Devon Primary Care Trust judgement in High Court
DevonPCT judgement
An account of the suspension, contingent removal and termination of Devon GP Dr Roger Stephenson's contract, the subsequent High Court judgement against Devon Primary Care Trust and ongoing developments in this case.
Bow Surgery



Links to Bow Surgery Website and NHS Choices

Links to British Medical Journal “rapid responses” by GPs in Bow published since 1999.

Link to NHS Beacon Practice Award (.pdf) to Bow Surgery early 2000s.


Bow Surgery Premises

From about 1900, there had been a surgery consulting room in Fair Park – the doctor’s house in Bow. In 1984 purpose built premises were built in the grounds of Fair Park. Three months before Dr Stephenson’s contract was terminated, the PCT began building a Portakabin surgery beside the Bow playing field, without planning permission, which was obtained retrospectively. According to responses to Freedom of Information requests the annual rental of the Portakabins is £70,668, plus £5,200 ground rent. This is more than five times the £14,100 annual rent paid by the PCT for the previously used building.

A condition of the planning consent is that use of the Portakabin “...shall be discontinued on or before 31st March 2012.”

photo of Bow Surgery portakabins

In May 2011, Bow Medical Practice was granted Planning Permission for new surgery premises at the East end of Bow Village. The new facility “will open during Spring 2012”.



Patient Outcome Data

Here (.doc) you can see the document the PCT issued in January 2009 when they invited tenders for the Bow Practice. You can see how favourably the practice performed, in terms of life expectancy and hospital admission rates, when compared locally and nationally. This information relates to the period when Dr Stephenson was working there with Dr Selley.

Here are a few quotes from this document:
  • Life Expectancy in the Bow area is generally above local and national averages, ranging from 79 years in North Tawton to 83 years in Taw Ward. This is also reflected in the fact that standardised death rates are below the national average....
  • Rates of hospital admissions, emergency admissions and A&E attendances for the Bow area are generally below the Devon average, with particularly low levels of cardiology, ENT, COPD and emergency admissions.
  • Poor General Health and Limiting Long-Term illness, as reported in the 2001 Census, is generally well below national and local averages.
  • Estimates of health lifestyle behaviours suggest that Bow area has below average levels of smoking and obesity, and higher levels of fruit and vegetable consumption.

New PMS Contract

A member of the public at the PCT Board Meeting in Crediton on 27th May 2009, asked how it was that Devon Health Ltd had been awarded the Bow PMS contract jointly with Dr Andy Bower, when Devon Health had said that they had not bid for the practice. She was told that the Board members ... did not have the information to hand (para 475.14) (.pdf). But both the Chief Executive, Dr Kevin Snee and the Chair, Dr David Radford - who had apparently approved the joint appointment - were present at that meeting. As the Procurement Process for Primary Medical Services in Bow (.pdf) (Devon PCT document) states “Evaluation team to seek chief executive and chair approval of the Evaluation teams’ recommendation [of winning bidder]”.



Patient Satisfaction before and after.

Since 2006/07 the NHS has commissioned patient satisfaction surveys. The format of the questionnaires varies slightly each year.
The two tables below summarise the Patient Satisfaction Survey results from Bow Surgery.
The first table is for 2006-07 i.e. before Dr Bower joined the Bow Practice.
The second table is for the first half of 2009-10 i.e. after Dr Stephenson had his PMS contract removed.


Results of GP Patient Access Survey (.xls) 2006-7
– while Dr Stephenson was working in Bow

To see the full results, click on the link above and then chose the ‘Access’ worksheet.

The figures are percentages of patients responding reporting satisfaction.
Telephone access 48 Hour access to GP Advanced booking Appointment with specific GP
 Devon PCT Average 93 91 82 92
 Bow Surgery 99 100 86 96

Devon PCT League Table first two quarters 2009-10
- after Dr Stephenson stopped working in Bow
To see the full results, click on the link above and then chose the ‘Overall Satisfaction’ worksheet.

% “Very satisfied with care received in surgery"
1 EXE VALLEY PRACTICE90% 55SOUTHERNHAY HOUSE SURGERY 69%
2 CHERITON BISHOP SURGERY89% 56DEVON SQUARE SURGERY 69%
3 REDFERN HEALTH CENTRE89% 57CASTLE GARDENS SURGERY 68%
4 LYNTON HEALTH CENTRE89% 58LIFTON SURGERY 68%
5 BUCKLAND SURGERY84% 59ST.LEONARD'S MED PRACTICE 67%
6 SHEBBEAR SURGERY83% 60ST.THOMAS HEALTH CENTRE 67%
7 MORETONHAMPSTEAD HEALTH CENTRE82% 61ISCA MEDICAL PRACTICE 67%
8 HALDON HOUSE SURGERY82% 62WARWICK PRACTICE 66%
9 WYNDHAM HOUSE SURGERY82% 63KINGSTEIGNTON MEDICAL PRACTICE 66%
10 CHILLINGTON HEALTH CENTRE80% 64HATHERLEIGH MEDICAL CENTRE 65%
11 CASTLE PLACE PRACTICE79% 65HOLSWORTHY MEDICAL CENTRE 65%
12 WHARFSIDE SURGERY79% 66STANNARY SURGERY 65%
13 SAMPFORD PEVERELL SURGERY79% 67DR RUSSELL & PARTNERS 65%
14 BAMPTON SURGERY79% 68HEAVITREE PRACTICE 65%
15 BRANNAMS MEDICAL CENTRE78% 69GLENDEVON MEDICAL CENTRE 65%
16 WEMBURY SURGERY78% 70HONITON SURGERY - BARBER 65%
17 SOUTH BRENT HEALTH CENTRE78% 71CAEN MEDICAL CENTRE 64%
18 CLOCK TOWER SURGERY78% 72FREMINGTON MEDICAL CENTRE 64%
19 LEATSIDE SURGERY77% 73ABBEY SURGERY 64%
20 BLACK TORRINGTON SURGERY77% 74TORRINGTON HEALTH CENTRE 64%
21 WOODBURY SURGERY77% 75PINHOE SURGERY 64%
22 KINGSKERSWELL & IPPLEPEN MED PRACTICE76% 76ALBANY SURGERY 64%
23 SOUTH LAWN MEDICAL PRACTICE76% 77COLLEGE SURGERY PARTNERSHIP 63%
24 BLACKDOWN PRACTICE76% 78CLARE HOUSE 63%
25 AXMINSTER MEDICAL PRACTICE75% 79SEATON & COLYTON MEDICAL PRACTICE 63%
26 MODBURY HEALTH CENTRE75% 80MID DEVON MEDICAL PRACTICE 62%
27 CHAGFORD HEALTH CENTRE75% 81HILL BARTON SURGERY 62%
28 TOWNSEND HOUSE MEDICAL CENTRE74% 82SID VALLEY PRACTICE 61%
29 CATHERINE HOUSE SURGERY74% 83BOUTPORT MEDICAL CENTRE 61%
30 BARNFIELD HILL SURGERY74% 84MOUNT PLEASANT HEALTH CENTRE - HELLIAR 61%
31 BARTON SURGERY74% 85NORTON BROOK MEDICAL CENTRE 61%
32 BRADWORTHY SURGERY74% 86RALEIGH SURGERY 60%
33 YEALM MEDICAL CENTRE74% 87HONITON SURGERY - SEAMARK 60%
34 IMPERIAL SURGERY73% 88OKEHAMPTON MEDICAL CENTRE 60%
35 CLAREMONT MEDICAL PRACTICE73% 89WOODA SURGERY 60%
36 ASHBURTON SURGERY73% 90DEN CRESCENT SURGERY 59%
37 BIDEFORD MEDICAL CENTRE72% 91SOUTH MOLTON HEALTH CENTRE 59%
38 NEWCOMBES SURGERY72% 92WATERSIDE PRACTICE 59%
39 TOPSHAM SURGERY72% 93WONFORD GREEN SURGERY 59%
40 OKEMENT PRIMARY CARE CENTRE72% 94BUCKFASTLEIGH MEDICAL CENTRE 58%
41 IDE LANE SURGERY71% 95FOXHAYES PRACTICE 58%
42 WESTBANK PRACTICE71% 96BUDLEIGH SALTERTON MEDICAL PRACTICE 57%
43 HARTLAND SURGERY71% 97IVYBRIDGE HEALTH CENTRE 56%
44 WHIPTON SURGERY71% 98BOVEY TRACEY & CHUDLEIGH PRACTICE 56%
45 CHAPEL PLATT SURGERY71% 99WALLINGBROOK HEALTH CENTRE 56%
46 COLERIDGE MEDICAL CENTRE71% 100NORTH TAWTON MEDICAL PRACTICE 55%
47 BRAMBLEHAIES SURGERY70% 101BOW SURGERY53%
48 ROLLE MEDICAL PARTNERSHIP70% 102RICHMOND HOUSE SURGERY 52%
49 CHIDDENBROOK SURGERY69% 103CRICKETFIELD SURGERY 52%
50 EAST STREET SURGERY69% 104DARTMOUTH MEDICAL PRACTICE 52%
51 HIGHLANDS HEALTH CENTRE69% 105CHANNEL VIEW SURGERY 52%
52 NORTHAM SURGERY69% 106BERE ALSTON MEDICAL PRACTICE 49%
53 YELVERTON SURGERY69% 107QUEEN'S MEDICAL CENTRE 48%
54 LITCHDON MEDICAL CENTRE69%



All change at Bow Surgery

In September 2010 it was announced that popular doctor Kathryn Shore was quitting her job in Bow.   She had worked alongside Dr Bower for less than a year.   She will be replaced in the Bow Practice Partnership by Dr Susan Taheri who currently works in Okehampton.   Devon Health, who held the aPMS contract jointly with Dr Bower, will no longer be involved in the running of the practice.



Links to British Medical Journal “rapid responses” by GPs in Bow published since 1999.


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Devon Primary Trust judgement    Last Updated January 2015    Web Page by IT Solutions    URL: http://www.devonpctjudgement.co.uk