LADMS GP Extended Access Service - Boston

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