Dr DP Shah's Practice Also known as Parkview Medical Centre

Updated 23 June 2016

Dr DP Shah, also known as Parkview Medical Centre is situated at 199-201 Reede Road, Dagenham, Essex RM10 8EH. The practice is based in a purpose built building, located on a main road. It is well served by local bus routes and two stations on the London Underground. Parking is available on the forecourt which includes two disabled parking bays. Additional parking is available at the rear of the premises and on surrounding streets. All parts of the premises are wheelchair accessible.

The practice provides NHS primary care services through a General Medical Services (GMS)

contract to approximately 4,517 people living in the London Borough of Barking and Dagenham. The practice is part of the NHS Barking and Dagenham Commissioning Group (CCG).

The practice is located in the third more deprived decile of areas in England. The practice age profile shows most patients are of working age (20 to 59) with a lower than average proportion of patients aged above 60. At 76 years for males and 80 years for females, the average life expectancy is slightly lower than the England averages of 79 and 83 years, respectively.

The practice is staffed by one lead GP (male), three salaried GPs (one male, two female), a practice nurse (female) and a trainee health care assistant (HCA). The total number of GP sessions was 14 per week. There were four nurse sessions per week. There is also a practice manager and deputy practice manager. They are supported by five reception/administrative staff. The practice is not a teaching or training practice.

The practice’s opening hours are from 9am to 1pm and then 2pm to 6.30pm Monday to Friday, except Thursday when it does not re-open in the afternoon. Surgery times are from 9am to 12pm and then 4pm to 6.30pm Monday to Friday except Thursday when it does not re-open in the afternoon. Extended hours appointments are offered on Tuesdays from 6.30pm to 7.30pm. When the practice is closed out of hours services were provided by the Partnership of East London Co-Operatives (PELC) by arrangement with Outer North East London Primary Care.

Dr DP Shah is registered to provide the following regulated activities from 199-201 Reede Road, Dagenham, Essex RM10 8EH:

• Diagnostic and Screening Procedures; and

• Treatments of Disease, disorder or injury

At the time of our inspection the practice was not registered for maternity and midwifery services. An application has since been submitted.

Updated 23 June 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Parkview Medical Centre on 18 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 they 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 improvement are:

• Ensure the remaining non-clinical staff receive safeguarding training.

• Ensure staff training in health and safety and infection control is updated by July 2016.

• The provider should ensure the availability of chaperones is brought to patients’ attention. This relates to the reception/waiting area in particular.

• The provider should ensure the availability of a translation service is brought to patients’ attention.

• Ensure fire drills are carried out regularly

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 23 June 2016

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

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Performance for diabetes related indicators was 57% (29% below CCG average and 33% below national average.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check 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.

Updated 23 June 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 living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

• A designated member of staff monitored attendance for six to eight week checks and immunisations and contacted parents when they did not attend.

• 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.

• Uptake for the cervical screening programme was 80% which was in line with the national average of 82%.

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

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 23 June 2016

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. For example, the practice participated in the Everyone Counts initiative (a service for patients over 65 years with two or more chronic diseases).

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

• The practice maintained lists of older patients (over 75s and over 90s). Those with enhanced needs were flagged on the computer system and measures were put in place to ensure their particular needs were met.

Updated 23 June 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.

• Appointments were protected for same day release from 4pm to 6.30pm to accommodate working patients.Telephone consultations were also available.

• Health promotion and screening that reflected the needs of this group of patients were routinely offered.

Updated 23 June 2016

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

• 93%of patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive, agreed care plan documented in the record, in the preceding 12 months (01/04/14 to 31/03/15) which was comparable with the national average of 88%.

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

• The practice carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• 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 23 June 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 homeless people, travellers and those with a learning disability.

• Patients who were homeless were able to register at the practice and had been allowed to use the practice address for correspondence.
• The practice offered longer appointments for patients with a learning disability. Records showed 94% (15 out of 16) of patients with a learning disability had had a health check in 2015/16. Out of those, 10 had a health action plan agreed.

• 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 in normal working hours and out of hours.