Taurus Healthcare Logo Taurus Healthcare

About us

Taurus Healthcare was established in 2012 as a federation of all 20 Herefordshire GP Practices. Its creation reflected a nationwide trend for general practices to work together to deliver better and more resilient services for patients.

The key principle for federative working in general practice is to wrap support around practices, providing the glue between them and filling any gaps. Our objective is not to replace practices, but to support them and offer services that they wouldn’t individually be able to access.

Our shareholders are all 20 Herefordshire GP practices. We are a limited company, but operate as if we are a Community Interest Company. Any surpluses we make are reinvested into providing improved healthcare services for the people of Herefordshire now and in the future.


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Taurus Healthcare's Aims

Our aims are:

  • To support practices to be safe, effective, efficient and resilient
    The support provided will vary dependent on the needs of each surgery, but typically includes back office services such as Recruitment, Finance and Human Resources.

  • To deliver services on behalf of GP practices, that improve provision across the county
    For example, Taurus operates the county’s 7 Day GP Service and GP Out of Hours Service as well as a new social prescribing service

  • To provide strategic leadership for Herefordshire’s GP Practices
    For example, by representing Herefordshire GPs at a range of important meetings and consultations, Taurus ensures that their collective voice is heard. 

Taurus Healthcare's Vision and Values


To be the leading provider of out-of-hospital care at scale, driving innovation, quality improvement and positive healthcare experience empowered through collaborative partnerships and federative working.


  • Embracing the valued traditions of general practice in the context of modern-day innovative services that are safe, responsive and compassionate.
  • Recognising that our entire workforce is our strength.
  • Shared ownership where all are encouraged to contribute and share responsibility.


We are fully regulated by a number of bodies and Acts of Parliament, including the Care Quality Commission and Data Protection Act.

Taurus Healthcare Board of Directors 


Dr Nigel Fraser - Chairman

A partner at Wargrave House Surgery in Hereford City centre, Nigel has an interest in diabetes and service re-design. Currently he chairs the Herefordshire Local Medical Committee and is an advocate of the GP provider role. Prior to taking up a partnership in Hereford he trained at Kings College Hospital, London, and served with the Royal Army Medical Corps. 



Dr Mike Hearne - Managing Director

Mike is a local GP and experienced across a wide range of primary and secondary care settings,

Mike has a good insight into the various pressures on healthcare throughout the county and sees Primary Care at Scale to be the future of high quality out of hospital care. Mike played an active role in the set up and delivery of the 7 day extended hours service, the countywide musculoskeletal  service and the Prime Minister's Challenge Fund projects. He has previously had a role as a GP appraiser, GP trainer, and dermatology clinical assistant and has completed the Kings Fund senior clinical leadership course. Mike is the Caldicott Guardian for Taurus. 


Andrew Lee 2Andrew Lee - Finance Director

Andrew is a Fellow of the Chartered Association of Certified Accountants, qualifying in 1992. He has almost 40 years’ experience of working in NHS Finance, with nearly the last 20 years at director level. Andrew was heavily involved in the creation of North Staffordshire CCG, and has been Director of Finance in CCG, PCT, Health Authority, NHS Trust and NHS Foundation Trust settings, along with undertaking the roles of Director of Quality & Performance and Director of Strategy plus spending time in a senior role in NHS Finance at the Welsh Assembly Government.


Nikki200Nikki Marriott - Director of Nursing

Nikki has over 20 years of experience in nursing and healthcare. Having worked in NHS hospitals and GP surgeries, Nikki joined Taurus in 2014. Nikki has been instrumental in the bidding and project management of many of the Taurus services including CEPN, Integrated Sexual Health, Health Checks and is the strategic workforce lead for Primary Care.


Nisha SankeyNisha Sankey - Director of Strategy and Primary Care Networks

Before joining Taurus Healthcare, Nisha trained in accountancy and subsequently as a Service Improvement Coach. Nisha has over 30 years’ experience in the NHS, including senior roles within the Family Health Services Authority and a number of large provider and commissioning organisations.


Additional Board Members (not pictured): 

Mr Graeme Walker; Mrs Alex Price (South West PCN); Dr Paul Harris (Wargrave, Belmont, Cantilupe PCN); Dr Ritesh Dua (North and West PCN); Dr Louise Mottram (East PCN); Dr Cath Laird (Hereford Medical Group PCN). 

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