Addington Medical Centre Also known as Addington Medical Centre

Updated 26 September 2016

Dr Painter & Partners also known as Addington Medical Centre is located in New Barnet, London Borough of Barnet, North London. The practice has a patient list of approximately 8,300 patients. Twenty one percent of patients are aged under 18 (the same as the national practice average of 21%) and16% are 65 or older (similar to the national practice average of 17%). Fifty five percent of patients have a long-standing health condition and practice records showed that 4% of its practice list had been identified as carers.

The services provided by the practice include child health care, ante and post natal care, immunisations, sexual health and contraception advice and management of long term conditions.

The practice holds a general medical services contract with NHS England.

The staff team comprises four partner GPs (two male, two female providing 32 sessions per week), two female practice nurse (combined 8 sessions per week), a practice manager partner and administrative/reception staff.

The practice’s opening hours are:

• Monday-Friday: 8:30am - 6.30pm

The practice offers extended hours opening at the following times:

• Monday and Tuesday: 7am-8am

Appointments are available at the following times:

• Monday - Tuesday: 7am-8am, 8:30am-11am and 4pm-6pm

• Wednesday -Friday: 8:30am-11am and 4pm-6pm

Outside of these times, cover is provided by out of hours provider: Barndoc Healthcare Limited.

The practice is registered to provide the following regulated activities which we inspected:

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

Updated 26 September 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Painter & Partners on 12 May 2016. Overall the practice is rated as good.

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

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• 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 had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

• Review its national GP patient survey results which showed that patient satisfaction on how GPs involved them in decisions about their care was below national and local averages.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 26 September 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.

• The practice operated a weekly ‘one stop shop’ diabetic clinic. This entailed a health care assistant recording weight and body mass index, followed by a practice nurse appointment and a medicines review with a GP.

• Clinicians and patients spoke positively about how the service had improved patient outcomes and we noted that the percentage of patients with diabetes in whom the last blood pressure reading was the target 140/80 mmHg or less was 90% (compared to the respective 76% and 78% national and CCG averages).

• During the inspection, patients from this population group spoke positively about the care and treatment they received.

• 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 26 September 2016

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.

• 78% of women aged 25-64 had had a cervical screening test performed in the preceding 5 years compared with 82% nationally.

• 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 26 September 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.

• A register of older patients was maintained and all patients on the register had a care plan and had been given a direct phone number to a named GP.

• Records showed that patients who had required hospital admission were discussed at weekly multidisciplinary team meetings.

• The practice undertook weekly visits to residents in a nearby Care Home for the elderly which had a high number of patients with dementia and which specialised in End of Life Care.

• During the inspection, patients from this population group spoke positively about the care and treatment they received.

Updated 26 September 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.

• 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 26 September 2016

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

• 82% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which was comparable to the 84% national average.

• 90% of patients with schizophrenia, bipolar affective disorder and other psychoses had had a comprehensive, agreed care plan documented in the record, in the preceding 12 months (01/04/2014 to 31/03/2015) compared with 88% national average.

• 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. For example, a Health Care Assistant undertook Dementia Assessments to help with early diagnosis of dementia.

• During the inspection, patients from this population group spoke positively about the care and treatment they received.

Updated 26 September 2016

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 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.

• During the inspection, patients from this population group spoke positively about the care and treatment they received.