Background to this inspection
Updated
5 November 2018
Binbrook Surgery provides primary medical care for approximately 2,520 patients living in the rural area of Binbrook and neighbouring villages. It is located in the Lincolnshire Wolds some 25 miles from the City of Lincoln and 13 miles from Grimsby. Public transport provision is very poor with just one bus a day enabling people to access Grimsby.
The service is provided under a General Medical Services contract with Lincolnshire East Clinical Commissioning Group.
The practice is registered to provide the regulated activities of:
Diagnostic and screening procedures;
Family planning;
Maternity and midwifery services;
Surgical procedures;
Treatment of disease, disorder or injury;
from a single location at Binbrook Surgery, Back Lane, Binbrook LN8 6ED
The practice had a higher number of older people on the patient list than the national average. 28.5 % of patients were aged 65 or over compared to the national average of 17.1%. It has a lower than average number of younger people on the patient list than the national average.
Care and treatment is provided by two male GP partners, one male salaried GP and a female locum GP providing 11 GP sessions per week. Care is also provided by a nurse practitioner, two practice nurses (1.5 WTE) and a phlebotomist/healthcare assistant. They are supported by a team of dispensers, receptionists and administration staff.
The practice was able to offer dispensing services to those patients on the practice list who lived more than one mile (1.6km) from their nearest pharmacy. It dispenses to approximately 95% of its patients.
The surgery is open between 8am and 6.30pm Monday and Friday
When the surgery is closed GP out-of- hours services are provided by provided by Lincolnshire Community Health Services NHS Trust which can be contacted via NHS111.
Updated
5 November 2018
This practice is rated as Good overall.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
This inspection was a comprehensive announced inspection carried out on 12 September 2018.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- There was a process in place to help protect vulnerable patients from abuse.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Some patients had reported that they experienced difficulty accessing the surgery by telephone to make appointments and that routine pre-bookable appointments were sometimes difficult to obtain.
- There was a focus on continuous learning and improvement at all levels of the organisation.
- There was a strong and dedicated practice team.
- Results from the national GP patient survey showed that patients, when asked about their treatment and care, rated this practice higher than both the national and local averages in every question.
The areas where the provider should make improvements are:
- The practice should review its means of communications with patients, including having an active and effective patient participation group.
- Review staff meetings to help ensure that dispensary staff could meet together.
- Review the process for ensuring the quality of record keeping and consultations of locum GPs.
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Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice