Dr Ngozi Uduku Also known as Woodlands Health centre

Updated 19 October 2016

Dr Ngozi Uduku (Woodlands Health Centre) is located at 4 Edwin Hall Place, London SE13 6RN in a purpose-built medical centre on the site of the former Hither Green Hospital with access to eight consulting rooms. There is a pharmacy adjacent to the practice which is open 7am to 9.30pm seven days a week.

The practice provides NHS primary care services to approximately 7,800 patients living in the Hither Green, Lewisham and Ladywell area through a through a Personal Medical Services (PMS) contract (an alternative to the standard GMS contract used when services are agreed locally with a practice which may include additional services beyond the standard contract). The practice is part of Lewisham Clinical Commissioning Group (CCG) which consists of 41 GP practices.

The practice population is in the fourth most deprived decile in England. People living in more deprived areas tend to have greater need for health services. The practice has a higher than England average for the male and female age groups between the ages of 25 and 44. Sixty per cent of the practice population were from the Black and Minority Ethnic (BME) communities.

The practice is registered as an individual with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures; treatment of disease; disorder or injury and maternity and midwifery services.

The practice staff comprises of a lead female GP (six clinical sessions per week), one male and one female salaried GP (totalling 10 clinical sessions per week), a part-time pharmacist, two practice nurses and a healthcare assistant. The clinical team is supported by a full-time practice manager, a practice administrator and receptionist and six receptionists.

The practice premises are open from 8am to 6.30pm Monday to Friday. Extended hours are provided on Monday from 7pm to 9pm, Tuesday from 7am to 8am and 6.30pm to 7.30pm and the last Saturday of each month from 7am to 10am.

The practice provides a range of services including childhood immunisations, chronic disease management, smoking cessation, sexual health, cervical smears and travel advice and immunisations.

When the surgery is closed, out-of-hours services are accessed through the local out of hours service or NHS 111.

Updated 19 October 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Ngozi Uduku (Woodlands Health Centre) on 28 July 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• 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.
• 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.
• Patient responses regarding getting a routine appointment and with a GP of their choice was mixed. However, patients told us there was continuity of care and urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

• Review the cleaning arrangements for the practice.
• Review how carers are identified and recorded on the clinical system to ensure information, advice and support is made available to them.
• Continue to review the telephone and appointments system to ensure patients can access the surgery and get appointments in a timely manner.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 19 October 2016

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

• The practice nurse had a lead role in chronic disease management and patients at risk of hospital admission were identified as a priority.
• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.
• Performance for diabetes related indicators was comparable to the national average. For example, the percentage of patients with diabetes, on the register, in whom the last HbA1c was 64 mmol/mol or less in the preceding 12 months was 79% (national average 78%).
• The principal GP had recently co-founded the group Healthy Habits, formed to engage African Caribbean’s in improving and managing their health outcomes. Recent events included seminars on obesity, cardiovascular disease and diabetes.
• The practice worked closely with patients receiving end of life care and had instigated a system of calling each patient on a weekly basis to ask how they were, if they had any concerns, needed a GP visit or medication. The practice told us this had been received well by patients, family and McMillian team and district nurses. All patients on the EOLC register had an alert on the clinical system to offer same-day appointments.
• The practice utilised the Coordinate My Care (CMC) personalised urgent care plan developed to give people an opportunity to express their wishes and preferences on how and there they are treated and cared for.

Updated 19 October 2016

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

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances.
• The percentage of patients with asthma, on the register, who had an asthma review in the preceding 12 months was comparable to the national average (practice 88%, national 75%).
• The practice’s uptake for the cervical screening programme was 85%, which was comparable with the national average of 82%.
• There were dedicated sexual health and family planning clinics.
• Appointments were available outside of school hours and the premises were suitable for children and babies. Same-day appointments were available for children.
• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 19 October 2016

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

• The practice offered proactive, personalised care to meet the needs of the older people in its population.
• All patients over 75 had a named GP.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs. The practice undertook a weekly ‘ward round’ at a nearby residential home.
• The practice had increased its influenza and pneumonia vaccine uptake for the over 65s from 59% in 2014/2015 to 75% in 2015/2016 following a focussed campaign which included an increased number of vaccine sessions (Saturday morning, late evening and open access sessions), letter and telephone reminders and home visits for their vulnerable housebound patients.

Updated 19 October 2016

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

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.
• The practice offered a ‘Commuter’s Clinic’ on Monday from 7pm to 9pm, Tuesday from 7am to 8am and 6.30pm to 7.30pm and the last Saturday of each month from 7am to 10am for working patients who could not attend during normal opening hours.
• Telephone consultations were available.

Updated 19 October 2016

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

• Performance for mental health related indicators was comparable with the national average. For example, the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive, agreed care plan documented in the record, in the preceding 12 months was 93% (national average 88%) and the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses whose alcohol consumption has been recorded in the preceding 12 months was 93% (national average 90%).
• The percentage of patients diagnosed with dementia who care has been reviewed in face-to-face review in the preceding 12 months was 97% (national average 84%).
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia and carried out advance care.
• The practice managed patients housed in four nearby mental health care homes. Multi-disciplinary ‘ward rounds’ were undertaken on a monthly basis.
• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
• Staff had a good understanding of how to support patients with mental health needs and dementia and one of the GPs had a special interest in the management of dementia.
• Some of the non-clinical staff had undertaken dementia training.

Updated 19 October 2016

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

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients and informed vulnerable patients about how to access various support groups and voluntary organisations.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.
• The practice website had the functionality to translate to other languages and change the font size, contrast and colour to assist patients with visual impairment.