Ashurst Primary Care

Updated 4 September 2018

Dr Sanjeev Saxena is located at Ashurst Primary Care Centre, Lulworth a health centre in the centre of Ashurst in a residential area. The website address is www.ashurstprimarycare.co.uk.

Primary medical services are provided under a General Medical Services (GMS) contract with NHS England and the practice is part of the West Lancashire Clinical Commissioning Group.

There are two partners at the practice, one male and one female. Only Dr Sanjeev Saxena delivers clinical sessions. There are also two part-time regular locum GP’s, one female working six sessions and one male working four sessions per week. There is one full-time female practice nurse, a part-time health care assistant, a full-time practice manager and a team of administrative staff.

The practice opening times are 8.30am to 6.30pm Monday to Friday. The practice appointment times are Monday, Tuesday, Thursday, Friday 8.30am to 12.30 and 2pm to 5.30pm. Appointment times on Wednesday are 8.30-12.30 only. Extended hours are available Monday and Tuesday 6.30-8pm.Patients requiring a GP outside of normal working hours are advised to call Out of Hours West Lancashire GP Services.

There are 5170 patients on the practice list. The majority of patients are white British with a high number of working age patients with families. There are 13% of the registered patients who are over 65 years compared to the local (21.6%) and national averages (17.2%) and 21% are under 16 years compared to the local average of 18.9% and national figure of 20.8%. The average life expectancy for males in the local population is 76.6 years and females 80.6 years which is slightly below the CCG and national averages (males 79 years and females 82 years for the CCG, 83 years nationally). Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the highest level of deprivation and level ten the lowest. There is an ethnic population of 1.9%.

Regulated activities delivered are diagnostic and screening, maternity and midwifery, family planning, treatment of disease, disorder or injury & surgical procedures.

Updated 4 September 2018

This practice is rated as Good overall. (Previous rating June 2016 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Dr S and Dr L Saxena, also known as Ashurst Primary Care on 10 July 2018 as the provider reregistered with CQC in February 2018 when he took on a GP partner.

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.
• 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.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Improve the documentation of incidents to ensure that actions agreed and learning outcomes are clearly recorded
• Continue to protect the security of prescription pads and log their usage
• Take action to risk assess the range of emergency medicines available
• Establish a tracker to monitor the action taken in response to alerts.
• Ensure NICE guidelines are discussed and put in place where relevant.
• Continue to take action to improve uptake of cervical, breast and bowel screening.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 4 September 2018

Updated 4 September 2018

Updated 4 September 2018

Updated 4 September 2018

Updated 4 September 2018

Updated 4 September 2018