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)

If you need to see or speak to a GP on a bank holiday,  over the weekend or between the hours of 6pm to 8am Monday to Friday then please ring NHS 111 who will help you to access our STAR – Local extended GP hours service.

To learn more about our STAR – local extended GP hours service please access the following link.






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.