Budshead Medical Practice

Updated 20 December 2018

Budshead Medical Practice provides care and treatment to approximately 7,000 patients and is located in the suburbs of Plymouth and the practice’s population is in the second decile for deprivation. The lower the decile, the more deprived an area is compared to the national average. The practice has the highest birth rate, the highest level of depression, chronic obstructive pulmonary disease (COPD) in the New Devon clinical commissioning group. The practice population ethnic profile is predominantly White British. There is a practice age distribution of male and female patients’ broadly equivalent to national average figures.

The practice is a member of the Sound Health Alliance consisting of 16 practices servicing 125,000 patients throughout Plymouth. Through this alliance the practice also has access to the services of a paramedic and a pharmacist.

There are four GP partners (three male and one female), a part time salaried GP, a registrar and they are supported by a practice manager, an operations manager, two practice nurses, a phlebotomist (staff trained to take blood) and a team of administrative and reception staff.

The practice is a teaching practice offering placements to doctors training to become GPs and to second year medical students.

The practice is open between 8am and 6.30pm with appointments available between 8am and 6pm. Appointments can be made in person, by telephone or online up to four weeks in advance. Extended surgery hours are offered until 7pm on Tuesday evenings.

Outside of opening hours patients are directed to the 111 telephone service.

The practice provides the following regulated activities, Treatment of disease, disorder or injury, Surgical procedures, Diagnostic and screening procedures, Maternity and midwifery services and Family planning from Budshead Medical Practice 433 Budshead Road Plymouth Devon PL5 4DU. We visited this location during our inspection.

The practice has a Personal Medical Services (PMS) contract with NHS England.

Updated 20 December 2018

This practice is rated as Good overall. (Previous rating January 2016– Good)

The key questions at this inspection 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 comprehensive inspection at Budshead Medical Centre on 13 November 2018 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• Results of the July 2018 national GP patient survey showed the practice had performed better than CCG and national averages for example, patients satisfied with the type of appointment (or appointments) they were offered was 93% compared to the national average of 74%.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• The practice were taking part in a research programme to look at a holistic approach for those patients with severe and enduring mental health issues and were in the process of employing a mental health worker.

We saw areas of outstanding practice:

The practice understood the needs of its population and tailored services in response to those needs. For example

• The practice were involved in a project that involved seeing any patients with a newly diagnosed Long Term Conditions, that had been diagnosed within the past 12 months. These patients were offered coaching sessions to help them physically and psychologically with their illness. Patients were also given the opportunity to become part of the Time Bank project that would help offset any isolation or loneliness.
• The practice had been key players in the development of offices and a new social hub in the area as it brought local support services to the local area. For example:
• pop up libraries,
• children’s clubs
• Healthy living initiatives
• Barnardo’s
• Fitness classes

• The practice staff were actively involved in the Plymouth International GP recruitment project attending conferences to promote services within Plymouth.

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

Please refer to the detailed report and the evidence tables for further information.

Updated 20 December 2018

Updated 20 December 2018

Updated 20 December 2018

Updated 20 December 2018

Updated 20 December 2018

Updated 20 December 2018