Archived: Dr Rizan Jameel Also known as Weston Favell Health Centre- Dr Jameel

Updated 19 October 2016

Dr Jameel’s practice provides care for approximately 4,200 patients. The service covers Weston Flavell which is a suburb of Northampton town. The practice holds a General Medical Services contract a nationally agreed contract and provides GP services commissioned by NHS England. The practice has high ethnic population.

The practice is managed by a single handed male GP who provides seven clinical sessions per week. In addition, there are two salaried GPs who between them provide a further six clinical sessions. There are two nurse prescribers who contribute an additional seven clinical sessions per week. Two practice nurses and one health care assistant (HCA) are also employed. They provide cervical screening, vaccinations, reviews of long term conditions and phlebotomy (taking blood samples) services. The practice employs a practice manager, five administration/reception staff and an apprentice receptionist.

The practice offers a range of clinics for chronic disease management, diabetes, heart disease, cervical screening, contraception advice, minor surgery, injections and vaccinations.

The practice is located in a health centre and shares the premises with three other practices. The practice has three consulting rooms that are located at ground level for ease of access for patients who have limited mobility. Car parking for patients is limited and shared with the other practices.

The practice is open from 8am until 6.30pm every weekday with the exception of Mondays when the practice closes at 7.30pm and Tuesdays at 7pm.The telephone lines are open every day between 8am and 6.30pm for patients to receive non-clinical advice.

Appointments are available from 9.30am until 12.30pm and 3.30pm until 6pm. Extended hours are provided for pre-booked appointments until 7.30pm every Monday and until 7pm every Tuesday.

The practice has opted out of providing GP services to patients out of hours such as nights and weekends. During these times GP services are provided currently by a service commissioned by NHS Nene Clinical Commissioning Group (CCG), Mendoc Service. When the practice is closed, there is a recorded message giving out of hours’ details. The practice leaflet also includes this information and there are leaflets in the waiting area for patients to take away with them.

Updated 19 October 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Dr R Jameel on 7 July 2016. Overall the practice is rated as good.

Our key findings across all of the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded.

• Staffing levels were monitored to ensure they matched patients’ needs. Safe arrangements were in place for staff recruitment that protected patients from risks of harm.

• Risks to patients were assessed and well managed.

• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training had been identified and planned.

• Patients told us they were treated with compassion, dignity and respect and they were involved in decisions about their treatment.

• Information about how to make a complaint was readily available and easy to understand.

• The practice had good facilities and was well equipped to assess and treat patients.

• There was clear a leadership structure and staff told us they felt well supported by senior staff. Management proactively sought feedback from patients which they acted on.

However, there were areas of practice where the provider should to make improvements.

The provider should:

• Ensure that clinical audits are repeated to demonstrate on-going patient care improvements.

• Ensure continued monitoring and improvement of health checks and reviews of patients with long-term conditions.

• Continue to monitor and ensure improvements to national patient surveys.

• Continue to identify and support carers.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 19 October 2016

The practice is rated good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management.

• Longer appointments and home visits were available when needed.

• Patients with long-term conditions had structured annual reviews to check that their health and medicine needs were being met. Where necessary reviews were carried out more often.

• Clinical staff worked with health and care professionals to deliver a multidisciplinary package of care.

• Where necessary patients in this population group had a personalised care plan in place and they were regularly reviewed. For example, patients who had diabetes.

• The 2014-2015 data informed that the percentage of patients with diabetes who had health checks was 88% which was 4% below both the CCG average and 1% below the national average.

Updated 19 October 2016

The practice is rated good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk. Monthly safeguarding meetings were held to ensure that needs were met of patients at risk of harm.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals.

• Family planning advice was given during normal surgery hours.

• Extended hours were in place that allowed children to be seen outside of school hours. Appointments were available until 7.30pm every Monday and 7pm every Tuesday.

• The practice’s uptake for the cervical screening programme was 83%, both the CCG and national averages were 74%.

• Childhood immunisation rates for vaccinations given to under two year olds ranged from 82% to 100%, the CCG average was from 88% to 98%. Immunisations for five year olds were from 93% to 96%, the CCG average was from 94% to 97%.

Updated 19 October 2016

The practice is rated good for the care of older people.

• Practice staff offered proactive, personalised care to meet the needs of older patients.

• Staff kept up to date registers of patients’ health conditions and information was held to alert staff if a patient had complex needs.

• Home visits were offered to those who were unable to access the practice and patients with enhanced needs had prompt access to appointments.

• Practice staff worked with other agencies and health providers to provide patient support.

• The practice maintained a palliative care and end of life plans were in place for those patients it was appropriate for including vulnerable patients.

• Immunisation for shingles was offered to this population group.

Updated 19 October 2016

The practice is rated good for the care of working-age people (including those recently retired and students).

• The practice had adjusted its services to accommodate the needs of this population group.

• Extended hours were available and telephone consultations for those patients who found it difficult to attend the practice or if they were unsure whether they needed a face to face appointment.

• Online services were available for booking appointments and ordering repeat prescriptions.

• The practice website gave advice to patients about how to treat minor ailments without the need to be seen by a GP.

• There was health promotion and screening that reflected the needs of this age group. For example,

Updated 19 October 2016

The practice is rated good for the care of people experiencing poor mental health (including people with dementia).

• The practice maintained a mental health register which included patients who had dementia.

• The review rate for dementia was 100% which was 1% above the CCG average and 3% above the national average.

• Patients who experienced poor mental health had been offered annual physical health checks.

• The practice had developed comprehensive mental health and dementia care plan templates that included details of patients’ social needs.

• Practice staff regularly worked with multi-disciplinary teams in the case management of patients who experienced poor mental health, including those with dementia.

• Referrals to other health professionals were made when necessary and patients considered to have severe conditions were flagged (computer alert) as high risk to enable staff to prioritise patients’ needs.

Updated 19 October 2016

The practice is rated good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including those who had a learning disability.

• Alerts were put onto the electronic record when safeguarding concerns were raised.

• Practice staff regularly worked with multi-disciplinary teams in the case management of vulnerable patients.

• These patients had been signposted to additional support services such as; groups organised by the local authority.

• Staff knew how to recognise signs of abuse, the actions they should take and their responsibilities regarding information sharing.

• Practice staff worked with multi-disciplinary teams in the case management of vulnerable patients.

• Staff had registered 1% of the practice population as carers. Some patients chose not to be included in the carers register. Clinical staff offered carers health checks, flu vaccinations and advice.