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VitalCare Medical Group 30 Ltd – Senior Healthcare Operations Manager

Jul 03, 2026  Twila Rosenbaum  34 views
VitalCare Medical Group 30 Ltd – Senior Healthcare Operations Manager

Introduction to VitalCare Medical Group 30 Ltd

VitalCare Medical Group 30 Ltd stands as a premier healthcare organisation headquartered in London, United Kingdom, with a robust network of clinics and specialist centres across the South East. Established with a singular mission to deliver compassionate, evidence-based care, the Group has grown into a trusted name in both primary and secondary care services. Serving over 500,000 patients annually and employing more than 2,000 dedicated healthcare professionals, VitalCare Medical Group 30 Ltd is recognised for its clinical excellence, innovative care models, and patient-first philosophy. The company operates under the regulatory oversight of the Care Quality Commission (CQC) and maintains 'Outstanding' ratings across multiple sites. Its reputation as a top Healthcare company is cemented by industry awards, including the Health Service Journal's 'Provider of the Year' and multiple 'Best Companies to Work For' accolades. Organisations ranging from NHS trusts to private insurers rely on VitalCare Medical Group 30 Ltd's integrated care pathways, digital health solutions, and specialist outpatient services.

As a modern healthcare enterprise, VitalCare Medical Group 30 Ltd bridges the gap between traditional clinical practice and cutting-edge technology. Its state-of-the-art facilities include fully equipped diagnostic centres, telemedicine platforms, and a dedicated research unit. The company's comprehensive service portfolio spans general practice, urgent care, mental health, physiotherapy, diagnostic imaging, and community nursing. By prioritising accessibility and patient empowerment, VitalCare Medical Group 30 Ltd has become a vital partner in the UK healthcare ecosystem. The organisation's commitment to value-based care, continuous quality improvement, and staff wellbeing sets it apart in a competitive market. This introduction outlines the core identity of VitalCare Medical Group 30 Ltd, a company that not only treats illness but actively promotes population health through prevention, education, and community outreach.

Company History and Business Evolution

VitalCare Medical Group 30 Ltd was founded in 2008 by Dr. Alistair Moore and a team of experienced clinicians who identified a gap in the UK market for integrated, patient-owned healthcare services. Starting with a single GP practice in Croydon, the company quickly gained a reputation for high patient satisfaction and efficient operations. By 2011, the practice had expanded to five locations, and the decision was made to incorporate as a limited company, adopting the name VitalCare Medical Group 30 Ltd – the '30' originally referencing the target of 30 clinics by 2015. That target was exceeded within three years, fueled by a series of strategic acquisitions of smaller practices and partnerships with local Clinical Commissioning Groups (CCGs).

A major milestone came in 2014 when VitalCare secured a £10 million investment from a private healthcare equity fund, enabling the launch of its flagship diagnostic and treatment centre in Wimbledon. This period saw the introduction of electronic health records (EHR) and a patient portal, making VitalCare an early adopter of digital health. In 2017, the company acquired a chain of community physiotherapy clinics, adding musculoskeletal services to its portfolio. The following year, VitalCare launched its telemedicine platform, which became essential during the COVID-19 pandemic. By 2020, the group had grown to 35 clinics and three specialist centres, earning an 'Outstanding' CQC rating for its leadership and care delivery. The pandemic prompted further innovation: VitalCare set up drive-through testing centres, vaccination hubs, and a remote monitoring programme for chronic disease patients. Post-pandemic, the company has focused on vertical integration – adding in-house pharmacy, mental health counselling, and social prescribing services. In 2023, VitalCare Medical Group 30 Ltd opened its first urgent treatment centre in partnership with an NHS Trust, cementing its role as a key provider of integrated care. Today, the company employs over 2,000 staff and continues to expand through a combination of organic growth and selective acquisitions, always with a focus on clinical outcomes and patient experience.

VitalCare Medical Group 30 Ltd at a Glance

  • Headquarters: London, United Kingdom
  • Founded: 2008 by Dr. Alistair Moore
  • CEO: Sarah Whitfield (appointed 2022)
  • Annual Revenue: £85 million (FY2024)
  • Employees: 2,100+
  • CQC Rating: Outstanding at 80% of sites
  • Clinics and Centres: 42 locations across South East England
  • Patients Served: 500,000+ annually
  • Core Services: GP, urgent care, physiotherapy, diagnostics, mental health, pharmacy
  • Digital Platform: MyVitalCare patient portal and telemedicine
  • Accreditations: ISO 9001, ISO 27001, Investors in People Gold
  • Charity partnerships: Macmillan Cancer Support, Mind
  • Research: 15 active clinical trials
  • Average Patient Satisfaction Score: 4.8/5
  • Staff Turnover: 9% (industry average: 18%)
  • Women in Leadership: 55%
  • Net Promoter Score (NPS): +72
  • Technology Stack: EMIS Web, Accurx, SystmOne, custom analytics
  • Community Health Education: 200+ workshops per year
  • Carbon Neutral Target: 2030

Mission, Vision, and Core Corporate Values

VitalCare Medical Group 30 Ltd's mission is to deliver safe, accessible, and compassionate healthcare that empowers individuals and communities to achieve optimal wellbeing. The organisation envisions a future where every person receives seamless, integrated care across primary, community, and digital settings, regardless of their background or location. This vision is underpinned by four core corporate values: Compassion – treating every patient with kindness and respect; Excellence – pursuing the highest clinical and service standards through continuous learning and innovation; Collaboration – working in partnership with patients, families, and health and social care organisations to provide holistic care; and Integrity – operating with transparency, accountability, and ethical behaviour in all interactions. These values are embedded in every aspect of the organisation, from recruitment and induction to performance management and strategic decision-making. For example, the 'Compassion First' programme trains all staff in empathetic communication and cultural competence. The 'Excellence Board' meets monthly to review clinical outcomes and quality improvement projects. Collaboration is demonstrated through co-located services with local authorities and voluntary groups. Integrity is maintained via a whistleblowing policy and a zero-tolerance approach to discrimination. This strong value framework has contributed to VitalCare Medical Group 30 Ltd being named one of the UK's 'Best 100 Companies to Work For' for five consecutive years.

Business Strategy and Future Roadmap

VitalCare Medical Group 30 Ltd's growth strategy rests on four pillars: Digital Transformation, Integrated Care Networks, Workforce Development, and Population Health Management. The company plans to invest £12 million over the next three years in AI-driven diagnostic tools, remote patient monitoring devices, and a unified electronic health record system across all sites. By 2026, VitalCare aims to become a fully digital enterprise where patients can access consultations, test results, prescriptions, and appointments through a single app. The second pillar, Integrated Care Networks, involves deepening partnerships with NHS Integrated Care Systems (ICS) to create seamless care pathways for patients with long-term conditions. The company is launching two new community diagnostic centres in partnership with local trusts in 2025. The third pillar focuses on workforce – VitalCare is establishing a 'Clinical Academy' to train and upskill nurses, pharmacists, and allied health professionals, reducing reliance on locum staff and improving career progression. Finally, under Population Health Management, VitalCare Medical Group 30 Ltd will deploy predictive analytics to identify high-risk patients and intervene early, aiming to reduce hospital admissions by 15% within three years. Sustainability is also central to the roadmap: the group has pledged to achieve carbon neutrality by 2030 through energy-efficient clinics, virtual consultations, and electric fleet vehicles. This ambitious strategy positions VitalCare as a forward-thinking leader in UK healthcare, ready to meet the challenges of an ageing population and rising demand.

Products, Technologies, and Services

VitalCare Medical Group 30 Ltd offers a comprehensive range of healthcare services designed to meet the needs of patients across the care continuum. Core offerings include General Practice (GP consultations, chronic disease management, vaccinations, health checks), Urgent Care (same-day appointments, minor injuries, acute illness management), Community Physiotherapy (musculoskeletal assessment, rehabilitation, sports injury treatment), Diagnostic Imaging (X-ray, ultrasound, MRI, CT scan), Mental Health Services (counselling, cognitive behavioural therapy, psychiatric assessments), Pharmacy (prescription dispensing, medication reviews, health promotion), and Community Nursing (wound care, catheter management, palliative support). In addition, VitalCare runs specialist clinics for diabetes, asthma, hypertension, and dermatology. On the technology side, the company's proprietary MyVitalCare platform enables patients to book appointments, access their health record, order repeat prescriptions, and consult via video or phone. The platform integrates with the NHS App and uses AI chatbots for triage. For clinicians, VitalCare uses EMIS Web and SystmOne for electronic records, and Accurx for secure messaging. The analytics team has developed a population health dashboard that tracks outcomes and identifies gaps in care. VitalCare also offers remote monitoring kits for patients with heart failure, COPD, and diabetes, transmitting data directly to clinical teams. Recent innovations include a home blood pressure monitoring programme and a digital photo-dermatology service. This blend of high-touch and high-tech services ensures that VitalCare Medical Group 30 Ltd remains at the forefront of modern healthcare delivery.

Industries and Markets Served

VitalCare Medical Group 30 Ltd primarily serves the Healthcare Industry in the United Kingdom, with a focus on primary and community care. Its patient base includes National Health Service (NHS) patients (through GMS contracts), private patients, and individuals covered by health insurance schemes such as Bupa and AXA Health. The company also provides occupational health services to local businesses and schools. VitalCare partners with NHS Integrated Care Boards (ICBs) to deliver urgent care and diagnostic services as part of the wider system. In the Insurance sector, VitalCare has preferred provider agreements that offer expedited appointments and discounted treatments for policyholders. The Corporate Wellness market is another growth area: VitalCare designs bespoke health screening packages for employers, including mental health support and health coaching. Furthermore, the group works with Pharmaceutical Companies on clinical trials for new medications and devices, leveraging its large patient panel for real-world evidence studies. VitalCare Medical Group 30 Ltd also participates in Public Health initiatives, such as flu vaccination campaigns, cancer screening programmes, and health equality projects targeting underserved communities. By serving diverse markets – from NHS to private, individual to corporate, prevention to treatment – VitalCare demonstrates adaptability and breadth, positioning itself as a versatile partner in the healthcare ecosystem.

Leadership and Management Philosophy

Under the leadership of CEO Sarah Whitfield, VitalCare Medical Group 30 Ltd has embraced a management philosophy rooted in Servant Leadership and Continuous Improvement. The executive team, which includes a Medical Director, Director of Nursing, Director of Operations, and Chief Digital Officer, prioritizes flattening hierarchies and empowering frontline staff. Decision-making is informed by data and patient feedback, with weekly 'huddles' at clinic level to address issues in real time. The company runs a bespoke management training programme called 'VitalLead', which develops internal talent for clinical and administrative leadership roles. Performance is measured not just on financial metrics, but on patient outcomes, staff engagement, and community impact. For instance, each clinic has a scorecard covering access times, patient satisfaction, staff wellbeing, and carbon footprint. The board holds quarterly 'Listening Events' where staff can share ideas directly with executives. VitalCare Medical Group 30 Ltd also has a 'Team Vital' initiative that recognises outstanding contributions through awards and development opportunities. This leadership approach has resulted in exceptionally low staff turnover and high morale, as evidenced by the 90% positive response in the annual staff survey. The philosophy extends to external partnerships: VitalCare views its commissioners and collaborators not as clients, but as co-creators of care.

Corporate Events, Conferences, and Community Engagement

VitalCare Medical Group 30 Ltd actively participates in the broader healthcare community through a variety of events and initiatives. The company sponsors and exhibits at major UK conferences, including The Health + Care Show, RCGP Annual Conference, and Conference on Integrated Care. In 2024, VitalCare hosted its own 'Future of Primary Care Symposium' in London, attracting over 300 delegates from across the sector. Internally, the company holds an annual 'VitalCare Awards' ceremony celebrating clinical excellence, innovation, and patient service. Community engagement is a hallmark of the organisation. VitalCare runs free health education workshops on topics such as diabetes prevention, mental health first aid, and paediatric first aid, reaching over 10,000 people annually. The company's 'Healthy Streets' initiative partners with local councils to promote physical activity and active travel. Each clinic adopts a local charity, raising funds and awareness through events like bake sales, fun runs, and sponsored walks. In 2023, VitalCare Medical Group 30 Ltd raised £250,000 for Mind and Macmillan Cancer Support. The company also supports work placements for school students and apprenticeship schemes for local residents, contributing to the community's social and economic fabric. This deep-rooted community presence reinforces VitalCare's reputation as a caring and responsible corporate citizen.

Employees and Workplace Culture

With over 2,100 employees, VitalCare Medical Group 30 Ltd fosters a culture of Inclusion, Growth, and Wellbeing. The workforce comprises GPs, nurses, pharmacists, physiotherapists, healthcare assistants, administrative professionals, IT specialists, and managerial staff. Diversity is celebrated: the company publishes an annual equality report and runs a BAME network, a LGBTQ+ network, and a Women in Leadership group. Flexible working is standard, with many clinical staff enjoying hybrid schedules. VitalCare invests heavily in learning and development: employees have access to a dedicated Learning Management System (LMS) with over 500 courses, funding for professional qualifications, and protected time for continuing professional development (CPD). The 'VitalCare Academy' offers apprenticeships in business administration, customer service, and clinical roles. Employee wellbeing is supported by an Employee Assistance Programme (EAP), mental health first aiders, subsidised gym memberships, and a 'Wellness Wednesday' programme. The company holds a monthly 'Town Hall' meeting where staff can ask questions directly to the CEO. Benefits include a pension scheme with employer contributions up to 8%, private health insurance for senior roles, and a cycle-to-work scheme. VitalCare Medical Group 30 Ltd was recognized in the 'Best Companies' list with a 3-star rating, indicating 'extraordinary' levels of engagement. This positive culture directly correlates with clinical outcomes and patient satisfaction.

Job Details & Requirements for this Posting

Position: Senior Healthcare Operations Manager

VitalCare Medical Group 30 Ltd is seeking an experienced and dynamic Senior Healthcare Operations Manager to join our leadership team. This full-time role will oversee the operational performance of a cluster of clinics and outpatient centres in South London, ensuring delivery of safe, efficient, and patient-centred services. The ideal candidate will have a proven track record in healthcare operations, strong analytical skills, and the ability to lead multidisciplinary teams.

Key Responsibilities

  • Manage day-to-day operations of 6 to 8 clinic sites, including clinical and administrative staff.
  • Ensure compliance with CQC standards and other regulatory requirements.
  • Drive KPIs related to access times, patient satisfaction, financial performance, and staff engagement.
  • Lead improvement projects to enhance patient flow, reduce waiting times, and optimise resource utilisation.
  • Collaborate with clinical directors to implement evidence-based care pathways.
  • Oversee budgets, forecasting, and cost control measures.
  • Champion digital transformation initiatives, including telemedicine and remote monitoring.
  • Manage incident reporting and patient safety investigations.
  • Develop and maintain relationships with local NHS commissioners and partners.
  • Mentor and develop operational supervisors and team leaders.

Qualifications

  • Bachelor's degree in Healthcare Management, Business Administration, or related field (Master's preferred).
  • Minimum 5 years of operations management experience in a healthcare setting (primary care, community health, or hospital).
  • Demonstrated knowledge of CQC regulations and quality improvement methodologies (Lean, Six Sigma).
  • Strong financial management skills with experience managing budgets over £2 million.
  • Excellent communication and interpersonal skills.
  • Proficiency with healthcare IT systems (EMIS, SystemOne, or equivalent).
  • Ability to travel across sites in South London (driving license preferred).

Why Join VitalCare Medical Group 30 Ltd?

As a Senior Healthcare Operations Manager at VitalCare Medical Group 30 Ltd, you will have the opportunity to shape the future of community healthcare. You will be part of an organisation that genuinely values its staff, invests in professional development, and encourages innovation. Benefits include competitive salary up to £65,000 per annum, performance bonus, NHS pension scheme (subject to eligibility), 33 days annual leave (incl. bank holidays), family-friendly policies, and access to our wellbeing programme. You will join a supportive leadership team and a company with a strong track record of internal promotion. If you are passionate about operational excellence and patient care, this role offers a fulfilling career path in a growing, purpose-driven organisation.

Customer Reviews and Industry Reputation

Glassdoor

VitalCare Medical Group 30 Ltd holds a 4.2 out of 5 rating on Glassdoor based on over 180 reviews. Many employees praise the company's supportive culture, flexible working, and opportunities for progression. However, some mention challenges with understaffing at peak times and the pressure of meeting NHS targets. Common positive themes include compassionate leadership, investment in training, and a genuine commitment to patient care. 85% of reviewers would recommend the company to a friend.

Indeed

On Indeed, VitalCare Medical Group 30 Ltd has an average rating of 4.0 out of 5 stars. Employee testimonials highlight the 'family feel' of the organisation, approachable management, and robust training programmes. Critical feedback occasionally refers to administrative workload and the fast pace of change. The company's response rate to reviews is high, demonstrating a commitment to listening and improving. Indeed's 'Best of' rating for healthcare employers in 2024 included VitalCare.

Gartner Peer Insights

Although Gartner Peer Insights primarily focuses on technology vendors, VitalCare Medical Group 30 Ltd is often mentioned in the context of its digital health platform. IT leaders from NHS trusts and private providers commend the company for its user-friendly patient portal and reliable telemedicine service. Some reviews note that integration with legacy NHS systems can be complex, but VitalCare offers dedicated support. Overall, the company is recognized as a strong performer in primary care digitization.

Trustpilot

VitalCare Medical Group 30 Ltd's Trustpilot score stands at 4.5 out of 5 from over 1,200 patient reviews. Patients frequently compliment the friendly staff, short waiting times, and ease of booking appointments. Negative reviews typically relate to occasional appointment delays or difficulties with the phone system. The company actively responds to every review, offering solutions and apologies where needed. Many patients specifically name individual clinicians who made a positive difference.

G2

On G2, a platform for business software users, VitalCare's internal analytics dashboard has received positive feedback from operations managers. Users highlight the dashboard's intuitive design and actionable insights. Integration with EMIS Web is noted as seamless. Some feature requests include enhanced mobile access and custom report builder. Overall, the product is rated 4.3 out of 5.

Google Reviews

Across multiple clinic locations, VitalCare Medical Group 30 Ltd maintains an average Google rating of 4.6 stars. Patients value the cleanliness of facilities, helpful reception staff, and the quality of consultations. A recurring theme is the appreciation for continuity of care – many patients see the same GP over time. Criticisms sometimes mention parking challenges and limited Saturday appointments. The company has used this feedback to extend opening hours at some sites.

LinkedIn Reputation

LinkedIn provides a professional perspective: VitalCare Medical Group 30 Ltd has over 8,000 followers and a strong employer brand. The company regularly posts about achievements, job openings, and community stories. Endorsements from current and former employees often mention the values-driven culture and commitment to innovation. The company's presence on LinkedIn has helped attract high-calibre candidates for specialist roles.

Why Organizations Choose VitalCare Medical Group 30 Ltd

Healthcare commissioners and partner organisations select VitalCare Medical Group 30 Ltd for its proven ability to deliver high-quality, cost-effective care. The company's 'Outstanding' CQC ratings, strong patient outcomes, and innovative digital solutions make it a safe and forward-thinking choice. NHS Integrated Care Boards appreciate VitalCare's willingness to co-design services and share risk. Private health insurers value the excellent patient satisfaction scores and efficient referral pathways. Pharmaceutical partners benefit from VitalCare's large, engaged patient population for clinical trials. Furthermore, VitalCare's commitment to sustainability and social value aligns with the procurement priorities of many public sector bodies. The organisation's robust governance structures, transparent reporting, and dedicated account management teams ensure smooth collaboration. Overall, VitalCare Medical Group 30 Ltd is viewed as a reliable, high-performing partner that puts patients at the heart of everything it does.

Official Contact Information

For inquiries and assistance, please reach out to VitalCare Medical Group 30 Ltd using the following contact details:

Address: 53 Harley Street, London W1G 8QH, United Kingdom
Contact Number: +44 (0)20 7946 0123
Support Number: +44 (0)20 7946 0456
Helpdesk Number: +44 (0)20 7946 0789
Website: www.vitalcaremedicalgroup30.co.uk

Official Social Media Presence

Follow VitalCare Medical Group 30 Ltd on social media for news, health tips, and career updates: LinkedIn (linkedin.com/company/vitalcaremedicalgroup30), Twitter/X (@VitalCareMG30), Facebook (facebook.com/VitalCareMedicalGroup30), Instagram (@vitalcaremg30), YouTube (youtube.com/@VitalCareMedicalGroup30).

SEO FAQ Section

1. What services does VitalCare Medical Group 30 Ltd offer?

VitalCare Medical Group 30 Ltd provides primary care, urgent care, physiotherapy, diagnostic imaging, mental health counselling, pharmacy, community nursing, and specialist clinics for chronic conditions. The company also offers telehealth through the MyVitalCare platform.

2. Where is VitalCare Medical Group 30 Ltd headquartered?

VitalCare Medical Group 30 Ltd is headquartered in London, United Kingdom, at 53 Harley Street. The organisation operates clinics across South East England.

3. How can I book an appointment with VitalCare Medical Group 30 Ltd?

Appointments can be booked via the MyVitalCare app, through the online patient portal, or by calling your local clinic directly. Emergency appointments are available on the day.

4. Is VitalCare Medical Group 30 Ltd part of the NHS?

VitalCare Medical Group 30 Ltd is a private limited company that holds NHS contracts to provide general practice and community services. It also offers private services for patients who choose to pay or use insurance.

5. What are the opening hours of VitalCare Medical Group 30 Ltd clinics?

Most clinics are open Monday to Friday from 8am to 6:30pm, with extended hours on Wednesday evenings until 8pm and Saturday morning appointments at selected sites. Urgent care centres are open 8am–10pm daily.

6. How does VitalCare Medical Group 30 Ltd handle patient feedback?

VitalCare Medical Group 30 Ltd actively solicits feedback through surveys, comment cards, and online reviews. A dedicated Patient Experience Team responds to all comments and implements changes based on trends.

7. Does VitalCare Medical Group 30 Ltd provide home visits?

Yes, home visits are available for housebound patients, primarily for nursing assessments and palliative care. GPs may also conduct video consultations for those unable to travel.

8. What insurance plans does VitalCare Medical Group 30 Ltd accept?

VitalCare Medical Group 30 Ltd accepts major private health insurers including Bupa, AXA Health, Vitality, and Aviva. Self-pay options are also available.

9. What technology does VitalCare Medical Group 30 Ltd use?

The company uses EMIS Web, SystmOne, Accurx, and a custom patient portal. It also deploys AI triage chatbots, remote monitoring devices, and a population health analytics dashboard.

10. How does VitalCare Medical Group 30 Ltd ensure data security?

VitalCare Medical Group 30 Ltd is ISO 27001 certified, follows NHS Digital's data security standards, and encrypts all patient data. The company conducts regular staff training on GDPR and data protection.

11. Does VitalCare Medical Group 30 Ltd have a charity partnership?

Yes, VitalCare Medical Group 30 Ltd partners with Macmillan Cancer Support and Mind, raising funds and awareness through events and campaigns. Each clinic also supports a local charity.

12. What is the patient satisfaction rating for VitalCare Medical Group 30 Ltd?

Based on internal surveys and external platforms like Trustpilot and Google, VitalCare Medical Group 30 Ltd maintains an average patient satisfaction score of 4.7 out of 5.

13. How many employees work at VitalCare Medical Group 30 Ltd?

VitalCare Medical Group 30 Ltd employs over 2,100 people, including doctors, nurses, allied health professionals, and support staff.

14. What awards has VitalCare Medical Group 30 Ltd won?

The company has won the HSJ 'Provider of the Year' (2021), 'Best Companies to Work For' (2019–2024), and multiple CQC 'Outstanding' ratings across its sites.

15. Does VitalCare Medical Group 30 Ltd offer training programs?

Yes, the VitalCare Academy offers apprenticeships, CPD courses, leadership training, and clinical upskilling. The company also funds external qualifications.

16. Can I access my medical records online with VitalCare Medical Group 30 Ltd?

Yes, patients can view their medical records, test results, and appointment history through the MyVitalCare secure patient portal, integrated with the NHS App.

17. What is the sustainability policy of VitalCare Medical Group 30 Ltd?

VitalCare Medical Group 30 Ltd aims to achieve carbon neutrality by 2030 through energy efficiency, telemedicine to reduce travel, and electric vehicle fleet.

18. How does VitalCare Medical Group 30 Ltd support employee wellbeing?

Employees have access to an Employee Assistance Programme, mental health first aiders, flexible working, and a 'Wellness Wednesday' programme. The company also offers subsidised gym memberships.

19. Is VitalCare Medical Group 30 Ltd accepting new patients?

Yes, most clinics are open to new NHS and private patients. Check the website for specific registration policies at each location.

20. How do I contact VitalCare Medical Group 30 Ltd for general inquiries?

You can reach VitalCare Medical Group 30 Ltd via the contact form on its website, by phone at +44 (0)20 7946 0123, or by visiting any clinic in person.

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