Background to this inspection
Updated
27 July 2018
Netherley Health Centre is situated in a residential area of South Liverpool. The practice address is Middlemass Hey, Liverpool, L27 7AF The practice website address is primarycareconnect.org.uk
The practice is part of NHS Liverpool Clinical Commissioning Group (CCG) and has an Alternative Primary Medical Services (APMS) contract.
The provider is Primary Care Connect Ltd which is a not for profit company run by Liverpool GP federation in partnership with five Liverpool GMS practices and Bridgewater Community Trust. The provider delivers services from five other practices in Liverpool (Everton Road Surgery, Anfield Health, West Speke Health Centre, Park View Medical Centre and Garston Family Health Centre).
The organisational structure consists of a Board and an Executive Team made up of a Finance and Performance Committee, an HR business partner, an operations manager, a Medical Director and a Quality and Risk Committee. There is a centralised contracts and performance team. Each practice is supported by a Deputy Operations Manager and a team leader, front office reception staff trained as care navigators, and back office administration staff. Primary Care Connect Ltd employs a clinical pharmacist for all its practices. Additional support was available from Mentor practices.
At this practice there are two salaried GPs and the practice uses regular GP locums. There is a practice nurse and a healthcare assistant.
Netherley Health Centre is registered with the Care Quality Commission to carry out the following regulated activities: Diagnostic and screening procedures, Family planning, Maternity and midwifery services, Surgical procedures and Treatment of disease, disorder or injury.
Netherley Health Centre is situated in a socially deprived area of Liverpool with high unemployment rates. There were 3,831 patients on the practice register at the time of our inspection.
The practice is open 8am to 6.30pm every weekday. Patients requiring a GP outside of normal working hours are advised to contact NHS 111 for the GP out of hours service.
Updated
27 July 2018
This practice is rated as Good overall.
The key questions 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 comprehensive inspection at Netherley Health Centre on 8 June 2018 as part of our inspection programme
At this inspection we found:
This practice is rated as Good overall.
The key questions 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 comprehensive inspection at Garston Family Practice on 6 June 2018 as part of our inspection programme
At this inspection we found:
- The practice was one of a group of six practices that had recently been taken over in April 2017 by a new provider. There had been initial challenges for the provider in ensuring that each practice had sufficient staff and effective teams in place. The provider had focused on staff training and well – being to empower staff; and improving mechanisms for patient engagement to drive patient centred care.
- Systems and processes were still in the process of being developed and improved across all the practices. Incidents and complaints were monitored centrally by the provider. When incidents did happen, the practice learned from them and improved their processes. However, we found that policies and the degree of provider oversight needed to be expanded to improve the safety mechanisms already in place; and improve clinical support to ensure all clinicians are supported to keep up to date with best practice guidance and legislation.
- We identified some gaps in monitoring systems for: when essential health and safety and fire safety checks of the premises were due; checking that clinicians used appropriately calibrated equipment; prescribing safety; and checking the ongoing immunisation status of staff.
- The practice did not have a defibrillator to treat medical emergencies for cardiac arrest. We were assured on the day of the inspection that this would be purchased.
- Systems and processes for safeguarding required improvement.
- Staff understood the requirements of the duty of candour.
- The practice routinely monitored its performance against contractual requirements however there was very little evidence of clinical audit for quality assurance.
- Staff felt well supported by management and worked well together as a team. They received appropriate training for their role and had opportunities for career development. There was some evidence of performance management of GPs at this practice but overall the provider needed a more robust system of consultation, referral and prescribing audits.
- Patient feedback and complaints, we reviewed indicated that generally staff treated patients with compassion, kindness, dignity and respect.
We saw one area of outstanding practice:
- The practice telephoned patients who required cervical smears to arrange appointments. This had resulted in a 92% uptake, which was higher than the national target of 80% and higher than local and national averages.
The areas where the provider must make improvements are:
- Ensure patients are protected from abuse and improper treatment.
- Ensure patients receive safe care and treatment
The areas where the provider should make improvements are:
- Monitor the ongoing immunisation status for all staff.
- Monitor their recruitment systems for locum GPs to cross check that all the necessary recruitment and training checks have been completed.
- Introduce a schedule of clinical audits and expand prescribing, consultation and referral audits.
- Review and expand the policies and the degree of provider oversight to improve the safety mechanisms already in place; and improve clinical support to ensure all clinicians are supported to keep up to date with best practice guidance and legislation.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice