St Edwards Medical Centre

Updated 15 February 2017

Mawney Medical Centre is in Romford in outer north east London. It is one of the 49 member GP practices in NHS Havering Clinical Commissioning Group (CCG).

The practice is located in the fifth more deprived decile of areas in England. At 77 years, male life expectancy is less than the England average of 79 years. At 83 years, female life expectancy is the same as the England average.

The practice has approximately 10,700 registered patients. It has more patients in the 0 to 9 years age range than the England average, and more female patients in the 25 to 39 years age range than the England average. Services are provided by Mawney Medical Centre under a General Medical Services (GMS) contract with NHS England.

The practice is in purpose built premises. Patient areas are on the ground floor and are wheelchair accessible. There is a disabled toilet. There are 10 consulting rooms and two nurse rooms, one of which is the minor surgery room.

Mawney Medical Centre is a teaching practice for medical students and health professionals, and a training practice for qualified doctors wishing to specialise in General Practice.

Six GPs work at the practice who make up the equivalent of five whole time staff (WTE). There is one full time advanced nurse practitioner, two part time nurses (1.5 WTE), and two part time healthcare assistants (one WTE). The clinical staff are supported by a team of receptionist, administrative, clerical and secretarial staff headed up by a practice manager and a reception manager.

The practice’s opening times are:

• 8.30am to 6.30pm every week day except Thursday.

• 8.30am to 4.00pm on Thursday.

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

The doctors’ clinic times are:

• 9.00am to 12.00pm and 2.00pm to 6.30pm every week day except Thursday.

• 9.00am to 12.00pm on Thursday.

The practice offers an extended hours service at the following times:

• 7.00am to 8.30am on Tuesday.

• 7.00am to 8.30am and 6.30pm to 7.00pm on Wednesday.

• 7.30am to 8.30am on Thursday.

Mawney Medical Centre is registered with the Care Quality Commission to carry on the following regulated activities at Mawney Medical Centre, 7 St Edwards Way, Romford, Essex RM1 3DQ: Diagnostic and screening procedures, Family planning, Maternity and midwifery services, Surgical procedures, and Treatment of disease, disorder or injury.

Updated 15 February 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mawney Medical Centre on 08 November 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 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 appointments were available the same day when they needed them; however it was more difficult to book appointments in advance. The practice was addressing this.
• 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:

• Review security arrangements for computer prescription forms to bring them in line with best practice.

• Consider further ways of meeting the needs of patients with conditions in those clinical domains where exception reporting is comparatively high.

• Continue to monitor patients’ access to appointments to confirm the changes the provider has made are working.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 15 February 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 unplanned hospital admission were identified as a priority.

• Performance against Quality and Outcomes Framework (QOF) diabetes indicators was comparable to local and national averages.

• The practice offered insulin therapy initiation to patients who needed it.

• 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 15 February 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.

• Immunisation rates were relatively high for all standard childhood immunisations.

• Performance against Quality and Outcomes Framework (QOF) cervical screening indicators was comparable to the local and national average.

• Appointments were available outside of school hours and the premises were suitable for children and babies, including nappy changing facilities.

• We saw positive examples of joint working with health visitors.

Updated 15 February 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 GPs worked with other health and care professionals to provide packages of care, including for example falls management and preventing unplanned admission to hospital.

• A local charity visited the surgery once a month to provide information about services and the support on offer to older people in the area.

Updated 15 February 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 15 February 2017

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

• Seventy four per cent of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which was comparable to the national average of 84%.

• Performance against Quality and Outcomes Framework (QOF) mental health related indicators was comparable to local and national averages.

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

• Talking Therapies counsellors were based at the practice once a week.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 15 February 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 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.

• 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.