The register
The register lists Spencer Street Surgery in Carlisle, Cumbria as a licensed sponsor on Skilled Worker, an entry that goes back to at least 2026. Its rating on the register is Worker (A rating).
Companies House lists the business as Spencer Street Surgery Limited, company number 16255172, a private limited company. The registered office is at 10 Spencer Street, Carlisle, CA1 1BP, CA1 1BP. Its filed activity puts it in health care.
Holding a licence is the expensive, slow part done. For Spencer Street Surgery the question each time is only whether the role and the pay fit the current rules, and that is checked per vacancy.