Newbold Verdon Medical Practice

Updated 11 January 2021

Newbold Verdon Medical Practice is a six partner practice which provides primary care services to approximately 11000 patients under a General Medical Services (GMS) contract.

The practice is situated in Newbold Verdon, Leicestershire with a branch practice at Bosworth,

Leicestershire. Both are in purpose-built buildings and are accessible to patients with wheelchairs and those with limited mobility. There is a large car park at both sites with disabled spaces available.

Services are provided from Newbold Verdon Medical Practice, St Georges Close, Newbold Verdon LE9 9PZ and Market Bosworth Surgery, Back Lane, Market Bosworth CV13 0LD.

The practice consists of six partners (three male and three female). The nursing team consists of three advanced nurse practitioners, three practice nurses and four health care assistants (HCAs). Two of the HCAs have dual roles, one covering reception duties and one working in the dispensary. The dispensary has two dispensers and two administrative staff who are also able to assist in the dispensaries. The practice has a practice manager and an assistant practice manager supported by eight clerical and administrative staff who support the day to day running of the practice. Both sites have a dispensary that dispense to approximately 4500 patients.

The practice has a lower than average number of patients aged 0 to 44 years of age and higher than average number of patients over 45 years of age. The practice has lower than average deprivation and sits in the second least deprived centile.

The practice lies within the NHS West Leicestershire Clinical Commissioning Group (CCG). A CCG is an organisation that brings together local GPs and experienced health professionals to take on commissioning responsibilities for local health services.

The main practice at Newbold Verdon is open between 8am and 6.30pm Monday to Friday. Appointments are from 8am to 6pm Monday to Friday. The branch surgery at Market Bosworth is open 8am to 5.30pm other than Monday when it opens until 6pm. Extended hours are provided at the Newbold Verdon site with a surgery on Saturday morning from 8.30am to 11.30am with both on the day and pre bookable appointments available. Both of the surgeries close for one hour at lunch 12.30pm to 1.30pm. Patients can attend either site.

When the practice is closed patients are able to use the NHS 111 out of hours service.

Updated 11 January 2021

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Newbold Verdon Medical Practice on 1 November 2016. The overall rating for the practice was good but the rating for providing a safe service was requires improvement. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Newbold Verdon Medical Practice on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 22 June 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 1 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is still rated as good.

Our key findings were as follows:

• Morphine was no longer carried by GP’s for home visits.

• The system for maintaining the cold chain had been reviewed and was being followed.

• Multi-disciplinary team and safeguarding meetings had taken place regularly since our last inspection and further meetings were scheduled in order to review and monitor relevant patients.

• There was a programme of clinical audit in place.

• The practice now had available two cylinders of oxygen as a failsafe measure.

• Cleaning schedules had been implemented, both relating to the premises and medical equipment.

• A translation service was available locally and the reception team had been made aware of this and information regarding it was available on the shared drive of the practice computer system.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 22 December 2016

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

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Performance for diabetes related indicators was worse compared to the national average. 74% compared with 93% CCG average and 90% national average.

Diabetes had been identified as an area for improvement. The practice did not have an automated recall for diabetic patients and were reviewed opportunistically. The practice nurse and management were looking at a new process to improve this area.

• Longer appointments and home visits were available when needed.

• For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 22 December 2016

The practice is rated as 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, for example, children and young people who had a high number of A&E attendances. However safeguarding meetings had not taken place the first one had been organised for 10 November 2016.

• Immunisation rates were relatively high for all standard childhood immunisations.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• The practice’s uptake for the cervical screening programme was 82%, which was comparable to the CCG average of 81% and the national average of 82%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 22 December 2016

The practice is rated as good for the care of older people but outstanding in the caring domain for older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• The practice were organising events that were funded by the PPG to engage patients that may be at risk of loneliness such as annual day trips and coffee mornings.

Updated 22 December 2016

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

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• Appointments were available at Newbold Verdon on Saturday morning from 8.30am to 11.30am.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

• The practice sent letters to patients eligible for bowel screening to improve uptake.

Updated 22 December 2016

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

• 74% of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months, which is comparable to the national average of 78%.

• 73% of patients experiencing poor mental health were involved in developing their care plan in last 12 months which in line with the national average of 78%.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

• The practice carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 22 December 2016

The practice is rated as 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 with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice worked with other health care professionals in the case management of vulnerable patients however meetings were not held regularly.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.