or injury 1. The registered provider must ensure that the regulated activity Treatment of disease, disorder or injury is managed by an individual who is registered as a manager in respect of that activity at or from all locations. End of certificate Page 7 of 7