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Macklin Street Surgery Outstanding


Review carried out on 26 June 2019

During an annual regulatory review

We reviewed the information available to us about Macklin Street Surgery on 26 June 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 19 April 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Macklin Street Surgery on19 April 2016. Overall the practice is rated as outstanding.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety within the practice. Effective systems were in place to report, record and learn from significant events.
  • Risks to patients were assessed and managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • Training was provided for staff which equipped them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said it could be difficult to make a routine appointment with a GP but that urgent were appointments available the same day. The practice demonstrated an ongoing commitment to improving access to appointments and had recruited a new GP who was due to start with the practice soon.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

We saw several areas of outstanding practice:

  • The provider had a history of providing high quality medical education. They had demonstrated innovation in their approach to education including the development and hosting of courses for triage and clinical skills accessible to a range of clinicians. In addition the practice provided work experience opportunities for sixth form students who wanted to pursue a career in medicine. The practice was a designated hub as part of the Community Education Provider Network and was working with other organisations locally to offer more placement opportunities for medical students and nurses.
  • There was a commitment across all practice staff to providing high quality, compassionate end of life care for their patients and advanced care planning was in place for all palliative patients. An annual audit of palliative care had demonstrated that the 62.5% of patients on the practice’s palliative care register had achieved a comfortable death in their preferred place of death. The practice was one of only 14 nationally to have achieved accreditation from the Gold Standards Framework. This practice had been shared both regionally and nationally.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice