We are delighted to inform you that we are making some changes to reflect our developing role as a practice for social inclusion for the local population. As of 1st August 2017 Fulcrum Medical Practice and Haven Medical Practice will be known as Foundations.

Our new website is currently under construction and will be coming soon.

Welcome to Fulcrum Medical Practice LLP.

The Fulcrum Medical Practice is a specialist GP service and substance misuse service. We provide pharmacology services – prescribing and psychosocial – therapeutic services to support people to recover from their addictions to drugs and alcohol. Based in Middlesbrough we deliver services and provide treatment for approximately 1,000 people.

Accessible Services

The Fulcrum’s working knowledge and understanding of our clients and their needs means that we provide accessible services in a range of settings. This is to ensure convenience and maximise opportunities for client engagement and retention in their recovery plan.

Our opening hours include weekends and evenings and we have protected appointment slots to provide responsiveness and flexibility.

Our existing services are delivered as a community based clinical treatment service through a hub and spoke model. In addition to clinic provision from our central administrative base in Middlesbrough, we also provide satellite and outreach clinics and services at premises and locations including; pharmacists, community buildings and other provider locations.

Our Equality and Diversity Strategy, in line with current legislation, states our commitment to ensure that no exclusions on the basis of gender, race, sexual orientation or physical and /or mental impairment. Specific services are provided and tailored to the needs of distinct client groups including; homeless, families, prostitutes, parents and young people.

Consent and Chaperone Policy Statement

We will obtain your consent before an examination.

If you feel you would like a Chaperone present at the examination please inform your doctor / nurse who will be more than happy to arrange this for you.

The full consent and Chaperone policies are available from reception upon your request.

Freedom of Information

Please click here to download the Freedom of Information documentation

Compliments and Complaints Procedure

We will ensure to offer a good quality service and are always interested to hear your suggestions and ideas.

There is a suggestion box for your ideas at reception.

If you wish to register a complaint / compliment with the practice please download and fill in the appropriate form:

Compliments Form

Complaints Consent Form

Complaints Form

What will we do

The Practice Manager will acknowledge receipt of your complaint within 2 working days, investigate and feedback within 2 weeks


STAR scheme (South Tees Access and Response)

The South Tees Access Response scheme has been set up by GPs to improve access to their services outside the current core hours for patients needing urgent care or advice.

Four GP centres now extend evening and weekend opening times for patients seven days a week, from 6.30pm to 9.30pm Monday to Friday, and 8am to 9.30pm on weekends and bank holidays, to ensure patients get the right care, first time through a single point of access.

Visit for more details or view the video below:


The core values for the organisation define the organisational ethos and will be demonstrated in the way we deliver our services. They are as follows:

  • We are committed to providing the highest quality of service to all our clients through investment in the quality of our staff.
  • Through reflective practice, research and innovation we will continually seek to provide the highest standards of service to all our clients.
  • We will enable our clients to reach their personal goals by respecting and responding to their individuality through our client led service provision.
  • We will behave with integrity and uphold the highest standards of safe clinical practice for our clients, staff and partners.