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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Updated 28 July 2017

We carried out an announced comprehensive inspection of Now GP on 14 June 2017. Now GP provides an online service for patients, via a smartphone application (app). This allows patients access to online video consultations and healthcare advice with a GP. All prescribed medicines are dispensed to patients from either an affiliated or third party pharmacy (which we do not regulate).

We found this service provided safe, effective, caring, and responsive and well-led services in accordance with the relevant regulations.

Our key findings were:

  • All clinicians were qualified GPs (general practitioners) who were registered with the General Medical Council (GMC). Patients could access a brief description of the clinicians available and had the choice of a male or female GP.
  • There were appropriate recruitment checks and induction programmes in place for all staff. GPs registered with the service received specific induction training and a GP handbook prior to treating patients. All the staff had access to all policies.
  • There were comprehensive systems in place to check the patient’s identity and to protect personal information about patients.
  • The service had clear systems to keep people safe and safeguarded from abuse.
  • There were systems to ensure staff had the information they needed to deliver safe care and treatment to patients. Patients were treated in line with best practice guidance and appropriate medical records were maintained.
  • With the patient’s consent, the service shared information about treatment with the patient’s own GP in line with the GMC and the provider’s guidance.
  • A range of medicines were prescribed in line with the provider’s medicine formulary (a list of medicines GPs can prescribe from). Prescribing was monitored to prevent any misuse of the service by patients and to ensure GPs were prescribing appropriately.
  • There were systems in place to mitigate safety risks including analysing and learning from significant events and safeguarding.
  • The service learned and made improvements when things went wrong. The provider was aware of and complied with the requirements of the Duty of Candour.
  • There were clinical governance systems and processes in place to ensure the quality of service provision.
  • The service had a programme of ongoing quality improvement activity, which included regular reviews of consultations.
  • There were clear business strategy and future development plans in place.
  • The service encouraged and acted on feedback from both patients and staff.
  • Survey information we reviewed showed that patients said they were satisfied with the care, treatment and service they received.
  • Staff we spoke with were aware of the organisational ethos and philosophy and told us they felt well supported and that they could raise any concerns.
  • Both the company and individual GPs were registered with the Information Commissioner’s Office.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection areas

Safe

Updated 28 July 2017

Effective

Updated 28 July 2017

Caring

Updated 28 July 2017

Responsive

Updated 28 July 2017

Well-led

Updated 28 July 2017