Background to this inspection
Updated
8 April 2024
Dr T Crawford & Partners is located in Northampton at:
Greenview Surgery
129 Hazeldene Road
Northampton
NN2 7PB
The provider is registered with CQC to deliver the Regulated Activities, diagnostic and screening procedures, family planning, maternity and midwifery services, surgical procedures and treatment of disease, disorder or injury.
The practice is situated within the NHS Northamptonshire Integrated Care System (ICS) and delivers General Medical Services (GMS) to a patient population of about 9,781. This is part of a contract held with NHS England.
The practice is part of a wider network of GP practices that enables them to work with other practices in the area to deliver care.
Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the fifth decile (5 of 10). The lower the decile, the more deprived the practice population is relative to others.
According to the latest available data, the ethnic make-up of the practice area is 86% White, 6% Asian, 4% Black, 3% Mixed, and 1% Other.
The age distribution of the practice population closely mirrors the local and national averages.
There is a team of 6 GPs. The nursing team consists of 5 practice nurses and a health care assistant (HCA). The clinical staff are supported at the practice by a team of patient navigators and administration staff all led by a practice manager and assistant practice manager.
The practice is open between 8am to 6.30pm Monday to Friday. The practice offers a range of appointment types including book on the day, telephone consultations and advance appointments.
Extended access is provided locally by Northampton GP Enhanced Access Service, where evening appointments are available from 6.30pm to 9.30pm Monday to Friday and weekend appointments are available from 9am t0 5pm on Saturday and Sunday.
When the practice is closed, out of hours services can be accessed via the NHS 111 service.
Updated
8 April 2024
We carried out an announced comprehensive inspection at Dr T Crawford & Partners, also known as Greenview Surgery on 29 September 2023. Overall, the practice is rated as . requires improvement.
Safe - good
Effective - requires improvement,
Caring – requires improvement
Responsive – requires improvement
Well-led - good
Following our previous inspection on 14 June 2016, the practice was rated good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr T Crawford & Partners on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection in line with our inspection priorities.
How we carried out the inspection/review
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We found that:
- Patients’ needs were not always assessed fully and current guidance was not always followed.
- Patients did not always receive appropriate long-term condition reviews.
- The uptake for immunisations for children aged 5 years was below the minimum target set by the World Health Organisation.
- The uptake for cervical screening was below the 80% target set by the UK Health Security Agency.
- National GP patient survey data relating to patient satisfaction with the service was below local and national averages in some areas. The practice had taken actions to make improvements. However, the impact of these changes had not been assessed.
- Staff dealt with patients with kindness and respect.
- The practice had taken actions to improve the way patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- Staff reported they felt supported by the GPs and practice management.
We found 1 breach of regulations. The provider must:
- Ensure care and treatment is provided in a safe way to patients.
The areas where the provider should make improvements are:
- Continue to take measures to improve the uptake of childhood immunisations and cervical screening.
- Continue to take actions to improve patient satisfaction in relation to involving patients in their care and treatment and access and appointment booking.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care