• Doctor
  • Out of hours GP service

Archived: Care UK - Bucks

Overall: Good read more about inspection ratings

Midshires Business Park, Smeaton Close, Aylesbury, Buckinghamshire, HP19 8HL (01296) 850007

Provided and run by:
Practice Plus Group Urgent Care Limited

Important: This service is now registered at a different address - see new profile

Latest inspection summary

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Background to this inspection

Updated 8 November 2017

Care UK is the UK's largest independent provider of health and social care. Care UK-Bucks provides out-of-hours (OOH) primary medical services across Buckinghamshire when GP practices are closed. The OOH service covers a population of approximately 550,000 people across the county of Buckinghamshire and in the last 12 months offered 66,424 patient contacts. The area covered incorporates two Clinical Commissioning Group areas, Aylesbury Vale and Chiltern.

Most patients access the OOH service via the NHS 111 telephone service. Patients may be seen by a clinician or receive a telephone consultation or a home visit, depending on their needs. Occasionally patients access services as a walk-in patient or via ‘direct booking pilot’ project (Three local practices are able to fax patient details directly to Care UK-Bucks between 6pm and 6.30pm if they are not able to offer the appointment).

We visited the Care UK-Bucks call centre and headquarters in Aylesbury during this inspection. It was not necessary to visit any of the five primary care centres as the evidence required to reach a judgement was held at the headquarters.

The full address for call centre and headquarters is:

  • Care UK-Bucks, Unit 3, Midshires Business Park, Smeaton Close, Aylesbury, Buckinghamshire, HP19 8HL.

Out-of-hours (OOH) services are provided from five primary care centres across the county on every day of the year. They are:

  • Stoke Mandeville OOH: Stoke Mandeville Hospital is open from 6.30pm to 8am (overnight) Monday to Saturday and from 8am on a Saturday through to 8am Monday morning. This centre also opens on bank holidays from 8am to 8am the next day. We visited this site during the inspection.
  • Amersham OOHs: Amersham Health Centre is open from 9am to 9pm on a Saturday and from 9am to 7pm on Sunday. This centre also open on bank holidays. We did not inspect this site.
  • Buckingham OOH: Buckingham Community Hospital is open from 2pm to 4pm on a Saturday and Sunday. This centre also open on bank holidays. We did not inspect this site.
  • Wycombe OOH: Wycombe General Hospital is open from 6.30pm to 8am (overnight) Monday to Saturday and from 8am on a Saturday through to 8am Monday morning. This centre also open on bank holidays from 8am to 8am the next day. An inspection visit at Wycombe OOH is reported in a separate inspection report along with ‘Minor Injuries Illness Unit’ inspection visit. This is due to way the provider is registered with the Care Quality Commission. This out-of-hours (OOH) service is co-located with a ‘Minor Injuries Illness Unit’ that is also managed by the Care UK-Bucks. We visited this site during the inspection.
  • Poplar Grove Practice in Aylesbury: Once a month from 1pm to 6pm when local GPs are closed during the training session to meet the increasing demand. We did not inspect this site.

OOH Primary Care Centres are situated in rented spaces from the Buckinghamshire Health Care NHS Trust (apart from the Poplar Grove Practice) and the facilities are managed by the respective organisation.

Overall inspection

Good

Updated 8 November 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Care UK-Bucks Out of Hours Service on 12 December 2016. The overall rating for the service practice was good. However a breach of regulation was found resulting in a rating of requires improvement for provision of well-led services. The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Care UK-Bucks Out of Hours Service on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 26 September 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 12 December 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the service remains rated as good and the rating for provision of well-led services has been amended to good.

Our key findings were as follows:

  • The provider had instituted regular calibration of blood glucose monitors to ensure these items of medical equipment were fit for use.
  • Prescribing of high risk medicines followed the providers prescribing policy and there were checks in place to ensure this happened.
  • Compliance with national quality requirements was improving.
  • There was a system in place to monitor that relevant recruitment checks were completed.
  • Blank prescriptions were held safely and there was a system to track them through to issuing.
  • Completion of mandatory training was monitored and action taken to ensure staff completed training relevant to their roles.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice