Archived: Dr Upender Sobti Also known as Brampton Health Centre

Updated 22 January 2015

Dr Upender Sobti provides NHS primary medical services from Brampton Health Centre, 5 Brampton Road, Kingsbury, London, NW9 9BY. The practice provides primary medical services through a GMS contract to approximately 2000 patients in the local community. The practice is part of NHS Brent Clinical Commissioning Group (CCG) which is made up of 67 GP practices. The practice’s patient age distribution was predominantly in the 50-70 years range with a high prevalence of diabetes in the population.

The service is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, treatment of disease, disorder and injury, surgical procedures, family planning and maternity and midwifery services.

The practice staff comprise of two GP partners (one male and one female), a male salaried GP, a female salaried GP, a practice nurse, two health care assistants who are supported by a small team of reception/administration staff. The practice offers a range of services including clinics for patients with long-term conditions, blood pressure monitoring, family planning, cervical smears, flu clinics, health checks, joint injections, travel vaccinations, child immunisations and a phlebotomy service. The practice opening hours are Monday to Friday 8.30am to 6.30pm with extended hours on Fridays until 7.30pm. The practice has opted out of providing out-of-hours services to its patients and refers patients to the 111 out-of-hours service.

Updated 22 January 2015

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Dr Upender Sobti on 28 October 2014. We rated the practice as ‘Requires Improvement’ for the service being safe and ‘Good’ for the service being effective, caring, responsive to people’s needs and well-led. We rated the practice as ‘Good’ for the care provided to older people and people with long term conditions and ‘Good’ for the care provided to, families, children and young people, working age people (including those recently retired and students), people living in vulnerable circumstances and people experiencing poor mental health (including people with dementia).

We gave the practice an overall rating of ‘Good’

Our key findings were as follows:

• Patients were satisfied with the service. They said staff were helpful, polite and caring.
• Medicines were managed safely and infection prevention and control measures in place.
• The practice had extended its opening hours to provide better access for patients.
• Staff were suitably qualified and had received sufficient training to meet patients’ needs.
• Services were planned to meet the needs of the patient population and were accessible to all regardless of age, nationality or disability.
• The practice had leadership with governance arrangements in place.
• The practice sought feedback from patients and staff and acted on it to improve the services it provided.

However, there were also areas of practice where the provider needs to make improvements. 

Importantly, the provider must:

• Carry out a fire risk assessment to ensure patients and staff are protected from the risks associated with fire. Regulation 15 Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 Safety and Suitability of Premises.

In addition the provider should:

• Ensure clinical audit cycles are completed to demonstrate learning and improvement.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 22 January 2015

The practice is rated as good for the care of people with long-term conditions. The practice had developed care plans for patients with long-term conditions and provided annual reviews to check patients’ health and medication needs were being met. For those patients with the most complex needs the GPs worked with relevant health and care professionals to deliver a multidisciplinary package of care. The practice was achieving good outcomes for patients with long-term conditions. For example, patients with cardiovascular disease and hypertension. The practice had achieved 100% in their QOF performance for asthma and heart failure in the previous year. The practice had also achieved  89% for COPD and 79% for diabetes in the previous year which were below the CCG and national averages. However, the practice was focused on improving these results. For example the practice had achieved 83% of blood glucose checks on diabetic patients in the current QOF year which was above the CCG average.

Updated 22 January 2015

The practice is rated as good for the care of families, children and young people. The practice provided family planning clinics run by a GP with a special interest in child and women’s health. The practice offered a full range of immunisations to children and 90% of those eligible had received vaccinations. Staff were trained to recognise the signs of abuse in children and the computer system highlighted children who were on a protection plan. Staff knew the procedure for reporting concerns. GPs attended multidisciplinary team meetings where children on the at risk register were discussed. Appointments were available outside of school hours and the premises were suitable for children and babies.

Updated 22 January 2015

The practice is rated as good for the care of older people. The practice offered personalised care to meet the needs of older people. Patients over the age of 75 years had a named GP and care plans had been developed for them. The practice was responsive to the needs of older people, including offering home visits and longer appointments for those with enhanced needs. The practice had achieved 100% in their QOF performance for palliative care in terms of having a complete register available of all patients in need of palliative care/support and holding multidisciplinary team case review meetings where all patients on the palliative care register were discussed.

Updated 22 January 2015

The practice is rated as good for the care of working age people (including those recently retired and students). The practice had extended hours on Fridays and appointments could be booked online. Telephone consultations were available for those who could not attend an appointment at the practice. Information was available for this population group to ensure patients could make informed decisions about their and lifestyle. This included information on sexual health services, healthy living, smoking and cancer.

Updated 22 January 2015

The practice is rated as good for the care of people experiencing poor mental health. The practice had scored 86% in their QOF performance in the previous year for the management of mental health patients and 100% for dementia patients. All patients with dementia had received annual health checks. The practice had scored above the national average for the percentage of patients with physical and/or mental health conditions whose notes contain an offer of support and treatment within the preceding 15 months.

Updated 22 January 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. Translation services were available for patients whose first language was not English to help them with their communication needs. The practice had an open door policy for homeless people to ensure they could access primary medical services. People with drug and alcohol issues were signposted to local support services.