The Old Church Surgery

Updated 2 May 2018

The Old Church Surgery is registered as a Partnership with the Care Quality Commission (CQC) to carry on the regulated activities of Diagnostic and screening procedures, Family planning, Maternity and midwifery services, and Treatment of disease, disorder or injury from one location: The Old Church Surgery, Silverthorne Centre, 2 Friars Close, London E4 6UN.

The Old Church Surgery provides services to patients under a General Medical Services (GMS) contract with NHS England. The practice is a member of the NHS Waltham Forest Clinical Commissioning Group (CCG).

The practice is located in Chingford in north east London and has approximately 5,800 registered patients. It has experienced an increase of some 1,500 registered patients since moving to its new premises in February 2017.

The index of multiple deprivation score for the practice area is five (one equals most deprived and 10 equals least deprived). Twenty four per cent of the people in the practice area are from black and minority ethnic groups.

The practice provides GP care to all the residents in four local care homes and to some of the residents in a further three care homes.

The Old Church Surgery is an approved training practice wherein qualified doctors, known as registrars, complete the final stages of their training to become a GP. There were three trainees at the time of the inspection.

The practice is in refurbished NHS premises. Patient areas and facilities are mostly on the first floor and wheelchair accessible. There is a lift to the first floor.

There are three GP partners working at the practice, two female and one male. Together they make up 1.9 whole time equivalent (WTE) GPs. There is one part-time advanced nurse practitioner (0.8 WTE), one part-time practice nurse (0.5 WTE), and one part-time healthcare assistant (0.3 WTE). The clinical staff are supported by a team of receptionist staff and a part-time practice manager (0.6 WTE).

The practice opening times are 8.00am to 6.30pm Monday to Friday. The practice is open for extended hours between 6.30pm to 8.00pm on Wednesday.

Appointments are available between the following times:

• 8.15am and 6.00pm on Monday, Tuesday, Thursday and Friday.

• 8.15 am 7.40pm on Wednesday.

The out-of-hours service is provided by Partnership of East London Cooperatives (PELC). Patients are directed to the out of hours GP service when the practice is closed.

The practice has a website: www.oldchurchsurgery.org.uk.

In October 2015 we inspected the practice in its previous premises: 99 Chingford Avenue, E4 6RG. The practice was rated as good for all five questions and for all six population groups. The inspection report can be found at www.cqc.org.uk/location/1-559742210).

Updated 2 May 2018

This practice is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at The Old Church Surgery on 29 March 2018 following the relocation of the practice to its new premises.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Formalise guidance, policies and clinical pathways for the recognition and management of sepsis.

• Consider ways to improve the uptake of bowel cancer screening amongst the practice’s patients.

• Formalise systems for making sure the requirements of the duty of candour are met.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 2 May 2018

Updated 2 May 2018

Updated 2 May 2018

Updated 2 May 2018

Updated 2 May 2018

Updated 2 May 2018