Archived: Dr Keith T Tattum Also known as Dr KT Tattum

Updated 11 February 2016

Dr Keith T Tattum is registered with the Care Quality Commission as an individual provider based at Baddeley Green Surgery.

The practice area is one of less deprivation when compared with the local and national averages. Life expectancy and the health of people within Stoke on Trent, whilst improving, are generally worse than the national average.

At the time of our inspection the practice was caring for 5,319 patients of which patients ages were broadly within national averages.

The practice clinical staffing consists of two male GPs and one female GP. An all-female nursing team consists of an independent nurse prescriber, practice nurse and healthcare assistant. The administrative team is led by a practice manager, assisted by a quality and performance manager and reception manager with six further members of reception/administrative staff.

The practice has opted out of providing cover to patients in the out-of-hours period. During this time services are provided by Staffordshire Doctors Urgent Care, patients access this service by calling NHS 111.

The practice is open from 8am to 6pm on Monday, Tuesday, Wednesday and Friday and from 8am to 1pm on a Thursday. During these times the reception desk and telephone lines are always staffed. Extended appointments are offered from 6pm to 9pm on a Wednesday. Patients can book appointments in person, by telephone or online for those who have registered for this service .

Updated 11 February 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Keith Tattum on 14 December 2015. Overall the practice is rated as good.

Our key findings were as follows:

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

• Feedback about the appointment system was mixed; patients told us they could get an urgent appointment when needed, although some said it was difficult to book a future appointment.

We saw a feature of outstanding practice:

• The lead GP had an interest in poor mental health. The practice used nationally recognised assessment methods in determining the levels of depression experienced by patients and also offered relevant patients a psychological assessment. Patients experiencing depression had the opportunity to enter a contract with the practice to detail their expectations and hopes for the management of their condition. Data demonstrated that the practice was effective in their management and identification of patients with depression.

There were areas where the practice should make improvements:

• Implement changes in infection control within the practice as detailed in the infection control specialist’s audit.

• Undertake a written risk assessment for Legionella and mitigate any risks identified.

• Consider obtaining wider feedback from patients about the practice appointment system and improve the availability of bookable future appointments with GPs.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 11 February 2016

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

• Patients at the highest risk of unplanned admission to hospital were identified and care plans had been implemented to meet their health and care needs.

• Performance for the diabetes related indicators was comparable with the CCG and national averages. For example, 77.4% of patients with diabetes had received a recent blood test to indicate their longer term diabetic control was below the highest accepted level, compared with the CCG average of 75.1% and national average of 77.5%.
• Longer appointments and home visits were available when needed.

Updated 11 February 2016

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

• We received positive feedback from patients in this group.

• Children under 12 were offered a same day appointment.

• The practice provided childhood immunisations and uptake rates were comparable to CCG and national averages.

• The practice’s uptake for the cervical screening programme was 85.2% which was higher than the CCG average of 79.9% and the national average of 81.8%. The practice performance in this area was the highest within the CCG area.

Updated 11 February 2016

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

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• Seasonal Flu vaccination rates for the over 65s were 76.6% compared with the national average of 73.2%.

Updated 11 February 2016

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.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

• The practice offered evening appointments to benefit those of a working age.

Updated 11 February 2016

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

• 100% of patients with severe poor mental health had a comprehensive care plan completed within the previous 12 months, compared with the CCG average of 86.3% and national average of 88.3%.

• The practice used nationally recognised assessment methods in determining the levels of depression experienced by patients and also offered relevant patients a psychological assessment.

• 8.67% of patients had been identified as experiencing depression. This was higher than the CCG average of 7.74% and national average of 5.82%.

• Patients experiencing depression had the opportunity to enter a contract with the practice to detail their expectations and hopes for the management of their condition.
• 96.6% of patients with dementia had a face to face review of their condition in the last 12 months. This was higher than the CCG average of 85.1% and national average of 84%.

Updated 11 February 2016

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

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.

• The practice offered annual health reviews and longer appointments for patients with a learning disability.

• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.