Archived: OneTeam Domiciliary

Updated 11 June 2019

Sutton GP Services limited is a federation of 25 NHS GP practices within the borough of Sutton. The federation provides the following services for patients in the Sutton Clinical Commissioning Group (CCG):

Domiciliary anticoagulation service: Anticoagulation management for patients registered with a GP in Sutton who require or receive anti-coagulant therapy at home.

Shared care programme: Drug and alcohol services to patients registered with a GP in Sutton.

Acute home visiting: For patients requiring same day assessment who had been triaged by a clinician in their practice as needing a visit within two hours; this service is run by nurse prescribers.

Multi-disciplinary team meetings: Delivery of complex multi-disciplinary team meetings in all 25 practices in Sutton.

NHS health checks: Health checks for anyone aged between 40 and 74 registered with a GP in Sutton.

Doctorlink online consultations: To roll out Doctorlink, an online consultation service across practices in Sutton. Currently five practices had signed up to use this service and this online service is centrally administered by the provider.

Community skin lesion service: This service gives GPs the opportunity to seek expert help to assist in diagnosing skin lesions and to refer patients to the skin lesion service for review.

They also provide an extended access service GP and nurse appointments service on weekday evenings, over the weekends and on bank holidays across two hubs. Further details about the Sutton GP services limited can be found on their website:

Old Court House Surgery is located at Throwley Way, Sutton, Surrey SM1 4AF. This is one of the sites delivering daily extended hours GP and nurse appointments.

Extended hours GP and nurse appointments are available from this site from 6:30pm to 8pm Monday to Friday, 8am to 8pm on Saturdays and Sundays.

In 2018-19 the service provided 20,634 appointments (60% GP and 40% nurse appointments). The GPs predominantly see routine patients and nurses predominantly see patients for wound dressings, contraceptive advice, smears, ear syringing and shingles vaccinations.

This location was visited and inspected as part of our overall inspection of Sutton GP services limited.

The management team consists of a director of operations, a board of six directors (five local GPs and a practice manager finance lead), a chairperson (GP), and a lead nurse.

The service employs nine staff members. The clinical team at the hub is made up of 24 long-term bank GPs and 11 long-term bank nurses. The non-clinical service team consists of a hub manager and nine long-term bank reception staff members.

The site operates from a single floor purpose-built premises, which also houses a GP practice (operated by a different provider). Car parking is available in the premises. Two consulting rooms are used by the Sutton GP Services limited.

The provider is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures and treatment of disease, disorder or injury.

Updated 11 June 2019

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

We carried out an announced comprehensive inspection at Old Court House Surgery GP Hub on 18 April 2019 as part of our inspection programme.

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. However, the service had not undertaken a comprehensive fire risk assessment.
• The service reviewed the effectiveness and appropriateness of the care it provided; however, the service had not undertaken any clinical audits. 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:

• Review service procedures to ensure comprehensive fire risk assessment is undertaken.
• Review service procedures to ensure clinical audits are undertaken.
• Review service procedures to ensure the results of medical records review are shared with relevant staff.
• Review service procedures to ensure patient consent is recorded for health checks.
• Consider providing appraisals for temporary nursing staff.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care