De Beauvoir Surgery

Updated 17 March 2017

The practice is located in Hertford Road, London N1 5QT, it is situated in a purpose built three storey building, the practice is on the ground floor. The building is owned by a local housing association and the practice is responsible for the internal maintenance. They provide NHS primary medical services to approximately 9700 patients through a General Medical Services contract (a General Medical Services (GMS) contract is the contract between general practices and NHS England for delivering primary care services to local communities).

The premises have step free access with a wheelchair accessible toilet, baby changing facilities and can accommodate breast feeding. The practice has parking spaces for disabled patients. It is located near the busy Kingsland Road and is close to Haggerston over ground station.

The practice staff includes two GP partners (one male) working nine sessions per week and the other (female) working seven sessions, three salaried GPs one working seven sessions (female) another working four sessions (male) and the other working two sessions(male). There is also a regular locum GP working four sessions per week (female). The have a female practice nurse working four sessions and a female student practice nurse working six sessions per week. There are three Health Care Assistants (HCA) one who is also a clinical practice manager (male) working three sessions a week as a HCA and the rest of the time as a practice manager and the other two (female) working five and four sessions respectively. There are two practice managers, one clinical and one business both working full time. There are eight reception and administration staff and a summariser working a variety of part time hours.

The practice is a training practice, there are currently no registrars.

The practice is open from:

• Monday 8:30am - 12:30pm 2:30pm - 6pm
• Tuesday 8:30am - 12:30pm 2:30pm - 6pm
• Wednesday 8:30am - 12:30pm 2:30pm - 6pm
• Thursday 8:30am - 12:30pm closed
• Friday 8:30am - 12:30pm 2:30pm - 6pm

On Thursdays from 3:00pm to 6:00pm the practice provides Minor Surgery, Sexual Health and Chronic Disease management by appointment only.

The practice also provides telephone consultations and home visits, the home visits are carried out between morning and evening surgery. Extended hours are offered on Mondays and Tuesdays from  6:30pm to 8:30pm and Wednesdays from 6:30pm to 7:30pm. Out of hour’s services and weekends are covered by the City and Hackney Urgent Healthcare Social Enterprise (CHUHSE) who provide telephone consultations, home visits or patients can be seen at Homerton University Hospital. They cover from 6.30pm nightly until 8.00am and from 12.30pm on Thursdays and all day Saturdays and Sundays.

The practice population is 52% white British with the next largest group being white other at 38%. The practice has a relatively small older population with four percent over 60 and 42% of the population is aged between 30 to 40. Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.

Updated 17 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at De Beauvoir Surgery on 11October 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.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 17 March 2017

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

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

• The percentage of patients with hypertension in whom the last blood pressure reading measured in the preceding 12 months is 150/90mmHg or less was 89% which compareable to the national average of 84%.

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

Updated 17 March 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.

• The percentage of women aged 25-64 whose notes record that a cervical screening test has been performed in the preceding 5 years was 81% which was comparable the national average of 82%.

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

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 17 March 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 participated in the Coordinate My Care (CMC) initiative which shares personalised care plans such as for older people between healthcare providers.

• All patients in this group have a named GP.

Updated 17 March 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 as well as minor mental health issues such as stress management, anxiety and eating disorder clinics

• Online appointment booking and prescription requests were available.

• Telephone consultations with clinicians were available to meet the needs of this population group.

• Patients aged 40–74 had access to appropriate health assessments and checks that were followed up where abnormalities or risk factors were identified.

Updated 17 March 2017

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

• The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses whose alcohol consumption has been recorded in the preceding 12 months was 98% which better than the national average of 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 carried out advance care planning for patients 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 and dementia.

Updated 17 March 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.

• 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.