- Independent doctor
LADMS GP Enhanced Access Service - Skegness and District Hospital
Assessment report published 29 September 2026
Contents
Ratings
Our view of the service
Date of Assessment: 13 April to 24 April 2026.
Lincolnshire and District Medical Services Limited (LADMS) is an independent healthcare provider who provides a number of healthcare services, which includes the provision of general practice enhanced hours appointments. We focused this assessment on the enhanced hours services LADMS provide.
LADMS provide enhanced hours access appointments on weekday evenings and weekends at five locations within East Lincolnshire. The service is contracted through the First Coastal Primary Care Network (PCN). Practices in the First Coastal PCN include Beacon Medical Practice, Hawthorn Medical Practice and Marisco Medical Practice. Together the practices have a combined list size of approximately 53,000 people, which increases over the summer months upon the influx of holiday makers visiting the east coast.
Appointments were provided at Skegness Hospital and Marisco Medical Practice on Saturdays and Sundays from 08:30 to 17:00. Evening appointments were provided at Beacon Medical Centre Ingoldmells site and Marisco Medical Practice, Mablethorpe from 6.30pm to 8pm on Mondays and Fridays.
The service had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. However, learning outcomes were not always shared within the team. Staff did not always understand and manage risks.
The facilities and equipment met the needs of people and were clean and well-maintained, however, risks were not always mitigated. The service was unable to evidence that staff always had the right skills, qualifications, experience, or registration with mandatory governing bodies. Managers made sure staff received training and regular appraisals to maintain high-quality care.
People were involved in the assessments of people’s needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving between services. Staff made sure people understood their care and treatment to enable them to give informed consent.
People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service supported staff wellbeing.
People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. Managers worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.
People's experience of this service
People were mostly positive about the quality of their care and treatment. People told us they worked long hours and found the extended hours service to be their only practical way of accessing GP services. They said they especially benefitted from the provision of weekend appointments, although they were not always able to access appointments when they wanted. People told us that they felt involved in assessments of their needs and felt confident that staff understood their individual needs.
As part of this assessment, we asked the service to encourage people to give feedback on their care to the CQC by sharing a link on their website, texting people and displaying posters throughout the practice. However, we only received feedback from 2 people.