Queens Park Surgery

Updated 3 November 2017

 Queens Park Surgery is located in Billericay, Essex and provides GP services to approximately 5,200 patients. New patients are registered from Billericay, Great Burstead, Little Burstead, Ramsden Heath and Ramsden Bellhouse.

Queens Park Surgery is governed by an individual provider, who is a male GP. There is one female salaried GP working at the practice, two part-time long-term locums and two part-time nurses.

A number of part time administrative and secretarial staff supports the practice manager, who works 30 hours a week.

The practice is open from 8am until 6.30pm from Monday to Friday. Appointments are from 9am until 12.30pm on a Monday and Thursday, 9.30am until 12.50pm on a Tuesday, 8.30am until 12.10pm on a Wednesday and 9.00am until 12.50pm on a Friday. Afternoon surgery is from 3.10pm until 6.00pm on a Monday and Thursday, 3.40pm until 6.30pm on a Tuesday, 3pm until 6pm on a Wednesday and 1.30pm until 6.00pm on a Friday. On a Tuesday evening, pre-booked patients can be seen from 6.30pm until 7.30pm. Outside of the hours, patients can book appointments with a GP or nurse through reception at the local hub. The hub is open from 6.30pm until 8pm on weekdays and from 8am until 6pm on a Saturday and Sunday.

The reception telephone line is closed daily from 12.30 until 2pm, at which time patients with urgent queries are directed to use an alternative telephone number at the practice.

Updated 3 November 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Queens Park Surgery on 10 April 2017. The overall rating for the practice was good. Safe, effective, responsive and well-led were rated as good and caring was rated requires improvement. The full comprehensive report on the April 2017 inspection can be found by selecting the ‘all reports’ link for Queens Park Surgery on our website at www.cqc.org.uk.

This inspection was a focused desk-based inspection carried out on 11 October 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 10 April 2017. This report covers our findings in relation to those requirements and also additional improvements identified since our last inspection.

Overall, the practice remains rated as good and caring is now rated as good.

Our key findings across all the areas we inspected were as follows:

• The practice had allocated resources and called relevant patients to attend for their annual learning disabilities check.
• Syringes to administer paediatric (child) doses were now available in the anaphylactic kit.
• The practice had identified 35 patients as carers. This amounted to 0.7% of the practice list.
• Staff had received information about what to do in the event that fridge temperatures exceeded minimum and maximum limits and as to the location of the oxygen.
• Feedback in relation to consultations with the nurse was now in line with CCG and national averages.

The practice should:

• Continue to identify and support patients who are carers.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 18 May 2017

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

• The percentage of patients with asthma who had an asthma review in the preceding 12 months was 76% which was 2% above CCG average and 2% above England average.
• GPs led chronic disease management and patients at risk of hospital admission were identified.
• There were monthly multi-disciplinary meetings with other healthcare professionals to discuss complex patients.

• There were good systems in place to ensure safe prescribing of repeat medicines, including those that were high-risk.

Updated 18 May 2017

The practice is rated as good for the care of families, children and young people.

• The midwife held a regular clinic at the practice.
• There were appointments available out of school hours.
• The practice carried out antenatal and postnatal checks.
• There were procedures in place to safeguard children from abuse.
• The practice had policies and trained staff on consent and capacity of young patients.

• There were not appropriate syringes in the anaphylactic kit to administer paediatric (child) doses in the event of an emergency.

Updated 18 May 2017

The practice is rated as good for the care of older people.

• All patients who were aged 75 years and over were offered a flu vaccination and advised of their named GP.
• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns.
• The practice offered proactive, personalised care to meet the needs of the older patients in its population.
• The practice was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.
• Older people who were identified by the practice at risk of unplanned hospital admission were placed on the admissions avoidance register.

Updated 18 May 2017

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.
• Online consultations were available. A GP would contact the patient within 24 hours to provide advice.
• Appointments were available outside of usual working hours on a Tuesday evening from 6.30pm until 7.30pm. Patients could book appointments with a GP or nurse later in the evenings and on a weekend through reception at the local hub.
• Data for the year 2015/2016 showed that 79% of females aged 25-64 had attended for their cervical screening which was in line with the CCG and England averages of 82%.
• Appointment reminders could be sent by text message or voicemail to patients providing their mobile phone number.

• There was online access to records, appointments and ordering repeat prescriptions.

Updated 18 May 2017

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

• Performance for mental health indicators was comparable to CCG and national averages.
• The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a care plan documented in the record in the 12 months was 88%, which was 1% above CCG average and in line with England average.
• The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses whose alcohol consumption had been recorded in the preceding 12 months was 91% which was 4% above CCG average and 2% above England average.

• There was a counsellor at the practice one day every two weeks. Patients could self-refer to this service.

Updated 18 May 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• Patients could self-refer to a counsellor who attended the practice every other week.
• The practice had identified 23 patients as carers, which amounted to 0.4% of the practice list.
• The practice had 10 patients on the learning disability register. The practice had not completed any health checks for patients with learning disabilities in the last year.

• The practice was performing in line with averages in relation to responses relating to involvement in decisions with the GPs, although feedback was less positive in relation to the nurse.