Archived: Dr Dickson and Partners

Updated 11 June 2018

Dr Dickson and Partners is more commonly known as Norden House Surgery and is a dispensing practice in Winslow, Buckinghamshire.

The practice is a semi-rural practice within Buckinghamshire Clinical Commissioning Group (CCG) and provides primary medical services to approximately 9,500 registered patients.

Services are provided from one registered location in two adjacent buildings:

• Norden House Surgery, Avenue Road, Winslow, Buckingham, Buckinghamshire, MK18 3DW

• Winslow Health Centre, Avenue Rd, Winslow, Buckingham, Buckinghamshire, MK18 3DP

The practice website is:

• www.nordenhousesurgery.co.uk

During the May 2018 inspection we visited both premises, Norden House Surgery and Winslow Health Centre.

According to data from the Office for National Statistics, Winslow in Buckinghamshire and the surrounding areas has a high level of affluence and minimal economic deprivation. The practice population has a significantly higher proportion of patients aged 50-84 compared to the national average. The practice population also has a proportion of patients in a local care home (approximately 30 registered patients).

Care and treatment is delivered by four GP Partners (two male, two female), four salaried GPs (one male, three female), a nurse team leader, an advanced nurse practitioner and a team of practice nurses and health care assistants. One of the GPs is the designated dispensary lead and the dispensary team consists of five dispensers.

A practice manager, a deputy practice manager and a data and project manager are supported by a team of reception and administrative staff who undertake the day to day management and running of the practice.

The practice was able to offer dispensing services to those patients on the practice list who lived more than one mile (1.6km) from their nearest pharmacy.

The practice has core opening hours between 8am and 6.30pm every weekday. Extended hours appointments are available including early morning appointments between 7am and 8am on Tuesday, Wednesday and Thursday. Further extended hours appointments are available through the local GP alliance in North Buckinghamshire which provides appointments 8am-8pm every weekday and Saturday morning appointments.

The dispensary has core opening hours between 9am and 6pm every weekday. There are plans to align the dispensary opening hours to include the extended hour’s opening times.

Out of hours care is accessed by contacting NHS 111.

The practice is registered by the CQC to carry out the following regulated activities: Maternity and midwifery services, Family planning services, Treatment of disease, disorder or injury, Surgical procedures and Diagnostic and screening procedures.

Updated 11 June 2018

This practice is rated as Good overall.

The previous inspection was in April 2016 and the practice was rated Good.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive at Dr Dickson and Partners, more commonly known as Norden House Surgery in Buckinghamshire on 14 May 2018. We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

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 focus on continuous learning and improvement at all levels of the organisation. The practice was fully aware of the developments within North Buckinghamshire and local health economy.

• The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs.

The areas where the provider should make improvements are:

• Continue to review and seek to improve the leadership arrangements, staff engagement and staff satisfaction within the dispensary team.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Updated 11 June 2018

Updated 11 June 2018

Updated 11 June 2018

Updated 11 June 2018

Updated 11 June 2018

Updated 11 June 2018