Archived: SELDOC Base - Dulwich Community Hospital

Updated 17 April 2020

SELDOC Base – Dulwich Hospital is the base hub for the out of hours service for the South East London boroughs of Lambeth, Southwark and Lewisham. The provider is SELDOC who have responsibility for two out of hours services in London, and they are a GP co-operative within this region who are directly contracted to provide out of hours care at two hubs, and home visiting services. SELDOC head office houses all of the senior and non-patient facing staff for both services, and service specific staff are based in two sites, one in Dulwich, the other in Lewisham.

The corporate headquarters for the service is at Hanover House, 78 Coombe Road, Kingston-Upon-Thames, Surrey, KT2 7AZ. The first of the two hubs is based at Dulwich Community Hospital, East Dulwich Grove, London, SE22 8PT. This service is the larger of the two hubs and has five consulting rooms which are utilised by a variety of medical professionals, although a general practitioner is always on site. The home visiting service is based at this hub. The second hub is based at Urgent Care Centre, University Hospital Lewisham, Lewisham High Street, London, SE13 6LH. At this site there is only one room, and this service is staffed by general practitioners only. The service utilises reception staff from the hospital run urgent care centre.

The service covers a large urban area, with large populations of both high and low deprivation. The populations of Lambeth, Southwark and Lewisham include a large number of different nationalities and there are substantial populations of patients from ethnic minorities.

The service manages between 1,400 and 1.800 face to face consultations at the two hubs and between 500 and 600 home visits per calendar month depending on the time of year.

The service is registered with the CQC to provide the regulated activities of Transport services, triage and medical advice provided remotely and Treatment of disease, disorder or injury.

Updated 17 April 2020

The location was last inspected on 20 January 2015. At that inspection the location was rated as good overall and in all of the key question areas.

We carried out an announced comprehensive inspection at SELDOC Base – Dulwich Community Hospital on Wednesday 26 February 2020. We under took the inspection as it was five years since the location had received a comprehensive inspection. This service 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

At this inspection we found:

• The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
• The service 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 people with compassion, kindness, dignity and respect.
• Patients were able to access care and treatment from the service within an appropriate timescale for their needs.
• 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:

• The service should undertake disease specific audits as well as the clinician specific audits that are currently in place.
• The service should review training so that reception staff at the Dulwich site and drivers have received the correct level of training for their role.
• The service should work with the local 111 service to review the allocation of patients to the home visiting service.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care