Archived: Ettingshall Medical Centre

Updated 1 February 2019

The Royal Wolverhampton NHS Trust (RWT) has been the registered provider for Ettingshall Medical Centre since July 2017. At this time, all staff transferred to RWT and are salaried employees of the Trust.

Ettingshall Medical Centre is a well-established GP practice situated in Wolverhampton. The practice operates from a purpose built healthcare facility. There is access for patients who use wheelchairs. The practice has a higher proportion of patients between the ages of 0-18 years (53%) compared with the practice average across England of 38%. At the time of our inspection, the practice had approximately 4,646 registered patients. The ethnicity of patients registered at the practice are approximately 59% white and 21% of Asian origin. The remaining 20% are identified as mixed race, black and other race. The practice is in the most deprived decile in the city. This may mean that there is an increased demand on the services provided.

The practice does not provide an out-of-hours service to its own patients but patients are directed to the out of hours service, Vocare via the NHS 111 service. The practice provides services to patients of all ages based on a contract to provide Alternative Provider Medical Services (APMS) for patients. This allows the practice to have a contract with NHS and other non-NHS

health care providers to deliver enhanced and primary medical services to meet the needs of the local community. Services, include childhood vaccination and immunisation scheme and minor surgery. The practice provides a number of clinics for example long-term condition management including asthma, diabetes and high blood pressure. The level of income deprivation affecting children is 39%, which is higher than the National average of 20%. The level of income deprivation affecting older people is higher, 35% than the National average of 20%.

The team of clinical staff at Ettingshall Medical Centre is made up of three GPs (one female, two male). The GPs work a total of 22 sessions between them. Other clinical staff include two practice nurses, one working full time and the other part time and a pharmacist. The clinical staff are supported by a practice manager, and administration and reception staff. There is a total of 13 staff working at the practice either full or part time hours.

Additional information about the practice is available on their website: http://www.ettingshallmedicalcentre.nhs.uk

Updated 1 February 2019

This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Requires Improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced inspection at Ettingshall Medical Centre on 26 November 2018 as part of our inspection programme.

At this inspection we found:

• The practice did not have effective systems in place for the prescribing and monitoring of high risk medicines.
• 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 had systems to keep patients safe and safeguarded from the risk of abuse.
• 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.
• The practice had a structured approach for monitoring patients with long term conditions which ensured patients were offered a review of their care and treatment.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use, however they expressed concerns about the time it took to get through to the practice and the waiting time beyond their appointment to be seen at the practice.
• There was evidence of the systems and processes in place for continuous learning and improvement at all levels of the organisation.

The areas where the provider must make improvements are:

• Care and treatment must be provided in a safe way for service users.

The areas where the provider should make improvements are:

• Ensure the prescribing practices of practice nurses who are non-medical prescribers are supervised and audited.
• Collect information in relation to the Accessible Information Standard (a requirement to make sure that patients and their carers can access and understand the information that they are given) at the point of registration and improve staff awareness of this standard.

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 1 February 2019

Updated 1 February 2019

Updated 1 February 2019

Updated 1 February 2019

Updated 1 February 2019

Updated 1 February 2019