Archived: Dr Alistair (Medical Services) Limited

Updated 6 October 2017

Dr Alistair (Medical Services) Limited, provides primary care services to its registered list of approximately 6100 patients. The main location of the practice is situated in Golborne and the branch surgery in Ashton-in-Makerfield.

Both the main and branch surgery are in facilities with disabled access. There are parking facilities, including disabled spaces, and are both accessible by local transport links.

There are five GPs (three male and two female). There is an extensive nursing team that includes advanced nurse practitioners, a practice nurse and a team of healthcare assistants (assistant practitioners). The senior GP is the registered manager. There are also two assistant practice managers and a finance administrator with supporting reception and administration staff. The practice is a training practice for trainee GPs. Staff work across both sites to meet the needs of the patient population.

The age profile of the practice is very similar to the CCG and national averages. The male life expectancy for the area is 78 years compared with the CCG averages of 77 years and the national average of 79 years. The female life expectancy for the area is 82 years compared with the CCG averages of 81 years and the national average of 83 years.

The practice delivers commissioned services under the Alternative Provider Medical Services (APMS) contract with NHS England and is part of Wigan Clinical Commissioning Group. It offers direct enhanced services facilitating timely diagnosis and support for people with dementia, patient participation, rotavirus and shingles immunisation and unplanned admissions.

The practice is open from 8am to 8pm from Monday to Friday and 8am to 12pm on a Saturday.

Patients requiring a GP outside of normal working hours are advised to contact the surgery and they will be directed to the local out of hours service which is provided by Bridgewater NHS Foundation Trust –through NHS 111. Additionally patients can access GP services in the evening and on Saturdays and Sundays through the Wigan GP access alliance at locations across Wigan Borough.

Updated 6 October 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Alistair (Medical Services) Limited on 3 August 2016. The overall rating for the practice was good however there were improvements required in the key question safe. The full comprehensive report on the 3 August 2016 inspection can be found by selecting the ‘all reports’ link for Dr Alistair (Medical Services) on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 20 September 2017 to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspections. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings at this inspection were as follows:

• We spoke with staff and reviewed a range of documents which demonstrated they were now meeting the requirements of Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe Care and Treatment.

• The practice had ensured that a Disclosure and Barring Service (DBS) check or risk assessment was in place for staff who carried out the role of a chaperone.
• Staff had received training in infection prevention and control (IPC), and there was a member of staff with a specific IPC responsibility.
• All staff had received training in safeguarding vulnerable adults.
• The practice reviewed the management system of blank prescription forms and introduced a system to manage their issue and distribution across the practice.
• There was improved availability of routine appointments.
• Practice procedures and guidance were reviewed and updated.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 6 October 2017

The practice is rated as good for the care of people with long term conditions.

This rating was given following the comprehensive inspection 3 August 2016. A copy of the full report following this inspection is available on our website.

http://www.cqc.org.uk/search/services/doctors-gps

Updated 6 October 2017

The practice is rated as good for the care of families, children and young people.

This rating was given following the comprehensive inspection 3 August 2016. A copy of the full report following this inspection is available on our website.

http://www.cqc.org.uk/search/services/doctors-gps

Updated 6 October 2017

The practice is rated as good for the care of older people.

This rating was given following the comprehensive inspection 3 August 2016. A copy of the full report following this inspection is available on our website.

http://www.cqc.org.uk/search/services/doctors-gps

Updated 6 October 2017

The practice is rated as good for the care of working age people (including those recently retired and students).

This rating was given following the comprehensive inspection 3 August 2016. A copy of the full report following this inspection is available on our website.

http://www.cqc.org.uk/search/services/doctors-gps

Updated 6 October 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia)

This rating was given following the comprehensive inspection 3 August 2016. A copy of the full report following this inspection is available on our website.

http://www.cqc.org.uk/search/services/doctors-gps

Updated 6 October 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

This rating was given following the comprehensive inspection 3 August 2016. A copy of the full report following this inspection is available on our website.

http://www.cqc.org.uk/search/services/doctors-gps