Archived: Dr Richard Lynch-Blosse Also known as Clifton Hampden Surgery

Updated 28 July 2017

Dr Richard Lynch-Blosse (also known as Clifton Hampden Surgery) is in the process of changing registration with the CQC to become a partnership. Two part time partners work with the principal GP and are employed and are supported by a regular locum GP. The GP team comprises two males and two females they make up two whole time GPs and serve a registered population of approximately 3,300 patients. There are three practice nurses (all female) who all work part time. They are equivalent to one whole time practice nurse. The practice manager, who is also the dispensary manager, has a team of six administration and dispensing staff working with them to undertake the management and administration support tasks required at the practice.

The practice is located, in a village on the outskirts of Abingdon, within two converted semi-detached cottages which were first occupied for the provision of healthcare in 1985. GPs and management are aware that working from these premises limits accessibility for patients using wheelchairs and with mobility difficulties. Reasonable adjustments have been made to improve access. For example, the treatment room is on the same level as the main entrance and an extension with wheelchair access has been added to the rear of the building.

Patients register from the village of Clifton Hampden, surrounding villages and rural locations. The practice is situated in an area where there are no nearby pharmacies. It therefore offers a dispensing service to approximately 2,500 of the patients who are registered. Nationally reported data shows the practice has a higher than average number of registered patients between 45 and 74 years of age. There are lower than average numbers of patients aged under 45 years of age. There are a similar number of patients aged over 75 compared to the national and local averages. Statistics show the registered population has relatively low levels of income deprivation. Where income deprivation exists the practice is aware of the patients and their locations. Data also identifies 3.1% of the registered patients are from Asian and non-white ethnic groups.

The practice is open from 8am to 6.30pm every weekday and does not provide any extended hours clinics. Face to face appointments are offered between 9am and 12.30pm every weekday morning. On Monday and Thursday afternoons appointments are offered between 4pm and 6pm. On the remaining three weekdays there are two GPs on duty who offer telephone appointments and triage, urgent appointments at the practice and home visits. On Wednesday afternoons there is either a diabetic clinic or nurse treatment room clinic and a minor surgery clinic is held on a Friday afternoon.

The practice has opted out of providing out of hours services to their patients. Out of hours services are provided by Oxford Health NHS Foundation Trust. The out of hours service is accessed by calling NHS 111. There are arrangements in place for services to be provided when the surgery is closed and these are displayed at the practice and in the practice information leaflet.

Services are provided via a General Medical Services (GMS) contract. (A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract.

All services are provided at:

Clifton Hampden Surgery, Clifton Hampden, Abingdon, Oxfordshire, OX14 3EL.

Updated 28 July 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Richard Lynch-Blosse on 8 December 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Dr Richard Lynch-Blosse on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 17 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 8 December 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

We found the practice had made improvements since our last inspection. The desk based review on the 17 July 2017 found the practice was meeting the regulations that had previously been breached.

We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe and well led services. Overall the practice is now rated as good. Consequently we have rated all the population groups as good.

Our key findings were as follows:

• Dispensing procedures had been updated to ensure compliance with national guidance. All prescriptions were authorised and signed by a GP before medicines were dispensed to patients.
• Controlled drugs were stored, recorded and destroyed in accordance with national guidance.
• Security arrangements for clinical waste awaiting collection were appropriate.
• Health checks for patients diagnosed with a learning disability were either completed or scheduled.
• Appropriate safety checks to the premises had been completed and actions arising from risk assessments had been carried out.
• The processes for carrying out medicines reviews had been reviewed and the number of medicine reviews completed had increased. Data showed 76% of all medicine reviews had been completed with 94% of patients taking four or more medicines receiving a review in the last year.
• Responses to complaints and the practice complaints policy contained reference to the opportunity for escalation of the complaint to a relevant statutory body.
• The system for receipt of, and recording action arising from, safety alerts had been updated and identified when actions had been completed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 28 July 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 8 December 2016 which applied to everyone using this practice, including this population group.

The population group ratings have been updated to reflect this.

Updated 28 July 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 8 December 2016 which applied to everyone using this practice, including this population group.

The population group ratings have been updated to reflect this.

Updated 28 July 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 8 December 2016 which applied to everyone using this practice, including this population group.

The population group ratings have been updated to reflect this.

Updated 28 July 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 8 December 2016 which applied to everyone using this practice, including this population group.

The population group ratings have been updated to reflect this.

Updated 28 July 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 8 December 2016 which applied to everyone using this practice, including this population group.

The population group ratings have been updated to reflect this.

Updated 28 July 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 8 December 2016 which applied to everyone using this practice, including this population group.

The population group ratings have been updated to reflect this.