Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Trent Vale Medical Practice on 4 May 2016. Overall the practice is rated as good, with requires improvement for safe services.
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the Care Quality Commission at that time.
Our key findings were as follows:
- 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 and they were involved in their care and decisions about their treatment.
- Risks to patients were assessed and well managed with the exception of processing safety alerts about some medicines. However, the practice took immediate action to start to mitigate this.
- Staff felt supported and had been encouraged to develop within their role.
- Patients told us they could access an urgent appointment when needed. Although the availability of bookable GP appointments was not as positive.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
We saw an area of outstanding practice:
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The practice used an effective system to maximise the opportunity for patients to receive frequent checks on their wellbeing. Systems to monitor and contact patients to invite them for health assessments had been developed over time. The practice consistently achieved higher than average outcomes in providing follow up care. For example, the practice had 50 patients recorded with a learning disability and they had provided all of the patients with an annual health check. This performance was twice the national average of uptake of the health assessments.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
In addition the provider should:
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Develop the significant event reporting process to maximise learning, including more detailed investigation and review.
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Install an Automated External Defibrillator (AED) in the practice as recommended in the ‘Primary care – Quality Standards’ published by the Resuscitation Council UK. Alternatively produce a written risk assessment to why an AED is not required.
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Ensure there is comprehensive clinical oversight if future plans to delegate the processing of and acting upon information about patients’ care and treatment are implemented.
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Investigate the reasons for the higher than average attendance at A&E by registered patients.
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Consider wider use of the national GP patient survey in the practice systems for acting on patient feedback.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice