Fullwell Cross Medical Centre

Updated 15 June 2018

Fullwell Cross Medical Centre has been based in the current two-storey purpose-built premises since 1974. It is located at 1 Tomswood Hill, Ilford, Essex IG6 2HG, within a predominantly residential area of Barkingside in the London borough of Redbridge. Redbridge Clinical Commissioning Group (CCG) are responsible for commissioning health services for the locality.

The premises includes 10 consulting/treatment rooms, a large reception and waiting area, administration offices and a large meeting room. All rooms used for patient care are based on the ground floor.

The practice is registered with the CQC as a partnership. The senior partner has been with the practice for 32 years and the newest partner joined 11 years ago.

Services are delivered under a Personal Medical Services (PMS) contract. (PMS contracts are local agreements between NHS England and a GP practice. They offer local flexibility compared to the nationally negotiated General Medical Services (GMS) contracts by offering variation in the range of services which may be provided by the practice, the financial arrangements for those services and the provider structure).

The practice has 13,400 registered patients with an age distribution similar to the national average. The surgery is based in an area with a deprivation score of 6 out of 10 (with 1 being the most deprived and 10 being the least deprived).

The practice is a teaching and training practice providing placements for two GP registrars per year. (A GP registrar is a qualified doctor training to become a GP).

Medical services are provided by four male and two female GP partners (5.25 wte) and two GP registrars providing a total of 31 GP appointment sessions per week. Nursing services are provided by two part time practice nurses; one full time health care assistant (HCA); one Elderly Care HCA. The practice also had one New to Nursing Nurse who provided four sessions per week. Administrative services are provided by a Practice Manager, an Assistant Practice Manager and administrative and reception staff.

The surgery is open between 8am and 6.30pm Monday to Friday. Extended hours are provided on a Monday and Tuesday from 6.30pm until 8pm. The telephone lines are open between 8am and 6.30pm. The surgery is closed at weekends.

The practice is registered to provide the regulated activities of family planning; maternity and midwifery services; treatment of disease, disorder and injury; surgical procedures and diagnostic and screening procedures.

Updated 15 June 2018

This practice is rated as Good overall. (Previous inspection December 2016 – Good)

The key questions are rated as:

Are services safe? – Good

Are services well-led? - Good

We carried out an announced focused inspection at Fullwell Cross Medical Centre on 2 May 2018. We undertook this inspection in response to concerns identified and brought to the attention of the commission. This was a focused inspection which looked at the Safe and Well-led key questions.

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.
• The practice changed how patients could access the practice by telephone to make booking appointments easier.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• The practice had an active patient participation group (PPG) which supported the practice in identifying and implementing improvements to the overall patient experience.

The areas where the provider should make improvements are:

• Ensure the implementation and review dates are clearly recorded on all practice policies and procedures.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 15 June 2018

Updated 15 June 2018

Updated 15 June 2018

Updated 15 June 2018

Updated 15 June 2018

Updated 15 June 2018