Dr Khalid Patel Also known as Goodmayes Medical Practice

Updated 22 February 2019

Dr Khalid Patel (also known as Goodmayes Medical Practice) is located in an area which has residential housing alongside commercial shops, in Ilford, Essex. The practice is in a customised terraced house on a busy main road. There is limited parking outside the practice. There are two bus stops approximately two minutes’ walk from the practice.

There are approximately 5700 patients registered at the practice. Statistics shows high income deprivation among the registered population. Information published by Public Health England rates the level of deprivation within the practice population group as four on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The registered population is slightly higher than the national average for those aged between 24-44 Patients registered at the practice come from a variety of geographical and ethnic backgrounds including Asian, Western European, Eastern European and Afro Caribbean. Of the practice population, 42% have been identified as having a long-term health condition, compared with the CCG average of 43% and the national average of 51%.

Care and treatment is delivered by the lead GP (male) and two regular salaried doctors (one male and one female) who between them provide approximately 18 clinical sessions weekly. There is one long-term locum Practice Nurse (female) at the surgery who provide two sessions weekly and a clinical pharmacist (male) who delivers one sessions per week. The practice is a training practice and is currently hosting three physician associate students one day a week. Six administrative/reception staff work at the practice and are led by both the practice manager and an assistant practice manager.

The practice is open from the following times:-

8am – 6:30pm (Monday, Tuesday, Wednesday, Thursday, Friday)

Clinical sessions are run at the following times:-

8:30am - 1:00pm; 2:00pm – 6:30pm (Monday)

9am - 12:30pm; 2:00pm – 6:00pm (Tuesday)

8am - 1:00pm; 2:00pm – 6:20pm (Wednesday)

9am - 12:30pm; (Thursday)

8am - 1:00pm; 2:00pm – 6:00pm (Friday)

Patients can book appointments in person, by telephone and online via the practice website. Patients requiring a GP appointment outside of practice opening hours can obtain appointments via the local GP Federation Hub service. The Hub is open until 10pm Monday - Friday, 9am-5pm on Saturdays and 9am to 1pm on Sundays. Details of how to access the Hub is on the practice answering machine and website. Outside of these hours, patients are advised to contact the NHS GP out of hours service on telephone number 111.

The practice has a General Medical Services (GMS) contract and conducts the following regulated activities:-

- Diagnostic and screening procedures

- Treatment of disease, disorder or injury

- Maternity and midwifery services

- Family Planning

- Surgical Procedures

Redbridge Clinical Commissioning Group (CCG) is the practice’s commissioning body.

Updated 22 February 2019

We carried out an announced focused inspection at Dr Khalid Patel (also known as Goodmayes Medical Practice) on 24 January 2019 as part of our inspection programme.

At the last inspection in November 2017 we rated the practice as requires improvement for providing safe services because:

• The practice did not have oversight of some clinical activities conducted by the healthcare assistant and the locum practice nurse around medicines management.

At this inspection, we found that the provider had satisfactorily addressed this area.

We based our judgement of the quality of care at this service is on a combination of:

• What we found when we inspected
• Information from our ongoing monitoring of data about services
• Information from the provider, patients the public and other organisations.

We have rated this practice as good overall, with key question safe now rated good.

We rated the practice as good for providing safe services because:-

• The practice had systems and processes in place which allowed the healthcare assistant and physicians associates to administer medicines using a patient specific direction (PSD).
• The practice had systems and processes in place which allowed the locum practice nurse to administer medicines using a patient group direction (PGD).

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 12 November 2015

The practice is rated as good for the care of people with long-term conditions. Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Longer appointments and home visits were available when needed. All of these patients had a named GP and a structured annual review to check that their health and medication needs were being met. For people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 12 November 2015

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. Immunisation rates were good for all standard childhood immunisations. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. Appointments were available outside of school hours and the premises were suitable for children and babies. The practice also provided a walk-in baby clinic once a week. We saw good examples of joint working with midwives, health visitors and school nurses.

Updated 12 November 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, in dementia and end of life care. It was responsive to the needs of older people, and offered home visits (including home visits for annual health checks), longer appointments, and rapid access appointments for those with enhanced needs.

Updated 12 November 2015

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 offering appointments from 8:00am on two days per week, enhancing access. The practice was proactive in offering online services including to book appointments and request repeat prescriptions, as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 12 November 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). For example, 97.7% of people experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advance care planning for patients with dementia.

The practice had referred patients experiencing poor mental health to various support groups and voluntary organisations.

Updated 12 November 2015

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. It had carried out annual health checks for people with a learning disability. It offered longer appointments for people with a learning disability.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It had told 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.