Archived: Innovision Healthcare Ltd Also known as Burnley Medical Practice

Updated 22 January 2015

Innovision Healthcare Limited (aka The Burnley Medical Practice) is situated in Willesden Centre for Health, 1st Floor, Robson Avenue, London, NW10 3RY. The practice provides NHS primary medical services through an Alternative Provider Medical Service (APMS) contract to 4500 patents in the local community. The practice is part of NHS Brent Clinical Commissioning Group (CCG) which is made up of 67 GP practices. The practice serves a young population group with patients predominantly in the 25-45 years age range with diverse ethnic backgrounds. The practice staff comprise of two salaried male GP’s, one salaried female GP, a nurse practitioner, a practice nurse, healthcare assistant, practice manager and a small team of reception/administration staff. The practice is supported by the providers corporate team.

The practice opening hours are Monday to Friday 8.00am to 6.30pm with extended hours on Monday until 8.00pm. The practice is also open Saturday mornings from 9.00am to 12.00pm.

The practice currently runs a Hub service piloted by NHS England which supports GP’s in the local area to deal with a high demand for appointments with sessions running from 3.00pm to 9.00pm weekdays and 9.00am to 3.00pm Saturdays. The practice has opted out of providing out-of-hours services to its patients and refers patients to the 111 out-of-hours service.

The practice provides a range of clinics including clinics for child and travel vaccinations, smoking cessation, family planning, antenatal and postnatal and outreach clinics for homeless patients. The practice has their own phlebotomy service. The practice also works closely with charity partners and local hostels to ensure the hostel and homeless community access GP services.

Updated 22 January 2015

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Innovision Healthcare Limited on 21 October 2014. We rated the practice as ‘Good’ for the service being effective, caring, responsive to people’s needs and well-led. We rated the practice as ‘Good’ for the care provided to older people and people with long term conditions and ‘Good’ for the care provided to, families, children and young people, working age people (including those recently retired and students), people living in vulnerable circumstances and people experiencing poor mental health (including people with dementia).

We gave the practice an overall rating of ‘Good’

Our key findings were as follows:

• The practice had a good track record on safety and safety incidents were dealt with promptly.
• The practice was clean and hygienic and infection control standards were maintained by staff.
• Staff had received adequate training to deliver effective care and treatment to patients.
• Feedback from patients was overall positive. They said staff were caring, professional and respectful.
• A range of appointments were available for patients to access services including a Hub service to fit around patients’ needs.
• The practice sought feedback from patients and staff and made improvements to the service where necessary.

However, there were areas of practice where the provider needs to make improvements.

The provider should:

Complete clinical audit cycles to ensure that identified improvements are achieved and maintained

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 22 January 2015

The practice is rated as good for the care of people with long-term conditions. GPs had lead roles in the management of patients with long-term conditions and the practice nurse supported this work which allowed the practice to focus on specific conditions such as diabetes, heart disease, chronic obstructive pulmonary disease (COPD) and asthma. All these patients had annual reviews to check their health and medication needs were being met. For patients with the most complex needs the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care. The practice monitored its management of long-term conditions through the Quality and Outcomes Framework (QOF). The practice had achieved the QOF targets in relation to maintaining various disease registers for its practice population over the previous two years.

Updated 22 January 2015

The practice is rated as good for the care of families, children and young people. The practice held a range of clinics to meet the needs of this population group. For example, family planning, antenatal/postnatal, contraceptive and well child clinics. The practice held multidisciplinary team meetings monthly to review the needs of complex patients including children on the “at risk” register. The practice had an alert system in place to highlight children on child protection plans and GPs attended child protection meetings to discuss at risk children and plan care for them. Staff were trained to recognise the signs of abuse in children and they knew the reporting procedures if they had any concerns. Appointments were available outside of school hours and the premises was suitable for children and babies.

Updated 22 January 2015

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 patient population. For example, the practice had developed care plans for older patients to avoid unnecessary admissions to secondary care and a named GP for all patients over 75 years old. The practice held monthly multidisciplinary team meetings with other health care professionals to plan effective care for patients known to be nearing the end of life. The practice was responsive to the needs of older people, including offering home visits and extended appointments. The practice was caring and offered emotional support to older patients who were bereaved.

Updated 22 January 2015

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 availability of the services it offered to ensure these were accessible. For example, the practice offered extended opening hours on Wednesday evenings and Saturday mornings to fit around patients work commitments. For patients unable to get an appointment due to work commitments the practice provided a Hub service. (A pilot project developed by NHS England, designed to support GPs to deal with a high demand for appointments). The Hub provided an extra 30 appointments daily from 3.00-9.00pm and Saturdays 9.00-3.00pm. The practice offered a full range of health promotion and screening.

Updated 22 January 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice was proactive in treating patients experiencing poor mental health. For example, the practice held a register of patients with dementia and had developed care plans for these patients. Patients with dementia were reviewed annually and their care plans updated to reflect any changes in their health. The practice proactively offered support and treatment for patients experiencing poor mental health. Data showed the practice scored above the national average in the previous year for the percentage of patients with mental health conditions whose notes contained an offer of support and treatment within the preceding 15 months.

Updated 22 January 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including homeless people and those with learning disabilities. The practice had carried out annual health checks for people with learning disabilities and 60% of these patients had care plans in place. The practice provided outreach clinics and clinics at the practice for homeless patients to ensure they accessed primary care services. The lead GP had completed methadone training and attended a drug and alcohol course to gain additional knowledge to provide extra care for patients with drug and alcohol problems. Patients were also signposted to local drug and alcohol services for support when necessary.