Mathukia's Surgery

Updated 13 January 2017

Mathukia’s Surgery is located in Ilford in north east London. It is one of the 47 member GP practices in NHS Redbridge Clinical Commissioning Group (CCG).

The practice serves an ethnically diverse population and is located in the fourth more deprived decile of areas in England. At 78 years, male life expectancy is less than the England average of 79 years. At 82 years, female life expectancy is less than the England average of 83 years.

The practice has approximately 6,440 registered patients. It has more patients in the 0 to 39 years age range than the England average, and fewer patients in the 40 to 85+ age range. Services are provided by Mathukia’s Surgery under a General Medical Services (GMS) contract with NHS England.

The practice is in a converted residential property which has recently been extensively refurbished and extended.

The premises are accessible to wheelchair users. There are automatic doors and a disabled toilet but no hearing loop. There are five consulting rooms.

Mathukia’s Surgery is a teaching practice for medical students.

Six GPs worked at the practice, four male and two female, making up the equivalent of three whole time staff (WTE). There were two part time nurses (one was in practice nurse training), together making up one WTE, and a part time pharmacist (0.6 WTE). The clinical staff are supported by a team of receptionist and administrative staff headed up by a reception manager (0.8 WTE) and a business manager (one WTE).

The practice’s opening times are:

• 9.00am to 6.30pm on Monday, Tuesday, Wednesday and Friday.

• 9.00am to 1.00pm on Thursday

• 10.00am to 1.00pm on Saturday (extended hours)

Patients are directed to an out of hours GP service outside these times.

The practice clinic times are:

• 9.00am to 1.30pm and 3.30pm to 6.30pm on Monday, Tuesday, Wednesday and Friday

• 9.30am to 1.00pm on Thursday

• 10.00am to 12.30pm on Saturday (extended hours)

Mathukia’s Surgery  is registered with the Care Quality Commission to carry on the following regulated activities at Mathukia’s Surgery , 281 Ilford Lane, Ilford, Essex IG1 2SF: Diagnostic and screening procedures, Family planning, Maternity and midwifery services, and Treatment of disease, disorder or injury.

Updated 13 January 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mathukia's Surgery on 08 December 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 and they were involved in their care and decisions about their treatment.
• 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:

• Strengthen the system for checking emergency medicines so that the practice does not run out of any of these.

• Formalise the risk assessment supporting the practice’s decision not to include Benzylpenicillin for injection in the GPs medical bags.

• Consider further ways of meeting the needs of patients with diabetes to improve outcomes for these patients.

• Complete the practice nurse’s annual appraisal in a timely way.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 13 January 2017

The practice is rated as good for the care of people with long-term conditions.

• QOF scores were at or above local and national averages except for diabetes. Fewer patients than the national average had a blood cholesterol level below the recommended maximum, and fewer patients than both the national and local averages had a blood sugar level below the recommended maximum. The practice had identified diabetes as a priority focus area in 2016-17.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• The pharmacist conducted medicines reviews for patients with long term conditions and had a specialist interest in diabetes.

• 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 practice worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 13 January 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.

• Parents valued the practice responding quickly to their concerns about their children’s health.

• Cervical screening uptake was comparable with local and national averages.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with health visitors and with the local child safeguarding agency.

Updated 13 January 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 employed a pharmacist who reviewed the medicines of patients taking many medicines (polypharmacy) to ensure the medicines were optimised and prescribed according to best evidence.

• For those patients with the most complex needs, the practice worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 13 January 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 13 January 2017

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

• All patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months (CCG average 83%, national average 84%). The practice had eight patients with dementia.

• The practice’s patient outcomes for mental health indicators were comparable with national averages. 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 92%

  • Whose alcohol consumption has been recorded in the preceding 12 month was 91% (CCG 91%, England 90%).

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those 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.

Updated 13 January 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, for example through the social prescribing scheme in Redbridge. Social prescribing provides GPs with a non-medical referral option that can operate alongside existing treatments to improve health and well-being.

• 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.