The practice was rated as Good in all areas by the CQC. To see the report please click on the link below.

CQC Report June 2016

Statement of Purpose


The name and address of the registered provider is Dr Butler and Partners, Deal Tree Health Centre, Blackmore Road, Doddinghurst, Essex CM15 0HU.

Telephone: 01277 821699

CQC Provider ID 1-199727927

Registered Manager: Dr Kenneth Wrixon

Practice Manager: Mr John Bridgwood


Deal Tree Health Centre is a partnership and there are 4 partners:

Dr Kenneth Wrixon

Dr Manminder Sandhu

Dr Ranitha Dayalakumar

Dr Nilukshan Jeganathan


The Practice is housed in new, modern, purpose-built GP surgery located in a semi-rural position with onsite parking. Deal Tree Health Centre is a dispensing Practice employing qualified dispensers as well as being a training practice employing one GP Registrar.

Under the Health and Social Care Act 2008 (The Care Quality Commission (Registration) Regulations 2009 Part 4), the registering body (Deal Tree Health Centre) is required to provide to the Care Quality Commission a statement of purpose.


Our Purpose


To provide our patients with high quality health care and to seek to improve the health of our patient population. We will do this by aiming to achieve success in all our aims and objectives written below.


Our Aims and Objectives

  • To ensure high quality, safe and effective services and environment
  • To provide monitored, audited and continually improving healthcare services
  • To provide healthcare which is available to a whole population and create a partnership between patient and health profession which ensures mutual respect, holistic care and continuous learning and training.
  • The provision of accessible healthcare which is proactive to healthcare changes, efficiency and innovation and development.
  • To improve Clinical Governance and Evidence Based Practice
  • To improve Clinical and Non-clinical risk management
  • To reduce risk in specific clinical risk areas and facilities
  • To improve environment and capacity
  • To improve vigilance for unforeseen emergencies
  • To optimise performance against key targets and core standards
  • To meet key targets
  • To meet Annual Health Check
  • To continue being a patient centred organisation
  • To improve services offered to patients
  • To improve communication between the surgery and the patients
  • To recruit, retain and develop a highly motivated and appropriately skilled workforce
  • To enhance performance of the workforce
  • To develop management capability
  • To guide the employees in accordance with the Equalities Scheme
  • To continue the development of the Practice
  • To ensure effective management and governance systems
  • To ensure a robust Information Technology strategy to support the business of Deal Tree Health Centre


The registered activities and service types have been agreed by the Deal Tree Health Centre’s Practice Manager and Partners in accordance with CQC guidance. Services are described under Registered Activity and Service Type.


The services provided by Deal Tree Health Centre include:


Routine medical checks and general medical services provided by fully trained and qualified clinical staff.

Dispensary: NHS-relevant prescriptions and medications can be issued as well as private prescriptions.

Counselling: Counsellors are available for short-term counselling for a variety of personal and emotional problems. These Counsellors are provided by the Therapy For You Service and consult on a weekly basis.


Employment and Insurance Medicals: Our GPs are able to carry out medical examinations and reports for employment, insurance or driving purposes.

Assessment of employees returning to work after illness

Smoking Cessation: Any patient who is a smoker and ready to stop smoking will be seen by one of our nurse advisers for an assessment and ongoing support at Deal Tree Health Centre.

Baby Clinic: Child Health Development checks are carried out by one of our GPs and childhood immunisations are given by our nurses. This clinic runs alongside the weekly clinic held by a visiting Health Visitor.

Foreign Travel Clinic: Full foreign travel advice and any necessary immunisations given.

Treatment Room: All our nurses carry out surgeries which cover routine matters such as blood pressure, wound management, complex dressing requirements, removal of stitches, etc.

General Clinic: All our nurses run General Clinics where they advise patients on a variety of conditions including weight loss and dietary advice, lifestyle advice, Well Person checks, IUCD checks.

Asthma/Spirometry Clinic: Deal Tree Health Centre identifies and monitors asthmatic patients and has the facility for spirometry / lung function testing.

Diabetic Clinic: Deal Tree Health Centre operates a weekly Diabetes Clinic to provide ongoing care for our diabetic patients. This is run by a trained nurse.

Family Planning Clinic: We offer a full rangeFamily planning advice which is given by our trained nurses including advice on IUD’s and implants.

Flu Clinic: At Deal Tree Health Centre we offer our ‘at risk’ patient groups the seasonal flu vaccine to protect against the virus.

Minor surgery: Our GPs offer various minor surgery procedures including incisions, excisions, aspirations.

24-Hour Blood Pressure Monitoring: Deal Tree Health Centre is able to offer 24-hour Blood Pressure Monitoring. Our Practice Nurses are also able to carry out ECGs.

Cervical Screening: Our Practice Nurses are qualified to carry out cervical smears.


Our practice ethos is to strive towards a partnership between patients and health professionals based on the following key facets:


Mutual Respect

We endeavour to treat all our patients with dignity, respect and honesty and would expect patients to treat all staff in the same manner.



Although the practice endeavour’s to give you the best possible service, there may be times when patients may feel this has not happened. Details of our in-house complaints procedure is available on request from the practice manager.


Comments or suggestions

We welcome feedback from our patients on any issues or concerns about the service we provide. Patients should speak to Ray Turnbull, practice manager, if they would like to make any comments or observations or if they do not understand how any aspect of the surgery operates. In this way, we can explain any misunderstandings and try to make improvements.


‘Holistic’ Care

We treat ‘patients’ and illnesses. This means that we are equally interested in the physical, psychological and social aspects of your individual care. 


Continuity of Care and the ‘Therapeutic Relationship’

Building and maintaining a strong relationship between doctors, health professionals, and patients is essential to the way we work. This is especially so in the management of ongoing problems or long-term illness. In these circumstances we would encourage our patients to continue seeing the same health professional and wherever possible we will facilitate this through our appointments system. However, if you have a new problem and the doctor or nurse that you normally see is not available or you would like to see someone else, then we would encourage you to see any of the doctors or nurses at the practice.


Learning and Training

We have been a training practice for many years and are committed to the training of doctors and nurses, all of whom are closely supervised. We believe in “life-long learning” and all the health professionals and administrative staff here undergo an annual appraisal where learning and development needs are identified. We also recognise the benefit of supported learning for our patients and families in enhancing their ability to manage and deal with both ‘self-limiting’ and long-term illnesses.