The Osmaston Surgery Also known as Dr I R Shand & Partners

Registration details

These are the registration details of the provider The Osmaston Surgery. They set out what services The Osmaston Surgery can legally provide, where they can provide them and who is responsible for them.

Partners

Family planning

Condition of this registration relating to carrying out this regulated activity

The Registered Provider must not register any new service users at The Osmaston Surgery without the written permission of the Care Quality Commission (CQC) except for the following:
a) newly born babies of service users already so registered or
b) newly fostered or adopted children of service users already so registered

The Registered Provider must develop and implement an effective system and/or process for the management of service users being prescribed medications requiring monitoring. The process should include but not limited to:
a) Identification, escalation and management i.e., reviews, follow-up takes place, in line with recognised guidelines.
b) To ensure that information about medications requiring monitoring is correctly recorded in records to support service users’ safety.
c) The Registered Provider must ensure all service users prescribed repeat medicines have an effective medication review. The effective medication review should be adequately documented, and ensure that appropriate monitoring is up-to-date, prescribing is in line with national guidance, potential interactions are considered, and drug safety alert information is considered. These reviews should be prioritised to review those service users at highest risk, for example, service users aged over 70, service users on more than 4 repeat medicines, service users prescribed medicines requiring monitoring, and any service users prescribed 10 or more repeat medicines).

The Registered Provider must develop and implement policies and protocols for the management of long-term conditions. These policies should be in lines with recognised guidance and include the identification, escalation and management including medicine reviews of long-term conditions such as diabetes and chronic heart conditions but not limited to these.

The Registered Provider must undertake a full audit and review of all relevant (including historical) MHRA alerts and drug safety updates to ensure the appropriate safe management of patients has taken place. They must provide the CQC a copy of the review together with the Registered Provider’s actions as appropriate.

The Registered Provider must develop and implement an effective system and/or process for the management of safeguarding concerns in particular:
a) Identification of safeguarding concerns
b) Review and management of vulnerable children and adults
c) Set protocols to action any escalated concerns

The Registered Provider must send evidence by 28 July 2023 of completed mandatory training for all staff (including regular locum and Additional Roles Reimbursement Scheme staff) at the practice.

The Registered Provider must appoint a named and appropriately trained practice infection control lead and provide to CQC by 28 July 2023, a copy of a written infection prevention and control audit and action plan for the practice, including dates for the completion of each action.

The Registered Provider must appoint an appropriately qualified practice/business manager to drive improvements and to support staff and service users. They must work with the GP partners and the practice team to develop systems to support effective governance with oversight, and that these systems become embedded into everyday practice activity.

The Registered Provider must provide the Care Quality Commission with a report setting out the actions taken or to be taken in relation to conditions 1-8 above by 28 June 2023 and monthly thereafter. The report must also include the following:
a) details of the system(s), policy(ies) and processes that are implemented to comply with the conditions,
b) details and confirmation of action taken to ensure the system(s) are being audited and monitored to improve the quality and safety of services.

Terms of this registration relating to carrying out this regulated activity

The registered provider must ensure that the regulated activity Family planning is managed by an individual who is registered as a manager in respect of that activity at or from all locations.

Registered services

• The Osmaston Surgery

Treatment of disease, disorder or injury

Condition of this registration relating to carrying out this regulated activity

The Registered Provider must not register any new service users at The Osmaston Surgery without the written permission of the Care Quality Commission (CQC) except for the following:
a) newly born babies of service users already so registered or
b) newly fostered or adopted children of service users already so registered

The Registered Provider must develop and implement an effective system and/or process for the management of service users being prescribed medications requiring monitoring. The process should include but not limited to:
a) Identification, escalation and management i.e. reviews, follow-up takes place, in line with recognised guidelines.
b) To ensure that information about medications requiring monitoring is correctly recorded in records to support service users’ safety.
c) The Registered Provider must ensure all service users prescribed repeat medicines have an effective medication review. The effective medication review should be adequately documented, and ensure that appropriate monitoring is up-to-date, prescribing is in line with national guidance, potential interactions are considered, and drug safety alert information is considered. These reviews should be prioritised to review those service users at highest risk, for example, service users aged over 70, service users on more than 4 repeat medicines, service users prescribed medicines requiring monitoring, and any service users prescribed 10 or more repeat medicines).

The Registered Provider must develop and implement policies and protocols for the management of long-term conditions. These policies should be in lines with recognised guidance and include the identification, escalation and management including medicine reviews of long-term conditions such as diabetes and chronic heart conditions but not limited to these.

The Registered Provider must undertake a full audit and review of all relevant (including historical) MHRA alerts and drug safety updates to ensure the appropriate safe management of patients has taken place. They must provide the CQC a copy of the review together with the Registered Provider’s actions as appropriate.

The Registered Provider must develop and implement an effective system and/or process for the management of safeguarding concerns in particular:
a) Identification of safeguarding concerns
b) Review and management of vulnerable children and adults
c) Set protocols to action any escalated concerns

The Registered Provider must send evidence by 28 July 2023 of completed mandatory training for all staff (including regular locum and Additional Roles Reimbursement Scheme staff) at the practice.

The Registered Provider must appoint a named and appropriately trained practice infection control lead and provide to CQC by 28 July 2023, a copy of a written infection prevention and control audit and action plan for the practice, including dates for the completion of each action

The Registered Provider must appoint an appropriately qualified practice/business manager to drive improvements and to support staff and service users. They must work with the GP partners and the practice team to develop systems to support effective governance with oversight, and that these systems become embedded into everyday practice activity.

The Registered Provider must provide the Care Quality Commission with a report setting out the actions taken or to be taken in relation to conditions 1-8 above by 28 June 2023 and monthly thereafter. The report must also include the following:
a) details of the system(s), policy(ies) and processes that are implemented to comply with the conditions,
b) details and confirmation of action taken to ensure the system(s) are being audited and monitored to improve the quality and safety of services.

Terms of this registration relating to carrying out this regulated activity

The registered provider must ensure that the regulated activity Treatment of disease, disorder or injury is managed by an individual who is registered as a manager in respect of that activity at or from all locations.

Registered services

• The Osmaston Surgery

Surgical procedures

Condition of this registration relating to carrying out this regulated activity

The Registered Provider must not register any new service users at The Osmaston Surgery without the written permission of the Care Quality Commission (CQC) except for the following:
a) newly born babies of service users already so registered or
b) newly fostered or adopted children of service users already so registered

The Registered Provider must develop and implement an effective system and/or process for the management of service users being prescribed medications requiring monitoring. The process should include but not limited to:
a) Identification, escalation and management i.e., reviews, follow-up takes place, in line with recognised guidelines.
b) To ensure that information about medications requiring monitoring is correctly recorded in records to support service users’ safety.
c) The Registered Provider must ensure all service users prescribed repeat medicines have an effective medication review. The effective medication review should be adequately documented, and ensure that appropriate monitoring is up-to-date, prescribing is in line with national guidance, potential interactions are considered, and drug safety alert information is considered. These reviews should be prioritised to review those service users at highest risk, for example, service users aged over 70, service users on more than 4 repeat medicines, service users prescribed medicines requiring monitoring, and any service users prescribed 10 or more repeat medicines).

The Registered Provider must develop and implement policies and protocols for the management of long-term conditions. These policies should be in lines with recognised guidance and include the identification, escalation and management including medicine reviews of long-term conditions such as diabetes and chronic heart conditions but not limited to these.

The Registered Provider must undertake a full audit and review of all relevant (including historical) MHRA alerts and drug safety updates to ensure the appropriate safe management of patients has taken place. They must provide the CQC a copy of the review together with the Registered Provider’s actions as appropriate.

The Registered Provider must develop and implement an effective system and/or process for the management of safeguarding concerns in particular:
a) Identification of safeguarding concerns
b) Review and management of vulnerable children and adults
c) Set protocols to action any escalated concerns

The Registered Provider must send evidence by 28 July 2023 of completed mandatory training for all staff (including regular locum and Additional Roles Reimbursement Scheme staff) at the practice.

The Registered Provider must appoint a named and appropriately trained practice infection control lead and provide to CQC by 28 July 2023, a copy of a written infection prevention and control audit and action plan for the practice, including dates for the completion of each action.

The Registered Provider must appoint an appropriately qualified practice/business manager to drive improvements and to support staff and service users. They must work with the GP partners and the practice team to develop systems to support effective governance with oversight, and that these systems become embedded into everyday practice activity.

The Registered Provider must provide the Care Quality Commission with a report setting out the actions taken or to be taken in relation to conditions 1-8 above by 28 June 2023 and monthly thereafter. The report must also include the following:
a) details of the system(s), policy(ies) and processes that are implemented to comply with the conditions,
b) details and confirmation of action taken to ensure the system(s) are being audited and monitored to improve the quality and safety of services.

Terms of this registration relating to carrying out this regulated activity

The registered provider must ensure that the regulated activity Surgical procedures is managed by an individual who is registered as a manager in respect of that activity at or from all locations.

Registered services

• The Osmaston Surgery

Diagnostic and screening procedures

Condition of this registration relating to carrying out this regulated activity

The Registered Provider must not register any new service users at The Osmaston Surgery without the written permission of the Care Quality Commission (CQC) except for the following:
a) newly born babies of service users already so registered or
b) newly fostered or adopted children of service users already so registered

The Registered Provider must develop and implement an effective system and/or process for the management of service users being prescribed medications requiring monitoring. The process should include but not limited to:
a) Identification, escalation and management i.e. reviews, follow-up takes place, in line with recognised guidelines.
b) To ensure that information about medications requiring monitoring is correctly recorded in records to support service users’ safety.
c) The Registered Provider must ensure all service users prescribed repeat medicines have an effective medication review. The effective medication review should be adequately documented, and ensure that appropriate monitoring is up-to-date, prescribing is in line with national guidance, potential interactions are considered, and drug safety alert information is considered. These reviews should be prioritised to review those service users at highest risk, for example, service users aged over 70, service users on more than 4 repeat medicines, service users prescribed medicines requiring monitoring, and any service users prescribed 10 or more repeat medicines).

The Registered Provider must develop and implement policies and protocols for the management of long-term conditions. These policies should be in lines with recognised guidance and include the identification, escalation and management including medicine reviews of long-term conditions such as diabetes and chronic heart conditions but not limited to these.

The Registered Provider must undertake a full audit and review of all relevant (including historical) MHRA alerts and drug safety updates to ensure the appropriate safe management of patients has taken place. They must provide the CQC a copy of the review together with the Registered Provider’s actions as appropriate.

The Registered Provider must develop and implement an effective system and/or process for the management of safeguarding concerns in particular:
a) Identification of safeguarding concerns
b) Review and management of vulnerable children and adults
c) Set protocols to action any escalated concerns

The Registered Provider must send evidence by 28 July 2023 of completed mandatory training for all staff (including regular locum and Additional Roles Reimbursement Scheme staff) at the practice.

The Registered Provider must appoint a named and appropriately trained practice infection control lead and provide to CQC by 28 July 2023, a copy of a written infection prevention and control audit and action plan for the practice, including dates for the completion of each action.

The Registered Provider must appoint an appropriately qualified practice/business manager to drive improvements and to support staff and service users. They must work with the GP partners and the practice team to develop systems to support effective governance with oversight, and that these systems become embedded into everyday practice activity.

The Registered Provider must provide the Care Quality Commission with a report setting out the actions taken or to be taken in relation to conditions 1-8 above by 28 June 2023 and monthly thereafter. The report must also include the following:
a) details of the system(s), policy(ies) and processes that are implemented to comply with the conditions,
b) details and confirmation of action taken to ensure the system(s) are being audited and monitored to improve the quality and safety of services.

Terms of this registration relating to carrying out this regulated activity

The registered provider must ensure that the regulated activity Diagnostic and screening procedures is managed by an individual who is registered as a manager in respect of that activity at or from all locations.

Registered services

• The Osmaston Surgery