31 July 2018
Islip Surgery, Bletchington Road, Islip, OX5 2TQ
- The practice population is approximately 6,000. There is minimal deprivation and low ethnic diversity. The population has a lower proportion of younger adults and children compared to national averages. The population is rural and covers a large area.
- The practice offered dispensing services to those patients on the practice list who lived more than one mile (1.6km) from their nearest pharmacy.
- There are four GP partners and three salaried GPs, with a mix of male and female doctors. Two female practice nurses also form part of the clinical team and are supported by two female healthcare assistants. Dispensary staff also work at the practice. A variety of support staff worked with the clinical team and there was a practice manager in post.
- Out of Hours services were available by contacting NHS 111 and were provided by a local Healthcare Trust.
- The provider was registered to provide the following regulated activities: Diagnostic and screening procedures, family planning, surgical procedures, maternity and midwifery services and treatment of disease disorder and injury.
31 July 2018
This practice is rated as Good overall. (Previous inspection August 2016 – Good)
The key questions 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 inspection at Islip Surgery on 12 June 2018 as part of our inspection programme.
At this inspection we found:
- The practice had clear systems to manage risks to patients and staff. When incidents which required learning outcomes 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 strong focus on continuous learning and improvement at all levels of the organisation.
- The practice continuously reviewed the needs of its patient population and adapted processes to improve services for its population.
We saw one area of outstanding practice:
- The practice promoted, adopted and fully ulitised IT tools which supported patients to access information and consult clinicians without requiring a visit. Approximately 78% of patients used online services such as asking clinicians questions, booking appointments or requesting fit for work certificates. This was of particular benefit to the dispersed nature of the local population and that some patients lived in isolated areas. Between November 2017 and May 2018 there had been 968 instances where patients accessed online services. Data suggested that this avoided patients calling the practice 968 times, and visiting the practice 156 times, including 101 times an appointment would have otherwise been required.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice