LADMS GP Extended Access Service - Boston

Updated 31 December 2019

Lincolnshire and District Medical Services Limited (LADMS) which was formed as a GP co-operative provides a number of healthcare services, both in primary and secondary care. As part of its primary care functions, it provides GP extended hours access hubs at three locations across Lincolnshire. Two of the services are directly contracted through an Alternative Provider Medical Services (APMS) contract with Lincolnshire East Clinical Commissioning Group. The other is sub-contracted from another primary care services provider, also commissioned by Lincolnshire East Clinical Commissioning Group.

The hubs are located at:

• Beacon Medical Practice (Ingoldmells Branch) Skegness Road Ingoldmells PE25 1JL

•The Sidings Medical Practice, Boston West Business Park, Sleaford Road, Boston PE21 8EG

•County Hospital, High Holme Road, Louth LN11 0EU

Care and treatment are provided to approximately 252,765 patients across the area covered by Lincolnshire East Clinical Commissioning Group.

The hubs are staffed by sessional GPs, nurse prescribers (practitioners) and receptionists.

LADMS is registered with CQC to provide the regulated activities of:

•Diagnostic and screening procedures

•Family planning

•Maternity and midwifery services

•Surgical procedures

•Treatment of disease, disorder or injury.

The company website is http://www.ladms.co.uk

The extended access hub in the Boston locality, based at The Sidings Medical Centre, provides additional appointments for 88,011 (weighted to 92,310) of the Lincolnshire East CCG population.

The hub is open from 6.30 pm to 8.00 pm on Mondays to Fridays, and 8.30 am to 6.30 pm on Saturdays and Sundays.   On Public Holidays, including Christmas Day, Boxing Day and New Year’s Day, the service runs from either 9.00 am to 1pm or 10.00 am to 2.00 pm.

The hub operates from a purpose-built GP surgery with ample car parking.

Updated 31 December 2019

This service is rated as Good overall.

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 LADMS GP Extended Access Service - Boston on 3 and 12 December 2019. This was as part of our inspection programme. We had not inspected this service before.

At this inspection we found:

• The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• There was an emphasis on audit and where weaknesses had been identified action taken at individual and provider level to improve.
• Staff involved and treated people with compassion, kindness, dignity and respect.
• Patients were able to access care and treatment from the service at a time that met their needs.
• There was a strong focus on high quality care and service improvement at all levels of the organisation.
• Performance was continually monitored as an aid to service improvement.
• There was an effective governance structure with all board members and staff aware of their roles and responsibilities.

The provider should;

• Continue to review the delivery of the service to meet the national requirement of 30 minutes of appointment time per 1,000 patients per week.
• Continue to work with GP practices to increase the utilisation of available appointments.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care