Dr Harjit Singh Also known as Granville Medical Centre

Updated 26 October 2017

Dr H Singh (Granville Medical Centre) provides primary medical services in Ilford to approximately 5400 patients and is a member of NHS Redbridge Clinical Commissioning Group (CCG).

The practice population is in the fifth most deprived decile in England. Twenty-seven percent of older people live in income deprived households compared to a local average of 21% and a national average of 16%. The practice had surveyed the ethnicity of the practice population and had determined that 11% of patients described themselves as white, 79% Asian, 3% black and 7% as having mixed or other ethnicity.

The practice operates from a converted residential property with all patient facilities on the ground floor that is wheelchair accessible. There are offices for administrative and management staff on the first floor. Both floors are accessed via stairs.

The practice operates under a General Medical Services (GMS) contract and provides a number of local and national enhanced services (enhanced services require an increased level of service provision above that which is normally required under the core GP contract). The enhanced services it provides are: meningitis immunisation; alcohol brief intervention; childhood vaccination and immunisation scheme; extended hours access; facilitating timely diagnosis and support for people with dementia; influenza and pneumococcal immunisations; learning disabilities; patient participation; rotavirus and shingles immunisation; and unplanned admissions.

The practice team at the surgery is made up of three part-time GP partners, two male and one female. The doctors provide a total of 20 clinical sessions per week. The nursing team consists of one full-time female nurse practitioner and a part-time healthcare assistant. There are nine administrative, reception and clerical staff including a full part-time practice manager.

The practice is open every weekday between 8am and 6:30pm and between 8am and 11am on one Saturday each month.

GP appointments are available every weekday between 9am and 11:50am and 2:30am and 6:20pm.

Nurse Appointments are available:

Monday 9am to 1.30pm and 2.30pm to 6.00pm

Tuesday 9am to 1.30pm and 2.30pm to 6pm

Wednesdays 9am to 1:30pm and 2:30pm to 6:30pm

Thursday 8am to 1.30pm.

Friday 9am to 1.30pm and 2.30pm to 5.30pm

Extended surgery hours are offered by all three GP partners and the nurse on the second Saturday of each month from 8.00am until 11.30am. The practice has opted out of providing out of hours (OOH) services to their own patients when it is closed and directs patients to the OOH provider for NHS Redbridge CCG.

Dr H Singh (Granville Medical Centre) is registered as a partnership with the Care Quality Commission to provide the regulated activities of family planning; maternity and midwifery services; diagnostic and screening procedures; treatment of disease, disorder or injury

Updated 26 October 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Harjit Singh on 12 January 2017. The overall rating for the practice was good. Within that overall rating the practice was rated as requires improvement for providing responsive services. This was because we had concerns that the practice had not addressed the issues highlighted in the national GP survey in order to improve patient satisfaction and in particular, in respect of patient access. We also told the practice it should establish an active patient participation group for the benefit of patient interaction, improvement recommendations and feedback and should provide health and safety training for staff who had not yet been trained.

The full comprehensive report on the January 2017 inspection can be found by selecting the ‘reports’ link for Dr Harjit Singh on our website at www.cqc.org.uk/location/1-506457724.

This inspection was a desk-based review carried out on 26 September 2017 to confirm that 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 inspection on 12 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is still rated as good overall and the rating for responsive has now moved to good also.

Our key findings were as follows:

• The practice had increased the opening hours at the surgery by a total of 16 hours per week and was now open every week day between 8am and 6:30pm.
• The practice had taken action to improve access by telephone. They had put an additional line in place for incoming calls as well as a telephone queue management system and had increased the number of staff available to answer telephone calls.
• The practice was now providing two additional GP clinical sessions and one additional nurse clinical session every week.
• The practice had employed a part-time healthcare assistant and was now providing phlebotomy services at the surgery.
• The practice had re-established its patient participation group and the group had been instrumental in securing the installation of a dedicated disabled parking bay at the surgery.
• The practice provided evidence which demonstrated that all staff had now received health and safety training.

However, there was an area where the provider still needs to make an improvement:

• The practice should continue to monitor patient satisfaction levels with a view to bringing about improvements.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 26 October 2017

The practice is rated as good for the care of people with long-term conditions. The rating was given following the comprehensive inspection in January 2017. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘reports’ link for Dr Harjit Singh on our website at www.cqc.org.uk/location/1-506457724.

Updated 26 October 2017

The practice is rated as good for the care of families, children and young people. The rating was given following the comprehensive inspection in January 2017. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘reports’ link for Dr Harjit Singh on our website at www.cqc.org.uk/location/1-506457724.

Updated 26 October 2017

The practice is rated as good for the care of older people. The rating was given following the comprehensive inspection in January 2017. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘reports’ link for Dr Harjit Singh on our website at www.cqc.org.uk/location/1-506457724.

Updated 26 October 2017

The practice is rated as good for the care of working age people (including those recently retired and students). The rating was given following the comprehensive inspection in January 2017. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘reports’ link for Dr Harjit Singh on our website at www.cqc.org.uk/location/1-506457724.

Updated 26 October 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The rating was given following the comprehensive inspection in January 2017. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘reports’ link for Dr Harjit Singh on our website at www.cqc.org.uk/location/1-506457724.

Updated 26 October 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The rating was given following the comprehensive inspection in January 2017. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘reports’ link for Dr Harjit Singh on our website at www.cqc.org.uk/location/1-506457724.