Whitewater Health

Updated 18 February 2016

Hook and Hartley Wintney Medical Partnership have seven GP partners, two are male and five are female. In addition there are four salaried GPS and two registrars. All GPs work across both sites. There are approximately 16,900 patients on their register. There are five care homes within the practice area to which the practice provides a service. Medical cover is also provided for a local hospital specialising in care for patients with a learning disability. There is a team of practice nurses and healthcare assistants. The clinical team are supported by a practice manager, administration and secretarial teams.

The practice is situated in a residential area of the village and is amongst the least deprived areas in England. The proportion of 40 to 59 year olds are higher than the national average, with a high percentage of people in education and employment.

The practice holds a personal medical services contract and is situated in a rural area of Hampshire, with low levels of deprivation. The practice has low levels of patients who are drug or alcohol dependant and no travelling communities. The practice is a training practice for doctors who want to become GPs and medical students.

The practice is open between 8am and 6.30pm Monday to Friday. Appointments are available during this time and the practice had information on its website when GPs are available and days that clinics are run. In addition to pre-bookable appointments that could be booked in advance, urgent appointments were also available for patients that needed them.

When the practice is closed patients are advised to contact the out of hours Hampshire Doctors on Call via the NHS 111 service.

The practice operates from two sites; we inspected the main location at The Surgery, Reading Road, Hook, RG27 9ED. The other site is situated at The Surgery, 1 Chapter Terrace, Hartley Wintney, Hook, RG27 8QJ

Updated 18 February 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Hook and Hartley Wintney Medical Partnership on 29 October 2015. 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 in place 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 the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that 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 practice had supported an allotment scheme where patients were able to grow vegetables and plants and meet other people. This was aimed at patients with a mental health condition who were isolated from others socially. The practice signposted patients to this group.
• The practice offered ‘one stop’ gynaecological evenings where there were ultrasound facilities and gynaecology consultants available twice monthly. Patients told us this enabled them to have scans carried out at the time of their appointment and to see a consultant or GP for the results immediately, which reassured them.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 18 February 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.
• Those patients with more than one condition were able to make a single appointment to discuss their health needs.
• The percentage of patients on the diabetes register, with a record of a foot examination and risk classification within the preceding 12 months for the practice was 91.4% compared with the national average of 88.35%.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and 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.

Updated 18 February 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 accident and emergency attendances. Immunisation rates were relatively high for all standard childhood immunisations.
• The practice’s uptake for the cervical screening programme was 81.73%, which was comparable to the national average of 81.88%.
• 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.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw good examples of joint working with midwives and health visitors.

Updated 18 February 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 patients in its population.
• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• The practice provided medical support to five care homes in the area and feedback from these homes was positive about the standard of care and treatment provided.

Updated 18 February 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.

Updated 18 February 2016

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

• 93.27% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• It carried out advance care planning for patients with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• It 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.

• The practice had supported an allotment scheme where patients were able to grow vegetables and plants and meet other people. This was aimed at patients with a mental health condition who were isolated from others socially. The practice signposted patients to this group.

Updated 18 February 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 patients and those with a learning disability.
• It offered longer appointments for patients with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable patients.
• It had told 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.