All Saints Medical Centre PMS

Updated 11 August 2016

All Saints Medical Centre is situated in a detached purpose-built property located in a mainly residential area of Woolwich, in the Royal Borough of Greenwich. Greenwich Clinical Commissioning Group (CCG) is responsible for commissioning health services for the locality.

The practice was initially established in the 1940s and moved to the current premises in 2005. The building of the current property was commissioned by the current senior partner to accommodate the changing needs of the practice and the increase in patient population.

The practice has 5150 registered patients. The practice age distribution is similar to the national average for most age groups with an above average rate for patients 0 to 10 years. The practice population is ethnically diverse (99% of patients having a recorded ethnic group). The surgery is based in an area with a deprivation score of 4 out of 10 (1 being the most deprived).

The practice is registered as a partnership with the Care Quality Commission to provide the regulated activities of diagnostic and screening services; maternity and midwifery services and treatment of disease, disorder or injury. There are currently two partners.

Services are delivered under a Personal Medical Services (PMS) contract and are provided from one location at 13a Ripon Road London SE18 3PS. The practice is signed up to a number of local and national enhanced services (enhanced services require an enhanced level of service provision above what is normally required under the core GP contract).

Clinical services are provided by two GP partners. One full-time female partner (9 sessions per week) and one part-time male partner (6 sessions per week). There are two part-time locum GPs (one male providing 2 sessions and one female providing 4 sessions per week) and two female part-time Practice Nurses (1.44 wte).

Administrative services are provided by the Practice Manager (1.0 wte); two administrators (1.6 wte) and six reception staff (2.8 wte).

The surgery is open between 08.00 and 18.30 hours Monday to Friday and between 08.30 and 11.30 hours on Saturday.

Pre-booked and urgent appointments are available Monday to Friday from 08.30 to 18.20 hours and extended hours appointments are provided on Saturdays between 08.40 and 11.30 hours.

When the surgery is closed the out of hours GP services are available via NHS 111.

The practice leaflet and practice website  www.allsaints-medicalcentre.co.uk  include details of services provided by the surgery and within the local area.

Updated 11 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at All Saints Medical Centre on 13 April 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 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 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 were involved in their care and decisions about their 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 concerns.

• Patients said they found it easy 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:

• In line with current recommendations, all staff should receive their Basic Life Support (BLS) training annually.

• Clinical staff should receive training to ensure they are aware of their responsibilities under the Mental Capacity Act 2005 (MCA).

• Practice Nurse attendance at practice clinical governance meetings should be encouraged and facilitated.

• A record should be kept of batch numbers of blank prescriptions placed in printers.
• The practice should review its procedure for identifying and recording patients with caring responsibilities on the clinical system to ensure information, advice and support is made available to them.
• An infection control audit should be carried out annually.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 11 August 2016

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

• Nursing staff had lead roles in the management of long term conditions.

• Longer appointments and home visits were available when needed.

• Patients at risk of frequent hospital admission were identified and followed up as a priority. Regular meetings were held to review unplanned admissions. Meetings were minuted and information shared as appropriate.

• Patients with long-term conditions were offered a structured annual review to ensure 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.

• Nationally reported data showed that outcomes for patients with diabetes were comparable to the CCG and national average.

Updated 11 August 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 who were at risk, for example, children and young people who had a high number of A&E attendances.

• Immunisation rates were comparable with the national average for all standard childhood immunisations.

• 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.

• The percentage of women for whom a cervical screening test had been performed in the preceding five years was above the national average.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• The practice worked closely with midwives and health visitors.

Updated 11 August 2016

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

• The practice offered proactive care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• All patients over 75 years had been informed of the details of their named GP and were invited to attend an annual health check.

• Nationally reported data showed that outcomes for patients with conditions commonly found in older people were comparable to the CCG and national average.

Updated 11 August 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 11 August 2016

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

• 82% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months which is comparable to the CCG and national average.

• 97% of patients diagnosed with poor mental health had a comprehensive agreed care plan completed in the last 12 months which is comparable to the CCG and national average.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations and there was up to date information available in the waiting area.

• The practice 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.

Updated 11 August 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 those with a learning disability.

• The practice offered longer appointments for patients with a learning disability if required.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed 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.

• Annual health checks for people with a learning disability were offered by the practice. In the last 12 months 65% of patients had received an annual health check.