The New Folly Surgery

Updated 16 November 2016

The New Folly Surgery was previously known as Drs Emond, Copsey and Bailoor. They are located in a purpose built medical centre in a predominantly residential area of Ingatestone, Essex. The practice provides services for 6472 patients.

The practice holds a General Medical Services (GMS) contract and provides GP services commissioned by NHS England and Southend Clinical Commissioning Group. A GMS contract is one between GPs and NHS England and the practice where elements of the contract such as opening times are standardised.

The practice population is similar to the national average for younger people and children under four years, and for those of working age and those recently retired, and higher for older people aged over 65 years. Economic deprivation levels affecting children, older people are significantly lower than the practice average across England. Life expectancy for men and women is higher than the national average. The practice patient list is similar to the national average for long standing health conditions. It has a similar to the national average for working aged people in employment or full time education and lower numbers of working age people that are unemployed.

The practice is managed by four GP partners who hold financial and managerial responsibility. One of the GP partners is the Registered Manager. A Registered Manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run. In total two male and two female GPs work at the practice.

The practice also employs three practice nurses, a practice manager, one administrator and a team of receptionists.

The practice is open between 8am and 6.30pm on weekdays. GP and nurse appointments are available in the morning between 9am and 11.30am. Afternoon appointments are available between 3.45pm and 6pm daily. In addition up to 24 emergency appointments are available after morning surgery. Telephone triage and consultations are available throughout the day.

Pre-booked GP and nurse appointments are available between 8.30am and 11.45am on Saturdays.

Patients had access to online consultations via the practice website. Patients could complete a web form with information and / or questions about a range of symptoms and medical conditions. This information was then reviewed by a GP and patients received a call or email with advice or to book an appointment.

The practice has opted out of providing GP out of hour’s services. Unscheduled out-of-hours care is provided by IC24 and patients who contact the surgery outside of opening hours are provided with information on how to contact the service.

Updated 16 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs Emond, Copsey and Bailoor on 17 February 2016. Overall the practice was rated as good but required improvement for providing safe services.

During our last inspection we found the provider had not ensured that all risks to patients were assessed and managed. This included identifying and managing risks to the health and safety of patients and staff. The provider was asked to remedy these and a requirement notice for these improvements was issued.

Following the inspection an action plan was put in place by the practice to ensure the timely progression and resolution of the concerns highlighted.

On 30 September 2016 we conducted a desk top review and found;

• A fire and health and safety risk assessment of the service had been conducted on 25 April 2016. Consequently a number of action points had been identified, prioritised and were being actively progressed.
• The practice had conducted a risk assessment in relation to the control of substances hazardous to health (COSHH) such as cleaning materials.
• The fire assessment had been conducted in March 2016. Nominated staff had been appointed as fire wardens and supported to undertake additional training in the safe and effective use of the fire safety equipment.
• A legionella risk assessment had been conducted including water testing in March 2016.
• All clinical staff had been invited and received their Hepatitis B vaccinations to protect them from blood borne infections.
• Expired needles, syringes and blood collection bottles had been removed from GP consulting rooms and systems introduced to check and replace supplies.

We were satisfied that the practice had made the required improvements.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 1 April 2016

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

Nationally reported data showed that the practice performance for the management of the majority of long term conditions including respiratory disease and heart disease were similar to other GP practices locally and nationally.

The practice offered proactive, personalised care to meet the needs of people with long term conditions including:

• Patients had a named GP who was responsible for coordinating their care and treatment.

• Dedicated nurse led clinics were held to assess and review patients with long term conditions.

• Direct access was available to vulnerable patients including those who were at risk of unplanned hospital admissions.

• The practice promoted NHS health checks and cancer screening; including breast, bowel and cervical screening programmes.

Updated 1 April 2016

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

Nationally reported data showed that the practice performance for the uptake of childhood immunisations was similar to or above other GP practices locally and nationally. The practice offered proactive, personalised care to meet the needs of families, children and young people including:

• The practice offered same day appointments for children as needed. Appointments were available outside of school hours.

• Ante–natal, post-natal and baby checks were available to monitor the development of babies and the health of new mothers.

• 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.

• Referrals were made to appropriate counselling services where required.

• Children and young adults were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• Information and a range of sexual health and family planning clinics were available.

Updated 1 April 2016

The practice is rated as good for the care of older people.

Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people.

The practice offered proactive, personalised care to meet the needs of the older people, including:

• All patents including older people had a named GP who was responsible for managing their care and treatment.

• The practice was accessible and offered parking facilities for the disabled, a hearing loop, patient lift and toilet facilities for the disabled.

• Longer appointments, telephone consultations and home visits were provided as needed.

• Appropriate referrals were made to secondary and specialist services as needed.

• The practice provided dementia screening and made appropriate referrals as needed.

• Electronic prescribing was available so that patients could collect medicines from their local pharmacy without the need to visit the practice.

• The practice worked with other agencies to reduce the number of unplanned hospital admissions.

Updated 1 April 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

The practice offered proactive, personalised care to meet the needs of families, children and young people including:

• Appointments could be booked in person or by telephone or online.

• GP and nurse appointments were available on Saturday mornings (These could be booked one week in advance).

• Additional emergency appointments were available from 11.45am each day.

• Online appointment booking and electronic prescribing facilities were available.

• Patients had access to online consultations via the practice website. Patients could complete a web form with information and / or questions about a range of symptoms and medical conditions. This information was then reviewed by a GP and patients received a call or email with advice or to book an appointment.

• The practice offered a full range of health promotion and screening that reflected the needs for this age group including NHS health checks.

Updated 1 April 2016

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

• Patients had access to a named GP to help provide continuity of care.

• The practice carried out dementia screening and carried out face-to-face reviews.

• Patients with mental health conditions were reviewed and had an annual assessment of their physical health needs.

• Longer appointments and home visits were provided as required.

• 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 (A&E) where they may have been experiencing poor mental health.

Updated 1 April 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

The practice offered proactive, personalised care to meet the needs of people whose circumstances may make them vulnerable including:

• Staff undertook safeguarding training and the practice had a dedicated safeguarding lead.

• The practice held a register of patients living in vulnerable circumstances including patients with a terminal illness and those with a learning disability. This helped to monitor and maintain annual health checks.

• The practice proactively promoted annual health checks for patients with learning disabilities and nurses had received specific training to support these patients.

• Longer appointments were available as needed.

• Home visits were available for these reviews as needed.

• The practice carried out regular GP visits to local care homes.