Three Shires Medical

What Three Shires Medical does

Three Shires Medical is a UK NHS General Medical Services partnership operating four GP surgeries — Colerne, Marshfield, Pucklechurch, and Wick — across approximately 100 square miles on the Wiltshire/South Gloucestershire border. The practice serves a registered patient list distributed across rural communities, with around 4,500 patients signed up for online services and roughly 50% active digital engagement. It is led by Managing Partner Dr Richard Greenway alongside partners Dr Pedro Pinto, Dr Richard Prince, Dr Keira Prince, and Dr Dana Parr, supported by two full-time, six part-time, and three locum GPs.

The core service is conventional NHS primary care — consultations, chronic disease management, immunisations, screening, and referrals — supplemented by a social prescribing programme delivered through partnerships with Southern Brooks, Carers Support Centre, Age UK, British Red Cross, and Vita Health Group. The practice holds a CQC Good rating and integrates with the NHS App for patient-facing digital access. In February 2026 it began trialing third-party AI scribing tools (AccuRx Scribe, Surgery Intellect, Heidi Health) to reduce clinician administrative load.

The business model is a public-sector capitation contract under NHS England, with revenue flowing from per-patient Global Sum payments, quality framework achievement, and enhanced service payments. There is no private commercial revenue of material scale, and the 'Friends of Three Shires' community fundraising group provides only supplementary donations. Operating expenditure is dominated by clinical and administrative staffing costs, with an average GP pay of £38,676 across the 11-GP workforce implying salary costs in the low hundreds of thousands of pounds.

Name

Three Shires Medical

Legal name

Three Shires Medical Practice

Website

https://threeshiresmedical.co.uk

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Three Shires Medical is an NHS GP partnership operating four surgeries (Colerne, Marshfield, Pucklechurch, Wick) across Wiltshire/South Gloucestershire, delivering primary care, social prescribing, and digital patient access to a rural registered patient list under an NHS England GMS contract.

Ownership category

akta.pro rank

Product category

Primary Care / General Practice

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Offices of Physicians (62111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Independent Primary Care Practices (HLAFAGAA)

akta.pro secondary industry

General Dentistry Group Practices (HLABAKAB)

Keywords

• Primary care services
• General practice medicine
• NHS GP services
• Chronic disease management
• Preventive health care

Headquarters

HQ city

Colerne, Chippenham

HQ country

United Kingdom

HQ region

Europe

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. NHS GP Contract Revenue: Core funding comes from NHS England under the GP contract, including Global Sum, Quality and Outcomes Framework (QOF), and additional service payments for providing NHS healthcare services to registered patients.
2. Non-NHS Fees: The practice charges fees for certain non-NHS services such as firearms application medical reports requested by the Police Firearms Licensing Authority, as these are not funded by the NHS.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Three Shires Medical Practice is a group NHS GP practice operating four surgeries (Colerne, Marshfield, Pucklechurch, Wick) that delivers comprehensive primary healthcare across roughly 100 square miles of rural South Gloucestershire and Wiltshire. The practice provides GP consultations, repeat prescriptions, chronic disease management, preventive clinics (family planning, health checks, travel vaccinations, respiratory testing), social prescribing, mental health support, and care coordination, supported by NHS App, Patient Access and trialling AI clinical documentation tools.

Product overview

Three Shires Medical Practice is a group GP practice operating four surgeries in Wiltshire and South Gloucestershire (Colerne, Marshfield, Pucklechurch, and Wick). The practice offers a comprehensive range of primary care services including GP consultations, prescription management, clinical clinics (family planning, health checks, travel vaccinations, respiratory testing), and care coordination for long-term conditions. Non-medical support services include social prescribing, mental health services, and falls prevention programmes. The practice has embraced digital health with NHS App and Patient Access integrations for online appointments and prescriptions. Currently trialling AI consultation tools (AccuRx Scribe, Surgery Intellect, Heidi Health) for ambient transcription and AI dictation to improve clinical documentation efficiency.

Differentiator

Problem solved

Functional benefit

Products and services

• GP Consultation Services Core NHS GP consultations delivered in person across four rural surgeries, with pre-booked and same-day appointments, phone triage, online consultation via Accurx and home visits for housebound patients.
• Prescription Management Repeat prescription ordering and management for registered NHS patients through NHS App, Patient Access, or paper forms, with collection from onsite dispensaries at each surgery.
• Clinical Clinics Specialised clinic services covering family planning (coils, caps, implanon), NHS Health Checks (40-74), Well Woman/Well Man checks, over-75 checks and travel vaccinations for registered patients.
• Respiratory Clinics Diagnostic respiratory testing service including FeNO testing for airway inflammation/asthma detection and spirometry with FeNO to measure lung capacity and inflammation.
• Care Coordination Services Care coordination including annual long-term condition reviews (asthma, diabetes, hypertension), housebound patient support, dementia care, carers support, cervical screening and wheelchair referrals.
• Social Prescribing Social prescribing service with Link Workers helping patients address non-medical issues affecting health (housing, money, food, loneliness, stress) through referrals to community support via Southern Brooks Community Partnerships.
• Mental Health Services Mental health service including in-practice Mental Health Practitioner consultations, referrals to Vita Health Group NHS Talking Therapies (anxiety, depression, stress), and Every Mind Matters resources.
• Falls Prevention Programme Falls prevention service covering strength and balance exercises, home safety advice and referrals to falls prevention groups.
• Online Patient Access (NHS App and Patient Access) Digital patient access service via NHS App and Patient Access for online appointment booking, repeat prescription ordering, test result viewing, GP record access, COVID-19 vaccination booking and administrative request submissions.
• AI Consultation Tools Trial Trial of AI tools including AccuRx Scribe (ambient consultation transcription), Surgery Intellect (AI dictation) and Heidi Health (clinical documentation) for use by clinicians within the practice.

Quantifiable outcome

• 50% of patients actively use online platforms (NHS App/Patient Access) for practice communication
• +1 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration12 records

AI capability4 records

Feature4 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Southern Brooks Community PartnershipscoreStrategic or Co-development PartnerSocial prescribing partnership where Social Prescribing Link Workers help patients with non-medical factors affecting health including housing, money, food, and social isolation. Referrals are made through Southern Brooks for community support and activities.
• Friends of Three ShiresminorOthersCommunity group established to assist with financing equipment and repairs not currently funded by the NHS but of direct benefit to patients. Has raised funds for ECG machines, pulse oximeters, defibrillators, and examination couches.
• Carers Support CentrecoreStrategic or Co-development PartnerMonthly 'Carers Surgery' held at the practice via phone with Senior Carers Support Officer Neil McIntosh, providing advice on welfare benefits, Carers Assessments, Emergency Cards, counselling, and carer support groups.
• Age UK (South Gloucestershire and Wiltshire)minorStrategic or Co-development PartnerPost-hospital discharge support through 'Welcome Home' service in South Gloucestershire. Provides benefit checks, support for loneliness, and help finding local services. Contact: South Gloucestershire 01454 411707, Wiltshire 0808 196 2424.
• British Red CrossminorStrategic or Co-development PartnerPost-hospital discharge support including transport and shopping assistance, and rebuilding confidence. Provides up to 12 weeks of support. Contact: South Gloucestershire 01235 552 665.
• Vita Health Group (NHS Talking Therapies)coreStrategic or Co-development PartnerNHS Talking Therapies provider for BNSSG area offering psychological therapies for anxiety, depression, and stress. Contact: 0333 200 1893. Available via self-referral.

Scale indicators3 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• HCRG Care Group: UK provider of community, primary, and urgent NHS healthcare services (formerly Virgin Care). Overlaps with Three Shires through NHS primary care delivery but operates at significantly larger scale across multiple service lines.
• Totally plc: UK healthcare provider with NHS primary care, urgent care, and community services. Comparable through NHS GP service delivery as part of a wider portfolio.
• Practice Plus Group: Large UK healthcare provider offering NHS services including primary care, urgent care, and secondary care. Comparable through NHS GP contract operations but with a much broader service portfolio.

Emerging players

• Livi (by Kry): Digital GP service operating in partnership with NHS practices across the UK. Competes for the same NHS patient registrations but through an app-based video consultation model.
• Babylon Health (eMed): Digital-first NHS GP service provider offering remote consultations. Comparable as an NHS primary care provider but with fundamentally different delivery model (digital vs. physical).
• Push Doctor: Digital-first NHS GP provider offering remote consultations to registered NHS patients. Competes with traditional GP practices for NHS patient lists through a different delivery model.

Direct peers

• DMC Healthcare: UK provider of NHS primary care and urgent care services, including GP practice management. Comparable as an outsourced NHS primary care provider operating across multiple sites.
• Modality Partnership: Large multi-site NHS GP partnership operating across England with group practice structure and similar GP contract funding model. Comparable as a multi-site primary care group, though at significantly greater scale.
• Operose Health: One of the largest NHS GP providers in England, operating multiple GP surgeries under NHS contracts. Comparable as a group GP provider serving registered NHS patients under the same contract framework.
• AT Medics: Multi-site NHS GP group practice operating primary care services under NHS contracts in London and surrounding areas. Comparable as a group GP partnership delivering standard NHS primary care.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/three-shires-medical

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Three Shires Medical