16 February 2017
The practice of Dr Mostafa Mostafa is based at 141 Plumstead High Street Plumstead SE18 1SE. The main surgery is based in a two-storey end of terrace house in the Royal Borough of Greenwich located on a busy high street within a predominantly residential area of Plumstead. The property has been converted for the sole use as a surgery and includes two consulting rooms, one treatment room, reception area, waiting room, administration offices and staff meeting room.
Services are also provided at a smaller branch surgery, one mile from the main surgery at 253 Wickham Lane Abbey Wood SE2 0NX in the Royal Borough of Greenwich.
Greenwich Clinical Commissioning Group (CCG) are responsible for commissioning health services for the patient population of this practice.
Services are delivered under a Personal Medical Services (PMS) contract. (PMS contracts are local agreements between NHS England and a GP practice. They offer local flexibility compared to the nationally negotiated General Medical Services (GMS) contracts by offering variation in the range of services which may be provided by the practice, the financial arrangements for those services and who can hold a contract).
The practice is registered with the CQC as an Individual. Dr Mostafa joined the practice as a partner in 2007 and became an individual provider in 2009. The provider is registered to provide the Regulated Activities of treatment of disease, disorder and injury and diagnostic and screening procedures. The practice also provides services falling under the regulated activity of maternity and midwifery services and took immediate action to apply to CQC to have this regulated activity added to their registration.
The practice has 6416 registered patients. The practice age distribution is slightly higher than average for patients in the 0 to 50 year age group and lower than average for the patient population in the 50+ year age group. The surgery is based in an area with a deprivation score of 4 out of 10 (with 1 being the most deprived and 10 being the least deprived).
Clinical services are provided by the male lead GP (1 wte) and three long-term locum GPs, one male and two female (1.5 wte); one part-time Practice Nurse (0.8 wte); one locum Practice Nurse (0.1 wte) and one part-time Health Care Assistant (0.6 wte).
Administrative services are provided by a Practice Manager (1.0 wte), Assistant Practice Manager (1 wte); Administrator (0.43 wte) and seven administration/reception staff (5.79 wte). The practice also employs two junior receptionists as part of an apprenticeship scheme.
- Reception at the Plumstead High Street Surgery is open between 8am and 6.30pm Monday to Friday with an extended hour on Thursday between 7am and 8am.
- Reception at the Wickham Lane branch surgery is open from 8am to 6.30pm on Monday; from 8am to 5pm on Tuesday; from 7am to 2.30pm on Wednesday; from 8am to 1pm on Thursday and from 7am to 2.30pm on Friday. During normal surgery hours (8am to 6.30pm) telephone lines are automatically diverted to the Plumstead High Street site when the branch surgery is closed.
- At the Plumstead High Street surgery pre-booked and urgent appointments are available with a GP from 9.30am to 6pm Monday and Tuesday; from 9am to 4.30pm on Wednesday; from 7am to 6pm on Thursday and from 9am to 6pm on Friday.
- At the Wickham Lane surgery pre-booked and urgent appointments are available with a GP from 9am to 3pm on Monday; from 9am to 5pm on Tuesday; from 7am to 11.30am on Wednesday; from 9am to midday on Thursday and from 7am to 12.30pm on Friday.
Practice Nurse Appointments
- At the Plumstead High Street surgery appointments are available with the Practice Nurse from 9am to 5.30pm on Wednesday; from 9am to 5pm on Thursday and from 10am to 5pm on Friday.
- At the Wickham Lane surgery appointments are available with the Practice Nurse from 9am to 5pm on Monday and from 9am to 5.30pm on Tuesday.
Health Care Assistant (HCA) Appointments
- At the Plumstead High Street surgery appointments are available with the HCA from 9am to 1pm on Monday, Tuesday and Friday.
- At the Wickham Lane surgery appointments are available with the HCA from 9am to 1pm on Wednesday and Thursday.
A phlebotomist is employed to provide a clinic at the main surgery each Friday from 8.30am to 11.30am.
The practice is closed at weekends.
Extended hours appointments are also available to patients at sites in Eltham and Thamesmead through the local Greenwich Health Hub service. These appointments are made available to practices on Friday mornings to book for their patients over the coming weekend. The appointment allocation to practices is approximately one appointment per 1,000 patients. Appointments are available on Saturday morning and afternoon and Sunday morning.
When the surgery is closed urgent GP services are available via NHS 111.
16 February 2017
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at the surgery of Dr Mostafa Mostafa on 29 November 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system for reporting and recording significant events.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
- Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and that the GP involved them in decisions about their care and treatment.
- Information about services and how to complain was available and easy to understand.
- Improvements were made to the quality of care as a result of complaints and incidents.
- Patients said they were able to make an appointment with a named GP and there was continuity of care with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management.
- The practice proactively sought feedback from staff and patients which it acted on.
- The provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider should make improvements are:
The provider should continue to monitor performance against the Quality and Outcomes Framework and clinical audit for asthma and hypertension and implement improvements in the management of patient care as appropriate.
The provider should record batch numbers of blank electronic prescriptions placed in individual printers.
The provider should carry out regular fire alarm checks and fire evacuation drills.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
16 February 2017
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 worked closely with GPs and community specialist nurses in the management of patients with long-term conditions.
- Patients at risk of hospital admission were identified as a priority.
- The practice performance rates for the Quality and Outcomes Framework (QOF) was comparable with local and national averages for most long-term conditions. However performance for diabetes related indicators of 66%was below the local average of 78% and national average of 90%. The practice were aware of this and had implemented improvements to try to address this.
- Longer appointments and home visits were available for patients who required them.
- Patients had a named GP and were offered a structured annual review to check that 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. These patients were discussed at the quarterly multi-disciplinary team meetings.
16 February 2017
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 who were at risk, for example, children and young people who had a high number of A&E attendances.
- Immunisation rates were comparable with local averages for all standard childhood immunisations. The GP held a weekly baby clinic at both surgeries.
- Patients told us that children and young people were treated in an age-appropriate way and we saw evidence to confirm this.
- The percentage of women aged 25 to 64 years who had received a cervical screening test in the preceding five years was 69% which was comparable to the local average of 71% and national average of 73%.
- Appointments were available outside of school hours and the premises were suitable for children and babies.
- The practice worked closely with health visitors who attended meetings at the practice twice a year.
16 February 2017
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 Quality and Outcomes Framework (QOF) performance indicators for conditions found in older people were comparable to local and national averages.
- The practice was responsive to the needs of older people and offered home visits and urgent appointments for those with enhanced needs.
- The practice maintained a register of housebound patients.
16 February 2017
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.
Extended hours appointments were available three mornings a week from 7am to 8am.
The practice was proactive in offering online services. Patients were sent text messages to remind them of appointments.
A full range of health promotion and screening services were provided that reflected the needs for this age group.
16 February 2017
The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).
80% of patients diagnosed with dementia had their care reviewed in a face to face consultation in the preceding 12 months. This was comparable to the local average of 87% and national average of 84%.
90% of patients diagnosed with a mental health disorder had a comprehensive agreed care plan documented in the preceding 12 months. This was comparable to the local average of 82% and national average of 89%.
The practice worked with multi-disciplinary teams in the case management of patients experiencing poor mental health and dementia. The practice carried out advanced care planning for patients with dementia.
- The practice informed patients experiencing poor mental health 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 had been experiencing poor mental health.
- Staff had a good understanding of how to support patients with mental health needs and dementia.
16 February 2017
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.
The practice had 54 patients on the learning disability register. Patients on the register were offered an annual review.
The practice offered longer appointments to patients as required.
The practice regularly worked with other health care professionals in the case management of vulnerable patients.
The practice informed vulnerable patients 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.