Spital Surgery

Updated 26 June 2018

Spital Surgery is registered with the Care Quality Commission to provide primary medical services.

This is a General Medical Services (GMS) contracted service within the centre of Wirral.

The practice team consists of three GP partners, two salaried doctors, two practice nurses, a practice manager and a business manager, reception and administration staff. One of the GP partners is the registered manager

The total practice list size for the practice is 4500. The practice is part of Wirral Clinical Commissioning Group (CCG). The practice is situated in a more affluent area that has lower than average areas of deprivation. The practice population is made up of a higher than national average population aged over 65 years and a lower than national average of younger aged patients.

It is registered to provide the following regulated activities:

Maternity and midwifery services

Diagnostic and screening procedures

Surgical procedures

Treatment of disease, disorder or injury

Out of hours primary medical services are accessed by calling NHS 111.

Updated 26 June 2018

This practice is rated as Good overall. (Previous inspection March 2015– 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 Spital Surgery on 15 May 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 were systems in place to mitigate safety risks including health and safety, infection control and dealing with safeguarding.
• 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 sought patient views about improvements that could be made to the service; including having an active patient participation group (PPG) and acted, where possible, on feedback.
• Staff worked well together as a team, knew their patients well and all felt supported to carry out their roles.
• There was a focus on learning and improvement at all levels of the organisation.
• The provider was aware of the requirements of the duty of candour.

The areas where the provider should make improvements are:

• Review the practice policies and procedures to ensure they are localised and specific to the practice. They should be reviewed and updated as necessary and include implementation and revision dates.
• Review the system for following up urgent referral appointments (including the two week wait rule appointments) to ensure patients receive timely secondary care appointments when needed.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Updated 26 June 2018

Updated 26 June 2018

Updated 26 June 2018

Updated 26 June 2018

Updated 26 June 2018

Updated 26 June 2018