Updated 20 December 2024
Date of Assessment: 7 February 2025 to 16 February 2025. Mallard Medical Practice is a GP practice and delivers service to 5,447 under a contract held with NHS England. The National General Practice Profiles states that the patient population is predominately white (96.13%) with a small mix of other ethnicities. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 7th decile (7 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report. There was a risk that patients were not protected from abuse and avoidable harm because the service did not always have a proactive and positive culture of safety based on openness and honesty. However, we found the service made sure that medicines were managed appropriately. Staff reviewed people’s care and worked with other services to achieve this. However, there were some gaps in the way the practice recalled patients for regular reviews. The service made sure that people could access the care, support, and treatment they needed when they needed it. Staff and leaders did not always actively listen to information about people who are most likely to experience inequality in experience or outcomes. There was a lack of effective leadership, cohesive vision, and strategy within the practice. Governance processes were ineffective, which meant leaders did not always act on the best information about risk, performance, and outcomes, or share this securely with others when appropriate.
We found breaches of regulation in relation to staffing, recruitment and good governance. We have asked the provider for an action plan in response to the concerns found.