- Independent doctor
Baskind Health
Report from 28 October 2024 assessment
Contents
On this page
- Overview
- Shared direction and culture
- Capable, compassionate and inclusive leaders
- Freedom to speak up
- Workforce equality, diversity and inclusion
- Governance, management and sustainability
- Partnerships and communities
- Learning, improvement and innovation
Well-led
The provider led the service well. There was an inclusive and positive culture of continuous learning and improvement. There were effective governance processes which ensured that procedures relating to the work of the service ran smoothly. The provider was focused on the needs of patients receiving care and was committed to the continuous improvement of services.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
There were no formally agreed values for the service, but the provider could describe core values that reflected their professional work. They described a culture of openness and transparency which reflected the findings from patient interviews.
There was no formal strategy in place. However, the provider told us clearly how they plan to develop the service in future years, through developing relationships with other services and specialist organisations who support people with ADHD.
Capable, compassionate and inclusive leaders
There were no concerns about the provider’s capability and they worked closely with other ADHD professionals to share knowledge and best practice. The provider was available to offer support to the nurse and to the medical secretary.
There was a HR/staff recruitment policy in place.
Freedom to speak up
Staff and leaders acted with openness, honesty and transparency. Patients received a sincere and timely apology when things went wrong, for example delayed medication.
Whilst there was no formal Freedom to Speak Up process or policy in place, staff were directed to the Independent Doctors Federation or General Medical Council if they had concerns.
Workforce equality, diversity and inclusion
Baskind Health was a small service and there were no concerns about fair and equitable treatment of staff, with a total of two staff and a self-employed secretary. The provider told us that staff could work flexibly.
The provider had completed equality and diversity training.
Governance, management and sustainability
The provider could clearly describe their roles and responsibilities for the running of the service. They were solely accountable for the governance including business planning, liaison with the General Medical Council and Independent Doctors Federation and managing patients within the service.
There were effective governance processes in place. The service used an effective electronic records system to ensure accurate and up to date care records. There were appropriate policies in place.
Partnerships and communities
Patients said the service worked effectively with other services so that they could move to shared care where possible. Shared care for ADHD involves an agreement between a patent, the specialist ADHD psychiatrist and the GP. The care and treatment are shared between the psychiatrist and the GP. The GP may issue prescriptions through the NHS. However, medication for ADHD can only be started by a specialist trained in the diagnosis and assessment of ADHD.
The provider engaged with a specialist peer support network to share learning with each other that resulted in continuous improvements to the service. They used this network to identify new or innovative ideas that could lead to better outcomes for patients.
Partners had no specific feedback on this area.
The service worked in partnership with key organisations to support care provision, service development and joined-up care. Care records demonstrated effective partnership working with GP practices and other clinical specialists who the provider liaised with and met regularly.
Learning, improvement and innovation
The provider used peer support and professional coaching to identify areas for improvement, for example with the booking system. They were well cited on patient feedback via the patient survey. The results of this survey were positive.
There was limited formalised quality improvement due to the size of the service and the length of registration. The provider had not participated in any research since registration. However, the service had conducted an audit of patient records and had made improvements to the recording templates, for example to ensuring that the location of the patient is recorded for online appointments in case of any acute concerns and recording prescription numbers in care records so they can be traced if necessary.