Archived: AlldayDr Group Ltd Also known as Head Office

Updated 31 May 2021

Background

AlldayDr Group Limited is the provider of AlldayDr, an online video GP consulting service.

We inspected AlldayDr Group at their offices based in Clive House, Clive Street, Bolton BL1 1ET where the service has moved to since the previous inspection when they were based at Church Street, Blackrod, Bolton. Information and technology, management and administration staff are based in Clive House.

Patients are not treated on the premises but via online consultations which are undertaken remotely from various suitably private locations. The provider is registered with the General Medical Council (GMC) and also works within the NHS. The service does not treat anyone under the age of 18 years.

The service aims to provide an affordable and responsive alternative to traditional NHS services.
Doctors are GMC regulated and deliver services from an online platform and mobile app. A number of services that were offered when we last inspected have been removed. Services now offered include:

• Online face to face video consultations with GMC registered UK GP’s.
• Delivery and dispatch of NHS prescriptions through partner pharmacies.

Currently, patients are asked to set up a profile and identity checks are undertaken. Once their identity has been verified, patients are able to book a ten-minute consultation (or longer if selected) with a GP between the hours of 9am and 5pm Monday to Friday. This is a reduction since the previous inspection when consulting hours were 8am until 10pm seven days a week.

The smartphone app allows users to have video consultations with a GP. Currently there is only one consulting GP who will discuss with the patient the condition or issue raised. Following the consultation, if appropriate, a private prescription or a referral letter to another service can be provided.

Prescriptions are delivered by secure methods of transport to the patient’s choice of location. This can be their home or place of work. Alternatively, they can collect the prescription from a designated collection point or a pharmacy of their choice.

Patients can subscribe to the online service either via a monthly subscription package or pay per consultation. Patients can give feedback about the service via the app.

Since the previous inspection there has been a complete change of staff working in the service. Two new clinical registered managers have been employed and are currently going through the appropriate registration processes. A registered manager is a person who is registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are “registered persons”. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. A business operations manager is also now in place.

The provider aims to upscale the service to a Business to Business (B2B) model. This is a form of transaction that is conducted between companies rather than between a company and individual customers. Once a contract has been secured, the provider will employ more GPs to provide the service.

The provider had obtained approval from the NHS to obtain IM1 pairing accreditation. IM1 pairing is the process that allows suppliers to integrate their system with any principal clinical system through an interface mechanism. At the last inspection this was a work in progress. At this inspection we saw certification and accreditation that supported the stringent governance levels that have to be applied to ensure data security before a pairing such as this can be approved. The integration which is due to go live in July will provide consulting GPs with access to the NHS Spine (summary care record) where they can view a patient’s current medicines and medical conditions.

Updated 31 May 2021

Letter from the Chief Inspector of General Practice

We rated this service as Good overall. (Previous inspection February 2020 – Requires improvement)

The key questions are rated as:

• Are services safe? – Good
• Are services effective? – Good
• Are services caring? – Good
• Are services responsive? – Good
• Are services well-led? – Good

We previously inspected AlldayDr Group Limited on 12 February 2020. The full comprehensive report on 12 February 2020 can be found by selecting the “all services” link for AlldayDr on our website at www.cqc.org.uk.

At our previous inspecton on 12 February 2020 we found the service to be requires improvement under the key lines of enquiry for the safe and well led domains. We rated the service as requires improvement overall. We rated the safe domain as requires improvement because on the day of the inspection risk management, quality assurance and prescribing were not failsafe. We rated the well led domain as requires improvement because the provider was not aware of the areas where patient safety may be compromised or other potential risks.

At this inspection on 7 May 2021 we found the service had addressed the issues identified at the last inspection. We found:

• All areas of risk had been removed from the service. For example, prescribed medicines could no longer be purchased directly from the website and questionnaires were no longer used to make judgments.
• The service had improved systems to manage risk so that safety incidents were less likely to happen. Where they had happened, we saw evidence that the service learned from them and improved their processes.
• The service had reviewed the effectiveness and appropriateness of the care it provided. We saw that there were systems in place to ensure care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated people with compassion, kindness, dignity and respect.
• Patients could access care and treatment from the service within an appropriate timescale for their needs.
• There was a strong focus on continuous learning and improvement specifically within the management and operational levels of the organisation.

The areas where the provider should make improvements are:

• Maintain consistent personnel information for each member of staff including references and appropriate DBS certification/ID numbers

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care