Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Integrated Care 24 Limited – Woodingdean on 12 and13 July 2016. This is a GP out of hours services which provides health care for urgent medical problems outside normal surgery hours. Overall the service is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an effective system for reporting and recording significant events. A wide range of events was reported. They were systematically assessed and dealt with.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Comment cards that patients completed confirmed this finding.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients said they found it easy to make an appointment and data showed most patients were seen or contacted in a timely manner. The primary care centres, from which care was delivered, were well equipped to treat patients and meet their needs.
- There was a clear leadership structure. Governance framework was strong. Staff felt supported by management. Independent challenge at board level was welcomed.
- The provider was aware of and complied with the requirements of the duty of candour.
We saw one area of outstanding practice:
- The service had a systematic approach to working with other organisations to improve care outcomes. For example they had worked with UK Sepsis Trust to develop a protocol to improve diagnosis, safety and care of patients with sepsis (blood poisoning). The protocol was made widely available.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice