Archived: Drayton Medical Practice

Updated 15 February 2017

Drayton Medical Practice is located in Market Drayton, Shropshire. It is part of the NHS Shropshire Clinical Commissioning Group. Drayton Medical Practice is a purpose built, primary care medical centre. There are 17,400 patients registered with the practice.

The practice has nine GP Partners and a female salaried GP (seven male and three female) providing 8.5 whole time equivalent hours. The practice team includes a practice manager, a management assistant, a practice nurse manager, a reception manager, seven practice nurses, two healthcare assistants, two phlebotomists, three regular bank staff members and reception, IT supervisor and administrative staff.

The practice is open from 8.30am to 6pm Monday to Friday. The practice treats patients of all ages and provides a range of medical services. Drayton Medical Practice has a higher percentage of its practice population in the 65 and over age group than the England average. The practice provides a number of clinics for example long term condition management including asthma, diabetes and high blood pressure. It offers child immunisations, minor surgery and travel health. The practice also provides a minor injury service and mental health clinics.

The practice is a training practice for GP Registrars to gain experience and higher qualifications in General Practice and family medicine. GP Registrars are qualified doctors who undertake additional training to gain experience and higher qualifications in general practice and family medicine. Drayton Medical Practice does not provide an out of hours service to its own patients but has alternative arrangements for patients to be seen when the practice is closed.

The practice has a General Medical Services (GMS) contract with NHS England. This is a contract for the practice to deliver general medical services to the local community or communities. They also provide some Directed Enhanced Services, for example, they offer minor surgery, the childhood vaccination and immunisation scheme.

Updated 15 February 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drayton Medical Practice on 12 November 2014. After the comprehensive inspection, the practice was rated as good overall with requires improvement in providing safe services. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Drayton Medical Practice on our website at www.cqc.org.uk. We undertook a focussed follow up inspection on 4 January 2017 to check that improvements had been made. The practice is rated as good for providing safe services and rated good overall.

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

• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• 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. These included regular infection control audits and an annual audit for minor surgical procedures actions were taken/planned to address any improvements identified as a result.
• There was a written consent form process in place for minor surgical procedures.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
• The practice had reviewed and updated policies and procedures on an ongoing basis and these included policy review dates.
• The provider was aware of and complied with the requirements of the duty of candour.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• The practice ensured their recruitment arrangements included all members of staff including those classed as locums.
• Staff who provided a chaperone service were in receipt of chaperone training and a chaperone policy was in place to support staff.
• Medicines management included a system to check stock levels and audits to ensure all medicines remained in date and safe to use including oxygen cylinders.
• The practice proactively sought feedback from staff including annual appraisals and patients, which it acted on. Staff and multidisciplinary meetings were minuted and these were accessible to all staff.
• The practice had developed and implemented a business continuity plan.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 5 March 2015

The practice is rated as good for the care of people with long-term conditions. We found that the nursing staff had the knowledge, skills and competencies to respond to the needs of patients with a long term condition such as heart disease and asthma. The nursing staff were supported by lead GPs for each long term condition. The practice maintained registers of patients with long term conditions. Individual care plans had been developed to support their care needs. We found robust systems in place to ensure that all patients with a long term condition received regular reviews and health checks at a time suitable to them. Staff were proactive in following up patients who did not make appointments for their reviews.

Updated 5 March 2015

The practice is rated as good for families, children and young people. We saw that the practice provided services to meet the needs of this population group. Urgent appointments were available for children who were unwell. Staff were knowledgeable about how to safeguard children from the risk of abuse. Systems were in place for identifying children who were at risk, and there was a good working relationship with the health visitor attached to the practice. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals. The premises were suitable for children and babies, with a designated play area. There were effective screening and vaccination programmes in place to support patients and health promotion advice was provided. Information was available to young people regarding sexual health and family planning advice was provided by staff at the practice. New mothers and babies were offered an integrated six week check, at which they saw the GP, practice nurse and health visitor. Antenatal clinics were also held at the practice.

Updated 5 March 2015

The practice is rated as good for the care of older people. Every patient over the age of 75 years had a named GP. The practice had identified vulnerable older patients and had developed individual care plans to support their care needs. These care plans were shared with the out of hours provider, with patients’ permission. Influenza and shingles vaccinations were offered to older patients according to national guidance. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs. Named GPs were responsible for care of patients in care homes, and carried out weekly visits to a number of care homes.

Updated 5 March 2015

The practice is rated as good for the care of working-age people (including those recently retired and students). The practice offered a range of appointments which included on the day and pre-bookable appointments, as well as telephone consultations. The practice was pro-active in offering on line services as well as a full range of health promotion and screening services which reflected the needs of this age group. The practice offered all patients aged 40 to 74 years old a health check. Family planning services were provided by the practice for women of working age. Diagnostic tests, that reflected the needs of this age group, were carried out at the practice.

Updated 5 March 2015

The practice is rated as outstanding for people experiencing poor mental health (including people with dementia). An example of outstanding practice is that the lead GP for mental health ran a two weekly clinic for patients with severe mental health needs, as well as visiting patients at home. These patients were offered longer appointments and the majority had individual care plans in place. Good working relationships were in place with other services for people with mental health needs, for example the Primary Care Liaison Service. GPs were able to make appointments for patients directly with the service, and patients were usually seen within one or two weeks. The practice worked closely with the Community Substance Misuse Team, and provided shared care for patients requiring methadone prescriptions. Referrals were also made to Child and Adolescent Mental Health Services (CAMHs) to provide support for children experiencing poor mental health.

Updated 5 March 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. We found that the practice enabled all patients to access their GP services. Staff told us that they supported a local travelling community, people who lived on nearby narrow boats, people with substance misuse, and families stationed at the local barracks. The practice held a register of patients with a learning disability and had developed individual care plans for each patient. The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.

Staff knew how to recognise signs of abuse in vulnerable adults. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in and out of hours.