Updated 10 October 2019
Mid Hampshire Healthcare Limited is a GP Federation, delivering primary healthcare services, to approximately 220,000 patients, with 18-member practices, covering the Winchester and Andover regions of West Hampshire.
The member practices of the Mid Hampshire Healthcare Limited GP Federation include:
- Adelaide Medical Centre
- Alresford Surgery
- Bishops Waltham Surgery
- Charlton Hill Surgery
- Friarsgate Practice
- Shepherds Spring Medical Centre
- St Clements Surgery
- St Mary’s Surgery
- St Paul’s Surgery
- Stockbridge Surgery
- Stokewood Surgery
- The Andover Health Centre Medical Practice
- The Gratton Surgery
- Two Rivers Medical Partnership
- Twyford Surgery
- Watercress Medical, Mansfield Park Surgery
- West Meon Surgery
- Wickham Surgery
Mid Hampshire Healthcare Limited is currently registered with the CQC to provide the following regulated activities:
- Diagnostic and screening procedures.
- Treatment of disease, disorder or injury.
Services are delivered in a variety of settings across the geographical area that Mid Hampshire Healthcare Limited (MHH) covers. The services are managed from the registered head office. The MHH head office is based at Unit 48, Basepoint Business Centre, 1 Winnall Valley Road, Winchester, Hampshire SO23 0LD.
The services provided by MHH include:
- Improved GP Access service
- Liver Fibroscan service
- Proactive Care Team service
- Community Cardiology service
- Out of Hours Cover (for TARGET Events – occasional GP cover two afternoons a year)
- Community Phlebotomy service
- Medical Secretary hub service
- MSK (musculoskeletal) physiotherapy pilot service (MSK relates to issues concerning a person’s muscles, joints, tendons, ligaments and soft tissue.)
- Leg Ulcer Management service
- Data Protection Officer service
- Primary Care Support and Consultancy service
For the purpose of this inspection, we inspected:
Improved GP Access Hub
This service is delivered from one site at Andover War Memorial Hospital, with staff who are directly employed by MHH. The hub is open every day, from 5pm to 8pm Monday to Friday, and 8am to 12noon on Saturdays, Sundays and bank holidays.
Liver Fibroscan service
This service launched on 1 April 2019 as a one-year pilot and is delivered from five locations across the geographic area covered by the GP Federation. Staff are directly employed by MHH. We visited this service at the Shepherds Spring Medical Centre host site.
Proactive Care Team service
This service has nurses and administrators attached to member practices of the GP Federation. All patients are seen in their own homes. The service is provided Monday to Friday 8.00am to 6.30pm. Nurse and administrators are based at 11 locations in the local area, and staff are directly employed by MHH. We visited this service at the St Paul’s Practice and Stokewood Surgery host sites.
Prior to the inspection and through discussions with MHH, we identified some services were not appropriate for inspection as they were not CQC regulated activities. These included the Leg Ulcer Management service, the Medical Secretary Hub service, the MSK physiotherapy service and the Primary Care Support and Consultancy service.
We did not inspect the following additional services during this inspection:
Community Cardiology service
This service is delivered locally at five locations, through a Service Level Agreement, with nursing and administration staff provided by Watercress Medical, Mansfield Park Surgery. The GPs with a specialist interest (GPSIs) are locum staff. We did not inspect this service as MHH is not responsible for the provision of the regulated activities associated to this service as the accountability of the service lies with the practices themselves.
Out of Hours Cover service (for TARGET Events (TARGET stands for Time for Audit, Research, Governance, Education & Training)).
This is an occasional service to provide GP cover for two afternoons a year (from 12.30pm to 6.30pm) when all GPs from member practices of the GP Federation are invited to attend an educational afternoon (TARGET) hosted by the CCG. Locum GPs are used to provide this service. This service is delivered locally from two locations. Premises and area around them, access, adaptations, equipment, facilities suitable for relevant special needs, staffing and qualifications are covered in the latest CQC report for the relevant providers. We did not inspect this service as it was not operating on the day of inspection.
Community Phlebotomy service
This service is delivered locally, across 10 locations, through a Service Level Agreement, with clinical staff provided by the host organisations. Premises and the area around them, access, adaptations, equipment, facilities suitable for relevant special needs, staffing and qualifications are covered in the latest CQC report for the relevant providers. We did not inspect this service as MHH is not responsible for the provision of the regulated activities associated with this service as the accountability of the service lies with the practices themselves.
How we inspected this provider
During our visit we:
- Spoke with the registered manager, board level directors, service managers and a selection of employees of the provider. MHH directly employs a total of 64 staff members, with access to an additional 30 locum GPs.
- Reviewed provider documents and policies.
- Reviewed the patient records at relevant services.
- Visited services at specific sites.
- Reviewed feedback from patients, via CQC comment cards and the provider’s own patient feedback exercises.
- Reviewed feedback from external stakeholders.
The provider supplied background information which was reviewed prior to the inspection. We did not receive any information of concern from other organisations.
To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:
- Is it safe?
- Is it effective?
- Is it caring?
- Is it responsive to people’s needs?
- Is it well-led?
These questions therefore formed the framework for the areas we looked at during the inspection.