Archived: South Park

Updated 17 May 2017

South Park Surgery is a practice offering personal medical services to the population of Reigate in Surrey. There are approximately 4,500 registered patients.

The practice population has a slightly higher number of patients between 0-19 and 35-49 years of age than the national and local CCG average. There are a similar number of patients with a longstanding health condition with 51% compared to the CCG average of 50% and national average of 54%. The percentage of registered patients suffering deprivation (affecting both adults and children) is higher than the average for the CCG area but lower than the average for England.

South Park Surgery has two male GPs. The practice is also supported by two practice nurses, one healthcare assistant, a team of administrative and reception staff and a practice manager. The surgery is run by Malling Health (UK) Limited, an organisation controlled by Integral Medical Holdings (IMH). There are concerns held by both practice staff and patients for the future of this surgery as the contract to run the practice expires in September 2017 having been extended for six months at the start of 2017. This affects the ability to make long term plans for the surgery.

We reviewed details of the practice registration held with the Care Quality Commission and noted that the practice was registered to undertake Diagnostic and screening procedures, Family planning and Treatment of disease, disorder or injury. There was no registration for providing Maternity and midwifery services or Surgical procedures. The provider has been informed that this issue requires addressing.

The practice runs a number of services for its patients including asthma clinics, diabetes clinics, coronary heart disease clinics, child immunisation clinics, new patient checks and travel vaccines and advice.

Services are provided from one location:

South Park Surgery, 42a Prices Lane, Reigate, Surrey, RH2 8AX. The practice building is owned by a private individual and rented to the practice.

Opening hours are Monday to Friday 8am to 6.30pm.

During the times when the practice is closed arrangements are in place for patients to access care from IC24 which is an Out of Hours provider, this is accessed by patients calling NHS 111.

Updated 17 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at South Park Surgery on 22 September 2016. During this inspection we found breaches of legal requirement and the provider was rated as requires improvement under the safe, caring and responsive domains. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for South Park Surgery on our website at www.cqc.org.uk.

Following this inspection the practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:

• Reviewing and continuing to take action in addressing areas that are lower than average for patients with long term conditions in relation to local CCG and national averages.

• Reviewing access to appointments in line with patient feedback regarding this aspect and areas of patient satisfaction within the National GP Patient survey.

• Implementing and maintaining a recording system to track prescription forms and pads.

• Reviewing their recruitment process to ensure all pre-employment checks are completed before employment commences

Additionally we had found that:

• The practice needed to review their procedure for patients that do not respond to their invitation for cervical screening.

• The practice needed to review their procedure for patients that do not attend for breast or bowel cancer screening.

• The practice needed to continue in their attempt to obtain an electrical installation certificate for the practice building.

This inspection was an announced focused inspection carried out on 9 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is still rated as requires improvement.

Our key findings were as follows:

• The practice was now complying with their practice recruitment policy and had obtained retrospective references for staff that were working within the practice. No new staff had started employment since our last inspection.

• The practice had reviewed their procedure for patients that had not attended for cervical, breast or bowel cancer screening. The practice now contacted these patients and invited them to contact the practice to discuss any concerns they may have. Data from 2015/16 showed the practice achieved similar results as recorded by both local Clinical Commissioning Group (CCG) and national averages for both breast and bowel cancer screening. The practice had achieved 70% for cervical cancer screening which was lower than both local CCG and national averages of 80% and 81% respectively.

• The practice had employed an external contractor to undertake an electrical installation assessment. This was undertaken in February 2017. There were identified areas of required work outstanding at the time of this inspection.

• There had been no update in the national GP patient survey since our last inspection and the practice had not undertaken any internal patient surveys. Evidence was seen on NHS choices of 10 reviews which were of mixed feedback.

However, there were also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

• Review access to appointments in line with patient feedback regarding this aspect and other areas of low patient satisfaction documented within the National GP Patient survey and detail their action plan to resolve these issues.

In addition the provider should:

• Continue to monitor patient reviews of those suffering long term conditions.

• Monitor their prescription form tracking process throughout the practice to ensure that this is adequate.

• Continue to monitor the procedure in place to ensure that patients invited to attend for cancer screening are contacted to assist in increasing their attainment level in line with both local CCG and national averages.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 17 May 2017

The provider had not resolved all the concerns for providing caring and responsive services identified at our inspection on 22 September 2016 which applied to everyone using this practice, including this population group. Therefore the rating for this population group has not changed and remains as requires improvement.

Updated 17 May 2017

The provider had not resolved all the concerns for providing caring and responsive services identified at our inspection on 22 September 2016 which applied to everyone using this practice, including this population group. Therefore the rating for this population group has not changed and remains as requires improvement.

Updated 17 May 2017

The provider had not resolved all the concerns for providing caring and responsive services identified at our inspection on 22 September 2016 which applied to everyone using this practice, including this population group. Therefore the rating for this population group has not changed and remains as requires improvement.

Updated 17 May 2017

The provider had not resolved all the concerns for providing caring and responsive services identified at our inspection on 22 September 2016 which applied to everyone using this practice, including this population group. Therefore the rating for this population group has not changed and remains as requires improvement.

Updated 17 May 2017

The provider had not resolved all the concerns for providing caring and responsive services identified at our inspection on 22 September 2016 which applied to everyone using this practice, including this population group. Therefore the rating for this population group has not changed and remains as requires improvement.

Updated 17 May 2017

The provider had not resolved all the concerns for providing caring and responsive services identified at our inspection on 22 September 2016 which applied to everyone using this practice, including this population group. Therefore the rating for this population group has not changed and remains as requires improvement.