Dr Zaw Thike

Updated 21 November 2016

Dr Zaw Thike (also known as The Surgery Lyminge and Hawkinge Surgery) is a sole practitioner whose practice serves the local area in Lyminge and Hawkinge, Folkestone.

There are approximately 2600 patients on the practice list. The practice has more patients aged over 64 years and fewer patients aged 14 and under than national averages. There are significantly more patients (75%) with a long standing health condition, compared to the national average (60%). A wide range of services are offered by the practice including diabetes clinics, weight management and child immunisations.

Dr Zaw Thike is able to provide dispensary services to those patients on the practice list who live more than one mile (1.6km) from their nearest pharmacy premises. The GPs, nurses and dispensers are supported by a practice manager and a team of administration and reception staff. The practice is open from 8am to 6.30pm. Morning appointments begin at 8.30am and finish at 11.10am. Afternoon appointments commence at 3.10pm and conclude at 5.30pm. The nurse offers extended hours appointments every Thursday from 5.30pm to 6.30pm.

Services are delivered from the main site at: The Surgery, Church Road, Lyminge, Folkestone, Kent, CT18 8HY. And branch site The Hawkinge Surgery, 99 Canterbury Road, Hawkinge, Folkestone, Kent, CT18 7BS.

We did not visit either of the premises this inspection was desk based.

Updated 21 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Zaw Thike on 5 April 2016. Breaches of the legal requirements were found. Following the comprehensive inspection the practice wrote to us to tell us what they would do to meet the legal requirements in relation to the breaches.

We undertook this desk based follow up inspection on 5 September 2016, to check that the practice had followed their plan and to confirm that they now met the legal requirements. We reviewed written and photographic information sent to us by the practice that told us how the breaches identified during the comprehensive inspection had been addressed. This report should be read in conjunction with the full inspection report dated 5 April 2016. A copy of the last inspection report can be found on our website www.cqc.org.uk.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 2 June 2016

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.

• Home visits and longer appointments were available for patients that needed them. Staff booking these appointments were supported with long-term condition protocols to help them book the correct time slot and provide patients with important information about the appointment.
• These patients had a structured annual review to check their health and medicines 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.

Updated 2 June 2016

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

• There were systems 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.

• 79% of patients with asthma, on the register, had received an asthma review in the preceding 12 months that included an assessment of asthma control (national average 75%).
• The practice’s uptake for the cervical screening programme was 82%, which was the same as the national average.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 2 June 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.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• The practice worked closely with other healthcare professionals such as the community nurses and had reduced unplanned admissions in this population group by 33% since 2013/14.

Updated 2 June 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.
• Online services were available as well as a full range of health promotion and screening that reflects the needs for this age group.
• The practice offered a nurse led clinic every Thursday evening between 6.30pm and 7.50pm for working patients who could not attend during normal opening hours.

Updated 2 June 2016

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

• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.
• The practice carried out advance care planning for patients with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• The practice had a system 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.

Updated 2 June 2016

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

• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• The practice 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.