Archived: Gosford Green Surgery

Updated 8 September 2017

Gosford Green Surgery is a GP practice located close to Coventry city centre. It operates under a General Medical Services (GMS) contract with NHS England. A GMS contract is one type of contract between general practices and NHS England for delivering primary care services to local communities. The practice operates from modern accessible premises it has occupied since 2013. It is operated by an individual GP (a practice with one GP who has managerial and financial responsibility for running the business) and has a patient list size of 3,001.

The catchment area for Gosford Green Surgery experiences higher than average levels of ethnic diversity and social deprivation, and a significantly larger than average proportion of the population belong to young family age groups. The practice has expanded its contracted obligations to provide enhanced services to patients. An enhanced service is above the contractual requirement of the practice and is commissioned to improve the range of services available to patients. For example, the practice offers extended hours access, minor surgery, and rotavirus and shingles immunisation.

The clinical team includes one male GP, one female practice nurse and one female healthcare assistant. The practice also uses two regular locum GPs (one male and one female) to support continuity of care for patients. The clinical team is supported by a practice manager, an assistant manager, and five reception and administrative staff.

Gosford Green Surgery is open from 8.30am to 6.30pm on weekdays. The practice also offers appointments to patients during extended hours from 6.30pm to 8pm every Monday. From 8am to 8.30am there are arrangements to divert calls to a service provided by West Midlands Ambulance Service which refers urgent cases to the on-call GP. Outside of the practice’s core opening hours of 8am to 6.30pm there are arrangements in place to direct patients to out-of-hours services provided via NHS 111.

Updated 8 September 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Gosford Green Surgery on 16 May 2017. As a result of our inspection the practice was rated as good overall but required improvement for providing safe services. The full comprehensive report on the May 2017 inspection can be found by selecting the ‘all reports’ link for Gosford Green Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based focused inspection carried out on 16 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 16 May 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings were as follows:

• The practice had introduced a pathway and written guidance to ensure that all staff were aware of the correct procedure to follow when reviewing letters from the hospital that indicated changes in medicines. They had also carried out an audit to evidence that all staff had correctly adhered to the process since its implementation.
• The practice had a system and policy for reporting significant events but had reviewed and enhanced this to encourage staff to consider more topics for significant event reporting.
• The practice had replaced missing items and ensured that emergency medicines and equipment included all necessary items recommended for use in an emergency.
• The National Patient Survey results published in July 2017 showed that the patient satisfaction was higher in most areas than the previous survey had reported and indicated improvement had been made. Generally the practice results were now comparable to the Clinical Commsioning Group (CCG) and national averages.
• The practice had obtained posters advertising national screening and had placed these in the waiting area to encourage patient uptake. Bowel screening was also promoted on the practice health promotion television screen in the waiting area. The practice told us that clinical staff were also reminding eligible patients opportunistically during consultations of the importance of screening.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 8 September 2017

Following our comprehensive inspection on 16 May 2017 we rated the practice as good for the population group of people with long-term conditions. We did not review any evidence during our desk based focused inspection to alter this rating.

Updated 8 September 2017

Following our comprehensive inspection on 16 May 2017 we rated the practice as good for the population group of families, children and young people. We did not review any evidence during our desk based focused inspection to alter this rating.

Updated 8 September 2017

Following our comprehensive inspection on 16 May 2017 we rated the practice as good for the population group of older people. We did not review any evidence during our desk based focused inspection to alter this rating.

Updated 8 September 2017

Following our comprehensive inspection on 16 May 2017 we rated the practice as good for the population group of working age people (including those recently retired and students). We did not review any evidence during our desk based focused inspection to alter this rating.

Updated 8 September 2017

Following our comprehensive inspection on 16 May 2017 we rated the practice as good for the population group of people experiencing poor mental health. We did not review any evidence during our desk based focused inspection to alter this rating.

Updated 8 September 2017

Following our comprehensive inspection on 16 May 2017 we rated the practice as good for the population group of people whose circumstances may make them vulnerable. We did not review any evidence during our desk based focused inspection to alter this rating.