THE CROSS KEYS PRACTICE STATEMENT OF PURPOSE

CQC Registered Provider: The Cross Keys Practice
Legal Status: Partnership
Contract: General Medical Services (GMS)
Registered Manager: Dr Dushan Hettiarachchi
Main Business Address: 60 High Street, Princes Risborough, Buckinghamshire, HP27 0AX
Telephone: 01844 344488
Email: bobicb-bucks.ckpractice.manager@nhs.net
Registered Patient Population: Approximately 15,000 patients

Effective Date: August 2026
Review Date: August 2027

DOCUMENT CONTROL

Document	Statement of Purpose
Provider	The Cross Keys Practice
Legal status	Partnership
Contract	General Medical Services (GMS)
Effective date	August 2026
Review date	August 2027
Document owner	The Partners / Registered Manager
Registered Manager	Dr Dushan Hettiarachchi
Main practice site	60 High Street, Princes Risborough
Branch surgeries	Church Road, Chinnor; Lincoln House, Princes Risborough

This Statement of Purpose will be reviewed annually and whenever there is a significant change to the practice, its services, registered manager, locations or CQC registration.

1. ABOUT THE CROSS KEYS PRACTICE

The Cross Keys Practice is a General Medical Services (GMS) GP practice providing comprehensive primary medical services to a registered population of approximately 15,000 patients.

The practice operates from a main site in Princes Risborough and two branch surgeries in Chinnor and Lincoln House. Together, the three sites provide accessible primary healthcare to patients living in these communities and the surrounding areas.

The practice is provided and run by The Cross Keys Practice, a partnership comprising five GP partners:

• Dr Lucy Guest
• Dr Lucy Spanswick
• Dr Amy George
• Dr Dushan Chaminda Hettiarachchi
• Dr Rangah Niranchanan

The GP partners are supported by five salaried GPs and a wider multidisciplinary team of clinical, administrative and support staff.

The Cross Keys Practice is committed to providing high-quality, safe, effective and compassionate care. We seek to develop long-term relationships with our patients and ensure that our services are responsive to individual needs and to the changing health requirements of our local population.

2. OUR PURPOSE

The purpose of The Cross Keys Practice is to provide safe, effective, compassionate and accessible primary healthcare to our registered population.

We aim to support patients throughout their lives by promoting health, preventing illness, diagnosing and treating disease, managing long-term conditions and coordinating care with other healthcare professionals and services.

We recognise that high-quality general practice requires strong clinical leadership, effective teamwork, good governance, continuity of care and a commitment to listening and learning.

Our practice aims to provide care that is centred around the individual patient while making effective use of available resources and embracing appropriate developments in healthcare and technology.

3. OUR AIMS AND OBJECTIVES

The Cross Keys Practice aims to:

• Provide safe, effective and evidence-based healthcare.
• Place patients at the centre of all aspects of care.
• Listen to patients and involve them in decisions about their health and treatment.
• Treat every patient with dignity, kindness, compassion and respect.
• Provide accessible, timely and responsive services.
• Promote continuity of care and trusting relationships between patients and healthcare professionals.
• Support prevention, early diagnosis and effective management of illness.
• Provide appropriate screening, vaccination, health promotion and preventative healthcare.
• Support patients with acute, chronic, complex and multiple healthcare needs.
• Work collaboratively with other healthcare professionals, community services, hospitals and relevant partner organisations.
• Maintain effective clinical governance and patient safety arrangements.
• Learn from significant events, incidents, complaints, feedback, audits and other sources of information.
• Ensure staff have appropriate training, supervision and professional development.
• Promote equality, diversity and inclusion.
• Make reasonable adjustments to support equitable access to healthcare.
• Use appropriate technology and innovative ways of working to improve access, patient experience and clinical outcomes.
• Maintain a culture of openness, accountability, teamwork and continuous improvement.

4. OUR VALUES

Patient-Centred Care

We place patients at the heart of everything we do. We listen carefully, respect individual needs and support patients to be involved in decisions about their care.

Safety and Effectiveness

We are committed to delivering safe, effective and evidence-based care. We maintain high clinical standards through appropriate governance, regular review, audit, learning and continuous improvement.

Dignity and Respect

We treat all patients with kindness, dignity and compassion. We aim to provide an inclusive and supportive environment in which everyone feels respected and listened to.

Responsive Care

We actively seek patient feedback and use it to improve our services. We aim to ensure that our care is accessible, timely and responsive to the changing needs of our population.

Trust and Continuity

We value long-term relationships between patients and clinicians. We recognise the importance of consistency, trust and understanding in delivering high-quality primary care.

Teamwork and Integrity

We promote a culture of openness, accountability and strong leadership. Our clinical and non-clinical teams work collaboratively to provide safe, effective and coordinated care.

Leadership and Improvement

We embrace appropriate new technologies and ways of working to improve patient outcomes, enhance access and support the future of General Practice.

5. SERVICES WE PROVIDE

The Cross Keys Practice provides primary medical services to its registered population across its main site and two branch surgeries.

Services include, as appropriate to individual patient need:

• General medical consultations and assessment.
• Diagnosis and treatment of acute illness.
• Management and monitoring of long-term conditions.
• Preventative healthcare and health promotion.
• Health checks and screening.
• Childhood immunisations and vaccination programmes.
• Adult immunisations and vaccination services.
• Family planning and contraception services.
• Maternity and midwifery services.
• Women's health services.
• Sexual and reproductive healthcare.
• Assessment and treatment of disease, disorder and injury.
• Appropriate surgical procedures.
• Diagnostic and screening procedures.
• Medication reviews and medicines management.
• Referrals to secondary care and other appropriate healthcare services.
• Care planning and support for patients with complex or multiple healthcare needs.
• Support for patients with frailty and age-related healthcare needs.
• Palliative and end-of-life care where appropriate.
• Lifestyle and health promotion advice.
• Coordination of care with community, hospital and other healthcare services.
• Remote and digital consultations where clinically appropriate.

The availability of individual services may vary between sites according to clinical need, staffing, facilities and operational arrangements.

6. CQC REGULATED ACTIVITIES

The Cross Keys Practice is registered with the Care Quality Commission (CQC) to provide the following regulated activities:

• Maternity and midwifery services
• Family planning
• Treatment of disease, disorder or injury
• Surgical procedures
• Diagnostic and screening procedures

The practice provides services for everyone within its registered patient population, subject to clinical need, appropriate assessment and the scope of the practice's CQC registration.

The regulated activities are carried out across the practice's main site and branch surgeries, subject to the facilities, staffing and clinical arrangements available at each location.

The practice will maintain this Statement of Purpose so that it accurately reflects its current CQC registration, regulated activities and locations.

7. PEOPLE WHO USE OUR SERVICES

The Cross Keys Practice provides services to approximately 15,000 registered patients.

We provide care to patients across all age groups and seek to respond appropriately to the individual needs of our population.

Our services are intended to meet a wide range of healthcare needs, including:

• Acute and minor illness.
• Long-term and chronic conditions.
• Multiple and complex healthcare needs.
• Preventative healthcare needs.
• Screening and health promotion needs.
• Mental health needs.
• Disability and accessibility needs.
• Learning disability needs.
• Frailty and age-related healthcare needs.
• Pregnancy and maternity-related needs.
• Women's health and reproductive health needs.

We recognise that patients have different physical, psychological, social, cultural and communication needs.

We seek to identify and respond to these needs appropriately and to make reasonable adjustments where required.

The practice is committed to providing services fairly and without discrimination and to ensuring that patients are treated with dignity and respect.

8. PRACTICE LOCATIONS

8.1 MAIN SITE – 60 HIGH STREET, PRINCES RISBOROUGH

The Cross Keys Practice
60 High Street
Princes Risborough
Buckinghamshire
HP27 0AX

Telephone: 01844 344488
Email: bobicb-bucks.ckpractice.manager@nhs.net

This is the main practice site and the registered provider's principal business address.

The site provides primary medical services including clinical consultations, assessment and treatment, management of acute and long-term conditions, preventative healthcare, screening, health promotion and other services appropriate to patient need.

8.2 BRANCH SURGERY – CHURCH ROAD, CHINNOR

The Cross Keys Practice
Church Road
Chinnor
Oxfordshire
OX39 4PG

Church Road is a branch surgery of The Cross Keys Practice.

The branch provides primary medical services to patients registered with the practice and supports access to healthcare for patients living in Chinnor and the surrounding communities.

CQC-regulated activities are carried out at this location as appropriate to the facilities, staffing and clinical arrangements available.

8.3 BRANCH SURGERY – LINCOLN HOUSE, NEW ROAD, PRINCES RISBOROUGH

Lincoln House
New Road
Princes Risborough
Buckinghamshire
HP27 0JN

Lincoln House is a branch surgery of The Cross Keys Practice.

The branch provides clinical facilities supporting the delivery of primary medical services to patients registered with the practice.

CQC-regulated activities are carried out at this location as appropriate to the facilities, staffing and clinical arrangements available.

9. PROVIDER AND REGISTERED MANAGER

Registered Provider

The Cross Keys Practice

Legal Status: Partnership

Main Business Address:
60 High Street
Princes Risborough
Buckinghamshire
HP27 0AX

Telephone: 01844 344488

Email: bobicb-bucks.ckpractice.manager@nhs.net

The Cross Keys Practice is a partnership providing General Medical Services to its registered patient population.

GP Partners

The partnership comprises:

• Dr Lucy Guest
• Dr Lucy Spanswick
• Dr Amy George
• Dr Dushan Hettiarachchi
• Dr Rangah Niranchanan

Registered Manager

Dr Dushan Hettiarachchi

Business Address:
The Cross Keys Practice
60 High Street
Princes Risborough
Buckinghamshire
HP27 0AX

Telephone: 01844 344488

Email: bobicb-bucks.ckpractice.manager@nhs.net

The registered manager is responsible for the management of the regulated activities provided by the practice and works with the GP partners and wider practice leadership team to maintain appropriate arrangements for clinical governance, patient safety, quality improvement, risk management and compliance with regulatory requirements.

10. LEADERSHIP AND GOVERNANCE

The Cross Keys Practice is led by its five GP partners, supported by five salaried GPs and the wider practice team.

We recognise that effective leadership and governance are essential to the delivery of safe, effective and high-quality healthcare.

The practice maintains systems and processes to:

• Monitor the quality and safety of care.
• Identify, assess and manage risks.
• Review significant events, incidents and patient safety concerns.
• Monitor complaints, concerns and patient feedback.
• Undertake clinical and organisational audits.
• Monitor prescribing and medicines safety.
• Maintain effective safeguarding arrangements.
• Maintain appropriate infection prevention and control standards.
• Ensure staff receive appropriate training and development.
• Monitor compliance with relevant policies and procedures.
• Promote learning and continuous improvement.
• Maintain appropriate information governance and confidentiality arrangements.
• Review the effectiveness, accessibility and responsiveness of services.

We encourage staff to raise concerns and aim to maintain an open culture where concerns are addressed appropriately and learning is shared.

11. PATIENT INVOLVEMENT AND FEEDBACK

Patients are an important source of information about the quality, accessibility and experience of our services.

We encourage patients to provide feedback and use this information to identify areas for improvement.

Feedback may be obtained through:

• Patient surveys.
• Complaints and concerns.
• Compliments and positive feedback.
• Friends and Family.
• Patient Participation Group engagement.
• Other appropriate patient engagement activities.

We aim to respond to concerns appropriately and use learning from feedback to improve patient experience and service delivery.

12. EQUALITY, DIVERSITY AND INCLUSION

The Cross Keys Practice is committed to providing an inclusive service where all patients are treated with dignity, fairness and respect.

We recognise that patients may experience barriers to accessing healthcare because of disability, age, communication needs, health conditions, social circumstances or other factors.

We seek to identify and address such barriers and make appropriate reasonable adjustments where required.

Our aim is to ensure that our services are accessible and responsive to the needs of our diverse patient population.

13. SAFEGUARDING

The Cross Keys Practice is committed to safeguarding children, young people and adults who may be at risk of abuse, neglect or exploitation.

We maintain appropriate safeguarding policies, procedures, training and reporting arrangements.

All staff are expected to understand their safeguarding responsibilities and to raise concerns promptly through appropriate channels.

Safeguarding is embedded within the practice's clinical governance and multidisciplinary working arrangements.

14. CONFIDENTIALITY AND INFORMATION GOVERNANCE

The practice recognises the importance of maintaining patient confidentiality and protecting personal information.

Patient information is handled in accordance with applicable legislation, professional standards, NHS requirements and the practice's information governance policies.

Information is shared appropriately where necessary for the safe and effective provision of care, while respecting patient confidentiality and applicable legal requirements.

15. QUALITY IMPROVEMENT

Continuous improvement is an important part of the culture of The Cross Keys Practice.

We use information from a range of sources to identify opportunities to improve the quality and safety of our services, including:

• Clinical and organisational audits.
• Significant event and patient safety reviews.
• Complaints and patient feedback.
• Prescribing and medicines reviews.
• Clinical performance information.
• Staff feedback.
• National and local quality improvement programmes.
• Changes in clinical guidance and evidence.
• Feedback from external organisations and partner services.

Where improvements are identified, the practice aims to implement appropriate actions, monitor their effectiveness and share learning with the wider team.

16. COMMITMENT TO OUR PATIENTS

The Cross Keys Practice is committed to providing care that is safe, effective, compassionate, accessible and responsive.

We recognise that high-quality general practice depends not only on clinical expertise but also on good communication, teamwork, continuity of care, effective governance and a willingness to listen and improve.

We work with our patients, staff and wider healthcare partners to promote health, prevent illness, manage existing conditions effectively and support patients to achieve the best possible health outcomes.

We will continue to develop our services in response to the changing needs of our population while maintaining the values and standards that underpin the practice.

17. REVIEW AND APPROVAL

This Statement of Purpose will be reviewed at least annually and whenever there are significant changes to:

• The practice's services.
• Practice locations.
• The partnership or organisational structure.
• The registered manager.
• The registered patient population or service-user needs.
• CQC registration or regulated activities.
• The way in which regulated activities are delivered.

The practice will ensure that the Statement of Purpose remains accurate, current and consistent with its CQC registration.

Approval

Approved by: The Partners of The Cross Keys Practice

Registered Manager: Dr Dushan Hettiarachchi

Date approved: August 2026

Next review: August 2027