Archived: Dr Philip Abiola

Updated 13 October 2017

Dr Philip Abiola is situated in Lord Lister Health Centre 121 Woodgrange Road, Forest Gate, Newham, E7 0EP. It is one of three separate GP practices situated in the health centre. The practice Provides NHS primary care services through a Personal Medical Services contract to approximately 3900 patients living in the London Borough of Newham. Forest Gate is a town in the north west of Newham. The practice is located on a main road which is well served by public transport. Parking facilities in the area are limited; however a few spaces are available to the front of the building.

The practice is staffed by a male lead GP working six sessions and two female salaried GPs collectively working six sessions per week. The long term permanent practice nurse left the service on a planned basis during August 2017 and the practice promptly recruited two part time female practice nurses due to commence duty September 2017 to collectively provide four weekday sessions per week. At the time of authoring this report one of the practice nurses has commenced duty and the other is planned to start imminently pending completion of the recruitment checks process. There is also a female health care assistant, a practice manager working full time 37 hours per week, and team of reception and administrative staff working a variety of regular hours.

The practice is open every weekday between 8.30am and 6.30pm Monday to Friday except Thursday when it closes at 1pm. GP appointments are available:

• Monday and Wednesday 9.30am to 12.30pm and 4.30pm to 6.30pm
• Tuesday 9.30am to 12.30pm and 2.30pm to 5.30pm
• Thursday 9.30am to 11am
• Friday 9.30am to 12.30pm and 3pm to 5pm

Extended hours provided by Newham GP Co-operative are from 6.30pm to 9pm on Tuesday and Thursday and from 9am to 1pm on Saturday. Patients telephoning when the practice is closed are transferred to the local out-of-hours service provider.

An Additional Capacity service is provided by Newham GP Coop which operates seven days a week. Appointments can be booked from 9am to 6pm on a designated number. Appointments are available from 6.30pm to 9.30pm Monday to Friday, 9am to 6pm on Saturday and 9am to 1pm on Sunday. This service is not held at the practice but at one of the six designated hubs in Newham.

Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The practice has a higher percentage than national average of people whose working status is unemployed (12% compared to 4% nationally), and a lower percentage of people over 65 years of age (7% compared to 17% nationally).

Dr Philip Abiola is registered with the CQC to provide the regulated activities of Diagnostic and screening procedures, Maternity and midwifery services, Surgical procedures, and Treatment of disease, disorder or injury.

Updated 13 October 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 25 July 2016. The overall rating for the practice was good. However, a breach of legal requirements was found during that inspection within the safe key question. After the comprehensive inspection, the practice sent us evidence and actions detailing what they would do to meet the legal requirements. We conducted an on-site focused inspection on 14 September 2017 to check that the provider had followed their plans and to confirm that they now met legal requirements, and also in response to information the CQC received regarding processes at the practice for safeguarding children. This report only covers our findings in relation to those requirements and safeguarding children.

During our previous inspection on 25 July 2016 we found the following area where the practice must improve:

• Assess and mitigate the risk of unsafe care and treatment by ensuring Patient Specific Directions (PSDs) are put in place for the administration of medicines by the healthcare assistant.

Our previous report also highlighted the following areas where the practice should improve:

• Ensure personnel files include copies of all relevant documentation including proof of identification and qualifications.
• Improve processes to ensure learning from meetings was identified and shared.
• Continue to monitor and review patient’s views about their involvement in planning and making decisions about their care and treatment and on consultations with GPs and nurses and take appropriate steps to address these concerns.
• Improve practice performance and patient outcomes, particularly relating to levels of exception reporting.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

During the inspection on 14 September 2017 we found:

• Appropriate PSDs were in place to allow the administration of specific injectable medicines by the healthcare assistant.
• Relevant documentation such as staff proof of identification and qualifications was maintained on staff files but post recruitment processes such as staff induction and contracts had not always been appropriately formalised.
• Arrangements were in place to ensure learning from meetings was identified and shared.
• The latest GP Patient survey results published on 6 July 2017 showed improvement since our previous inspection regarding patient’s views about their involvement in planning and making decisions about their care and treatment during consultations with GPs and nurses. 73% of patients said GPs were good at involving them in decisions about their care compared to the local average of 74% and the national average of 82%, and 86% said the last nurse they saw or spoke to was good at involving them in decisions about their care compared to the local average of 77% and the national average of 85%.
• Exception reporting had fallen from 12% at our previous inspection. The most recent exception data obtained locally from the practice for the period April 2016 to March 2017 showed exception reporting was 7%.
• Arrangements to safeguard children were effective.

The areas where the provider should make improvement are:

• Review and formalise post recruitment processes for staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 23 September 2016

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

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Quality and Outcomes Framework (QOF) performance in 2014/15 for diabetes related indicators was 94% which was above the CCG average of 86% and the national average of 89%.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

• The lead GP ran a long-term conditions clinic at the practice every Friday specifically to review patients with long term conditions (although they could be seen at any other time as well).

• The practice was proactive about ensuring patients attended for monitoring and annual review.

Updated 23 September 2016

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

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• The practice’s uptake for the cervical screening programme was 85% which was comparable to the CCG average of 81% and the national average of 82%

• The practice offered sexual health screening, pregnancy tests and emergency contraception and sign posted patients to the genitourinary medicine clinic.

• The practice ran a regular menopause clinic led by the female GP.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 23 September 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.

• Community Navigators were deployed to help older people find their way to activities or services which they would enjoy or find useful.

Practice used the Rapid Response Team and Virtual ward to prevent unnecessary hospital admissions.

Updated 23 September 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 reflects the needs for this age group.

• The practice offered late afternoon appointments until 6.30pm and telephone appointments.

• Extended Hours at the practice were offered on Tuesdays and Thursdays nights 6.30-9.00pm and Saturday mornings 9.00 am to 1.00pm. They were also accessible on other evenings from various other practices in the borough.

Updated 23 September 2016

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

• The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive, agreed care plan documented in the record, in the preceding 12 months (01/04/2014 to 31/03/2015) was 93% which was comparable to the CCG average of 84% and the national average of 88%.

• Hard to reach patients with severe mental illnesses were prioritised and seen on the day without appointments.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

• The practice carried out advance care planning for patients with dementia. We saw evidence that nearly all the patients on the practice’s dementia register had received a care plan review in the last year.

• The practice met with representatives from the Community Mental Health Team (CMHT) every two months to discuss relevant patients. They also ran a clinic at the practice. A consultant psychiatrist attended the practice to treat patients and advise on complex cases.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 23 September 2016

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, travellers and those with a learning disability.

• Patients who were homeless were able to use the practice address as their home address to receive mail.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

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

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.