Dr Samy Morcos Also known as The White Practice

Updated 18 October 2018

Dr Samy Morcos (also known as The White Practice) is located in Walton on Thames and offers general medical services to approximately 3,500 patients. The premises are owned by a third party organisation who are responsible for the maintenance of the building. The building is shared with two other GP practices and a number of other health services.

Dr Samy Morcos is an individual GP (male) supported by a salaried GP (female), a nurse practitioner, a practice manager and a team of administrative/reception staff.

Dr Samy Morcos is open 8.30am to 6.30pm Monday to Friday. Patients can access a GP outside of normal hours through the NHS 111 service or 999 for medical emergencies.

The practice runs a number of services for its patients including long term condition clinics, travel vaccinations and minor surgery. The practice also provides a minor surgical procedure service for other location GP practices under the GPWSI (GP with special interest) framework.

Further information about the practice can be found on the practice website: http://www.thewhitepractice.com.

The practice is registered with CQC to provide the following regulated activities; Diagnostic and screening procedures, Treatment of disease, disorder or injury, Family planning services, Maternity and midwifery services and Surgical procedures.

The service is provided from the following location;

The White Practice, The Health Centre, Walton on Thames, Surrey, KT12 3LB.

Updated 18 October 2018

This practice is rated as Good overall. (Previous inspection August 2017 – Good)

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 carried out an announced focused inspection at Dr Samy Morcos on the 27 September 2018. This was to follow up on a breach of regulations identified at our previous inspection. At our previous inspection on the 24 August 2017 we found that the provider did not have complete records of recruitment. The details of these can be found by selecting the ‘all reports’ link for Dr Samy Morcos on our website at www.cqc.org.uk.

At this inspection we found:

• The practice had addressed the concerns that were identified at our previous inspections and had complete records of recruitment checks.
• The practice had processes in place to report concerns or actions and monitor the actions taken by the landlord regarding property maintenance.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Updated 2 March 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.
• Performance for diabetes related indicators was comparable to the national average in some areas and higher in others. For example, the percentage of patients with diabetes, on the register, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/80 mmHg or less was 91% compared to the CCG average of 80% and national average of 78%. The percentage of patients on the diabetes register, with a record of a foot examination and risk classification within the preceding 12 months was 99 % compared to the CCG average of 89% and the national average of 88%.
• 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 those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 2 March 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 relatively high 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.
• The practice’s uptake for the cervical screening programme was 88%, which was better than the CCG average of 80% and the national average of 82%.
• 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 and health visitors.

Updated 2 March 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 has regular meetings with the Proactive Care Team to help avoid admissions. The practice provides an enhanced service for unplanned admissions – a register of the most vulnerable patients - with care plans and reviews following any unplanned hospital admissions.

Updated 2 March 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.

Updated 2 March 2017

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

• 95% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which was much higher than CCG average of 83% and the national average of 84%.
• Performance for mental health related indicators was higher than the CCG and national average. For example, the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive, agreed care plan documented in the record, in the preceding 12 months was 100% compared to the CCG average of 91% and national average of 88%.
• The practice regularly worked with multi-disciplinary teams in the case management of patients 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 in place 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 March 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 homeless people, travellers and 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 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.