Frome Valley Medical Centre

Updated 11 September 2018

Frome Valley Medical Centre

2 Court Road

Frampton Cotterell

Bristol

BS36 2DE

Frome Valley Medical Centre provides primary medical services to approximately 14,500 patients living in Frampton Cotterell and surrounding villages in South Gloucestershire on the north eastern outskirts of Bristol. The practice has a pharmacy and some complimentary health services within the building. The practice provides primary care to four residential homes and one nursing home as well as a residential site for the traveling community.

The South West UK Census data (2011) shows 3% of the population are recorded as being from the black or minority ethnic community. Public Health England's national general practice profile shows the practice has a significantly lower population of patients aged between 20 and 39 years old and a higher than England average group of patients aged 75 or over (11.8%). This has resulted in a higher that England average number of consultations per patients over 65 years old at 17.8 per year.

The practice population has low levels of deprivation. The Index of Multiple Deprivation 2015 is

the official measure of relative deprivation for England. The practice population is ranked at decile 10 which is the lowest level of deprivation.

The surgery was purpose built and is owned by the GP partners. The building is set over two floors with patient access to the first floor by lift. It has an access ramp to the entrance of the building and a large car park with blue badge reserved parking. There is a separate reception area with an automated arrival system and spacious waiting room.

The practice team includes five GP partners and five salaried GP's; a strategic manager and deputy operations manager; a nurse manager; three advanced nurse practitioners, five practice nurses; three healthcare assistants; a pharmacist; a phlebotomist and administration staff.

The practice is an accredited training practice for GP trainees, foundation year trainees and medical students.

The practice has a Primary Medical Services contract (PMS) with NHS England to deliver general medical services.

The practice has opted out of providing out-of-hours services to their own patients. Patients can access NHS 111 and out of hours services from information on the practice website.

The practice is registered to provide the following regulated activities:

Family planning

Diagnostic and screening procedures

Treatment of disease, disorder or injury

Surgical procedures

Maternity and midwifery services.

Updated 11 September 2018

This practice is rated as Good overall. (Previous rating April 2015 – Outstanding)

We found that although some of the previous outstanding elements had been retained within the practice further development of these initiatives had not been implemented since our previous inspection.

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 inspection at Frome Valley Medical Centre on 7 August 2018 as part of our inspection programme.

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 and improvement at all levels of the organisation.
• The practice had a very active patient participation group who were responsible for initiated some innovative projects such as the Combatting Loneliness and Isolation Project to identify community links and resources which could provide social contact and support for patients.

The areas where the provider should make improvements are:

• Review document management to ensure that all recruitment documentation is held in one place.
• Review the protocol for exception reporting so that the decision making process is clear.
• Risk assess the emergency medicines which were not held by the practice.
• Review processes to establish a programme of clinical review of the effectiveness and appropriateness of the care provided.

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

Please refer to the detailed report and the evidence tables for further information.

Updated 11 September 2018

Updated 11 September 2018

Updated 11 September 2018

Updated 11 September 2018

Updated 11 September 2018

Updated 11 September 2018