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Nexus Health Group Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 24 January 2020

We carried out a comprehensive inspection at Nexus on 23 and 29 October 2019.

At the last inspection in November 2018, the practice was rated as Inadequate.

We served the practice with Warning Notices. We undertook a further inspection in June 2019 to check they had complied with the requirements of the notice. At this inspection, we found that the provider had satisfactorily addressed these areas.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Requires Improvement overall.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • However, the practices patient quality outcomes related to Families, children and young people and Working age people were low.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment. However, responses related to patients’ overall experience of making an appointment and for patients who were satisfied with the type of appointment they were offered were still low.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Increase staff knowledge in Safeguarding for non-clinical staff.
  • Continue efforts to increase the uptake of childhood immunisations, bowel cancer screening and cervical cancer screening.
  • Continue to address patient feedback from the National GP National Patient Survey.
  • Continue efforts to promote the PPG and patient engagement.

I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by the service.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas




Requires improvement




Requires improvement


Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people

Requires improvement

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Requires improvement