Specialist Primary Care Services

The Fulcrum currently provides specialist primary care services (services usually provided by your GP) for Middlesbrough patients. The services, commissioned by NHS England, have been provided by our organisation since 2001.


This GP led service includes the full range of personal medical services (PMS) in line with the NHS (General Medical Services) Regulations 1992. They are provided to approximately 800 drug and alcohol substance misusers in the Middlesbrough area. This service provides rapid access to assessment and treatment in a primary care setting; providing high quality specialist primary care services to substance misusers and their families.

All patients have a named GP who is responsible for their overall care at the practice. If you wish to know who your GP is please contact the practice.

These services include; treatment for chronic illnesses, (for example: hypertension, angina, diabetes, asthma, COPD), mental health services including those for depression and anxiety, muscular pain, arthritis and thyroid dysfunction. Primary Care services provided also include public health services including ill health prevention and health promotion, specialist maternal and child health care services, such as family planning services and vaccinations as well as a range of treatment options in relation to harm reduction.

Our Primary Care services also ensure close collaboration in the provision of co-ordinated and shared client health care in conjunction with other health care providers including; community services, Acute (Hospital) services and Mental Health services.

Fulcrum’s provision of a full range of primary care services alongside specialist substance misuse services provides a unique whole system health care pathway for clients.

Anyone wishing to register with the primary care service (GP practice) is asked to ring 01642 354550 and we will help you with the statutory registration process.

Please note that whilst clients cannot refer themselves to substance misuse services, if you telephone us we will ensure that you are provided with access to services as soon as possible.

The mean salary figures for GPs employed by Foundations – Acklam Road- based on 3 part-time GPs: £46,749