Dr Sajid Mehmood Also known as Neville Road Surgery

Updated 24 February 2017

Dr Sajid Mehmood’s practice is also known as Neville Road Surgery and is part of the NHS England and Luton Clinical Commissioning Group (CCG).

The practice is registered with the CQC to provide the following activities:

• Diagnostic and screening procedures
• Treatment of disease, disorder or injury
• Maternity and midwifery services
• Surgical procedures

All services are provided from one registered location at 5 Neville Road, Luton, LU3 2JG.

The practice provides services under the auspices of a General Medical Services (GMS) contract (a GMS contract is agreed nationally between NHS England and a GP practice).

The practice is located in a small commercial building, facilities for patients include a graduated access ramp for the main entrance, toilets and baby changing facilities are also provided.

The combined reception and waiting areas are located on the ground floor and are bright and open plan. The reception area is equipped with an electronic patient arrival registration screen and a hearing loop. Consultation and treatments rooms are located on the ground floor. Administration and management offices and meeting rooms are provided on the first floor.

The practice is located in a suburb of Luton. There is public transport available linking the practice to surrounding housing and major roads to the town centre. Car parking is available in adjacent roads.

According to national data the area falls in the ‘fifth least deprived decile’ and is one of average deprivation. At 78 years the average life expectancy for male patients living in the area is the same as the local CCG average and one year lower than the national average of 79 years. Life expectancy for female patients at the practice and the CCG area was 82 years, while the national average is 83 years.

At the time of our inspection the practice had approximately 2,941 registered patients.

The age profile of the patient group differed from that of the CCG and the England average. Data shows that 31% of patients at the practice were less than 18 years of age, where the CCG average was 26% and the national average 21%. The practice patient group aged 65 years and over was approximately 8%, compared to the CCG average of 12% and the national average of 17%.

Dr Sajid Mehmood is the principle GP Partner and the practice employs one other regular locum GP, who is female. There is a practice nurse and a health care assistant.

Administration and management is provided by the Practice Manager and a team of administrators and reception staff.

The practice offers appointments and services to meet the requirements of its patients as follows;

The reception is open from 8:30am to 1pm and from 2.30pm to 6.30pm on Mondays, Thursdays and Fridays. On Tuesdays the practice offered extended hours, and is open from 8:30am to 1pm and from 2.30pm to 7.30pm. On Wednesdays the practice is open from 8.30 and closed at 1pm. Appointments are available during these times.

Appointments can be booked up to four weeks in advance, with urgent and emergency appointments are available on the same day. For the urgent appointments patients are advised consultations may be with the duty doctor rather than their preferred, or usual, GP.

Out-of-Hours emergency services are available via NHS 111. This service is available from 6.30pm to 8.00am 7 days a week. Information about the provision of services was available on the practice website, via leaflets and posters on display within the practice and by recorded message on the practice telephone system. Calls to the practice during the out of hours period were directed to the Out-of-Hours service.

Updated 24 February 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Sajid Mehmood’s practice on 07 June 2016. Overall the practice is rated as good.

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

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Opportunities for learning from internal and external incidents were maximised.
• Feedback from patients about their care showed that 98% of patients stating they had confidence and trust in the last GP they saw.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs.
• The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• The practice actively reviewed complaints and how they are managed and responded to, and made improvements as a result.
• The practice had a clear vision which had quality and safety as its top priority.
• The provider was aware of and complied with the requirements of the duty of candour.
• The practice had clinical and managerial leadership and governance arrangements in place.

However there were areas of practice where the provider should make improvements:

• Ensure complaints forms are readily available to patients.
• Consider a documented business plan to assist with the management and strategic development of the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 24 February 2017

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.
• 99% of the patients on the diabetes register had received an influenza immunization in the period from 1 August to 31 March 2015, compared to 93% within the CCG and the national average of 94%.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met.
• For patients with the most complex needs, the GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 24 February 2017

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 comparable with local CCG and national averages 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.
• Latest results show that 79% of women aged between 25 - 64 years of age had been performed a cervical screening test in the preceding five years, which was above the CCG average of 69% and the national average of 74%.
• 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 24 February 2017

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 register shows that approximately 8% of patients were aged over 65 years at the time of our inspection.
• Older people had access to targeted immunisations such as the flu vaccine.
• Patients over 75 years of age had a named GP and patients discharged from hospital were contacted to check on their situation and health condition.

Updated 24 February 2017

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.
• 48% of patients aged 60 to 69 years had been screened for bowel cancer in the last 30 months compared to 51% locally and 58% nationally.
• 65% of female patients aged 50 to 70 years had been screened for breast cancer in the last three years compared to 71% locally and 72% nationally.
• The practice had added telephone consultations for patients unable to attend the surgery.
• There were additional appointments available to meet the needs of working age patients, where the practice offered extended opening hours until 7.30pm on Tuesday evenings.

Updated 24 February 2017

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

• 92% of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months, compared to the CCG average of 81% and the national average of 84%.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• The practice had told patients experiencing poor mental health about how to access support groups and voluntary organisations.
• The practice had a system in place to follow up patients who had attended A&E 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 24 February 2017

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.
• The practice informed vulnerable patients about how to access 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’s computer system alerted GPs if a patient was also a carer. The practice had identified 62 patients as carers (approximately 2% of the practice list).