Kirklands Surgery

Updated 15 January 2018

Kirklands Surgery is situated at 111 Copner Road, Copner, Portsmouth PO3 5AF. The practice provides NHS primary care services for approximately 8,500 patients.

The practice population is in the sixth least deprived decile for deprivation. In a score of one to ten the lower the decile the more deprived an area is. The population consists of families and has a higher percentage of patients aged 40-54 years old compared to the national average.

The practice provides enhanced services which are above what is normally required. These include providing childhood vaccination, immunisation schemes and influenza and pneumococcal immunisations. Services also include providing extended hours access, facilitating timely diagnosis and support for people with dementia, and offering minor surgery. The practice also provides direct enhanced services including remote care monitoring for vulnerable patients and shingles and rotavirus vaccination.

The practice is registered to provide regulated activities which include:

Treatment of disease, disorder or injury, surgical procedures, maternity and midwifery services and Diagnostic and screening procedures and operate from the main site of:

Kirklands Surgery

111 Copnor Rd,

Portsmouth

PO3 5AF

www.kirklandssurgery.co.uk

Updated 15 January 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection 08 January 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive/focused inspection at Kirklands Surgery on 29 November 2017.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

• The practice made reasonable adjustments when patients found it hard to access services. For example, the practice employed a community nurse practitioner who undertook health checks for patients with long term conditions, who were unable to attend appointments at the practice, within their own home.

• The practice used a text message system to engage patients with services that helped them to live healthier lives.

• The practice offered patients minor surgery during extended hours appointments and held flu clinics on Saturdays for patients who would not be able to attend during the week.

The areas where the provider should make improvements are:

• Continue to review processes for identifying patients who are also carers.

• Continue to ensure clinical auditing processes evidence positive outcomes for patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 21 May 2015

The practice is rated as good for the care of people with long-term conditions. Longer appointments and home visits were available when needed. All these patients were offered a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 21 May 2015

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 and screening that reflected the needs for this age group. Extended hours appointments were available, along with telephone appointments. The practice had a text reminder service for appointments for those who wished to use it.

Updated 21 May 2015

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 and had a range of services, for example, in dementia and end of life care. It was responsive to the needs of older people, and offered home visits. All patients over the age of 75 years had a named GP. The practice had effective communication with other healthcare professionals to provide care for older patients such as the community matron. Palliative care meetings were held six weekly and care plans were in place which were shared with other providers.

Updated 21 May 2015

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 and screening that reflected the needs for this age group. Extended hours appointments were available, along with telephone appointments. The practice had a text reminder service for appointments for those who wished to use it.

Updated 21 May 2015

The practice was rated as good for people experiencing poor mental health (including people with dementia). The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advance care planning for patients with dementia.

Updated 21 May 2015

The practice was rated as good for people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability.

It had carried out annual health checks for patients with a learning disability and these patients had received a follow-up. It offered longer appointments for people with a learning disability. There were suitable arrangements in place to ensure information was communicated in a manner that this group of patients understood. The practice proactively referred patients with substance misuse to appropriate support services.