Drs Hussain & Kotekar Also known as New Road Surgery

Updated 17 January 2017

Drs Cheetham Boden and Hussain, known locally as New Road Surgery, is registered with the Care Quality Commission (CQC) as a partnership provider and delivers a full range of family medical services as well as enhanced services. The practice is situated in Rubery, Birmingham, in premises which have been extended and modernised over the years to provide better facilities for patients.

The practice holds a General Medical Services (GMS) contract with NHS England. The GMS contract is a nationally agreed contract between general practices and NHS England for delivering primary care services to the local communities.

At the time of the inspection, Drs Cheetham Boden and Hussain were providing medical care to approximately 5,540 patients.

The practice has a ramp for wheelchair users to access the premises. There is a separate baby changing room, suitably decorated. A play table and children’s books are available for children. There is a quiet waiting area was available for children and young people. The practice was directly on the bus routes to Birmingham and Bromsgrove, which was convenient for patients.

There are three partner GPs (two male and one female). The GPs are supported by three practice nurses, a health care assistant, a phlebotomist, a practice manager and reception and administrative staff.

Drs Cheetham Boden and Hussain are a teaching practice for final year community based medicine students from the University of Birmingham. Four to five students are accepted each year in five week blocks. The students work at the practice for three days per week during their placement and see up to 10 patients each day. Supervision is provided by all three GP partners.

The practice is open between 8.30am and 6pm on Mondays to Fridays. Receptionists also answer the telephones between 8am and 8.30am and between 6pm and 6.30pm. Extended hours are provided one evening every week from 6.30 to 8pm (the days rotate) and one Saturday every month from 8am to 11am. Out of Hours service is provided by the NHS 111 service. Patients can also attend the GP Walk In Centre at nearby Selly Oak, which is open from 8am to 10pm seven days a week.

Updated 17 January 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs Cheetham Boden and Hussain on 8 November 2016. Overall the practice is rated as good.

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

• There was an effective system to raise concerns and report significant events. Staff understood their responsibilities to raise concerns and to report significant events.
• Patients’ needs were assessed and the practice planned and delivered care in accordance with best practice guidance.
• The practice had a well-trained team with expertise and experience in a range of health conditions.
• The practice was visibly clean and hygienic. There were systems for reducing the risks to patients from healthcare associated infections.
• Patients said that they were treated with kindness, dignity and respect. Patients told us that GPs and nurses explained their treatment options so that they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand. The practice responded to complaints in an appropriate and timely manner. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said that 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.
• Feedback from patients was consistently positive.
• 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 the GP partners and the management team. 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. 

We saw one area of outstanding practice:

• A GP had developed a tool for matching capacity to demand for appointments, which had been adopted by other practices across the region.

The area where the provider should make improvement is:

• Consider repeating audit cycles on a more routine basis.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 17 January 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.
• 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 medicine 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.
• The percentage of patients with diabetes on the register in whom the last diabetic reading was at an appropriate level in the preceding 12 months was 76%, which was slightly below the national average of 78%.
• Practice based or shared care was offered whenever possible to save patients having to travel to hospital.
• The practice regularly achieved the highest number of patients with long term conditions who had had an influenza immunisation within the CCG. Data showed that 61% of these patients were immunised in 2015/16.

Updated 17 January 2017

The practice is rated as good for the care of families, children and young people.

• There were systems 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 accident and emergency (A&E) attendances. Immunisation rates were relatively high for all standard childhood immunisations.
• The practice had the second lowest emergency admission rate for paediatric admissions within the CCG for the period between April 2015 and March 2016.
• 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.
• A clinic for baby immunisations was held at the same time as post-natal checks for mothers, which was convenient for mothers.
• The practice’s uptake for the cervical screening programme was 85%, which was higher than both the CCG and national averages of 82% and 81% respectively.
• Appointments were available outside of school hours and the premises were suitable for children and babies. A quiet waiting area was available for children and young people.
• We saw positive examples of joint working with midwives, health visitors and school nurses. A midwife clinic was held at the practice every fortnight. The GPs met with the health visitors when necessary.

Updated 17 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 had signed up to the avoiding unplanned admissions enhanced service, which is mainly focussed on this population group.
• The practice regularly achieved the highest number of patients aged 65 years and over who have had an influenza immunisation within the Redditch and Bromsgrove Clinical Commissioning Group (CCG). Eighty three percent of this group of patients were immunised in 2015/16.
• Patients aged 75 years and over who had not seen a GP in the previous 12 months were reviewed and invited to attend for any relevant health checks.
• A GP was the clinical lead for stroke review and rehabilitation at a nearby hospital.
• A GP was an associate specialist in palliative care at a local palliative care unit and was the practice end of life lead. The practice had signed up to the end of life enhanced service.

Updated 17 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.
• Extended hours were provided on one evening each week and on the first Saturday of each month, which was convenient for those patients who could not attend during core opening hours.
• Patients were able to book routine appointments and request repeat prescriptions online at a time that suited them. Telephone consultations were also available.
• Text reminders of appointments were sent to patients who had signed up to this service.
• NHS health checks were offered to patients.
• A full range of health promotion and screening was offered that reflected the needs for this age group.
• A GP could offer a more specialised Genito-Urinary (GU) medicine screening service (sexual health screening) having undertaken a GU foundation course.

Updated 17 January 2017

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

• The practice achieved 100% in all Quality and Outcomes Framework (QOF) mental health indicators.
• The practice liaised with the clinical advisor on dementia for the Midlands and East Region to ensure that coding for younger patients diagnosed with dementia was correct.
• 98% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which was 3% above the CCG average and 2% above the national average
• The practice had received letters of thanks from families of patients with dementia for the kindness shown to their next of kin.
• We were told that staff would telephone patients with dementia or their carers to remind them about appointments or to follow up on any missed appointments.
• 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 to follow up patients who had attended A&E 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 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.
• Refugees with complex medical and social needs were registered at the practice. Interpreters were arranged on a regular basis for these patients.
• The practice had signed up to the learning disability enhanced service and had 19 patients on their learning disability register. Annual health checks for these patients were usually undertaken in the final quarter of the year. During 2015/16, 16 out of 19 patients on the learning disability register had had a health check. The remaining three were under the care of secondary care consultants. The services of the learning disability primary care liaison nurse, who was employed by Worcestershire Health and Care NHS Trust, were advertised on the practice website.
• Longer appointments were provided for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• Vulnerable patients were informed how to access various support groups and voluntary organisations.
• A shared care service was provided for substance misuse.
• Reception staff had attended a deaf awareness and a blind awareness training event.
• The practice website informed patients that sign language interpreters could be booked for face-to-face consultations.
• The practice leaflet was available in an easy read format.
• There was a safeguarding lead and deputy lead. Staff received safeguarding training.
• 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.