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Inspection report

Date of Inspection: 27 March 2013
Date of Publication: 30 May 2013
Inspection Report published 30 May 2013 PDF

People should get safe and coordinated care when they move between different services (outcome 6)

Meeting this standard

We checked that people who use this service

  • Receive safe and coordinated care, treatment and support where more than one provider is involved, or they are moved between services.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 27 March 2013, observed how people were being cared for and talked with staff.

Our judgement

People’s health, safety and welfare was protected when more than one provider was involved in their care and treatment, or when they moved between different services. This was because the provider worked in co-operation with others.

Reasons for our judgement

People’s health, safety and welfare was protected when more than one provider was involved in their care and treatment, or when they moved between different services. This was because the provider worked in co-operation with others.

We saw a letter in one of the medical records we read written by a patient to the doctor. The patient thanked the doctor for advising them to go straight to the accident and emergency department of the nearest hospital. The doctor had advised this course of action after correctly suspecting the patient had an acute medical condition requiring mainstream medical treatment.

We read emails from patients in the medical records we looked at. The content of the emails showed patients were giving permission for the doctor at the clinic to contact their GP and their medical consultant about the service they were receiving at the clinic. We read copies of letters in each of the four medical records that the doctor had written to patients’ GPs and to their medical consultants.

This provider understood the importance of effective working with other health care professionals involved in the care and treatment of patients who they were also seeing at their clinic. We read what the doctor had written in the information pack all prospective patients received. We have quoted directly from the providers information pack ‘when I become involved with patient’s treatment, it is very important that I communicate with their other doctors. There is always personal choice of course but when I prescribe medication it is essential that I let other doctors know ’.

The information pack also went on to state ‘ patients are asked to supply details of all professionals involved in their care at the time of an initial consultation, and to update me if there are any changes’ .

The doctor understood their responsibility to cooperate with other providers involved in their patients’ treatment. The doctor was aware of the Litfield House safeguarding policy which states, ‘where there is a question as to the suitability of a patient to give informed consent the operating practitioner will be responsible for ensuring that the advice of the patient’s General Practitioner or other medical attendant is sought prior to treatment’.