The Haling Park Partnership

Updated 4 November 2016

The Haling Park Partnership is one of three practices that form The Parchmore Group and operates from one site in South Croydon, Surrey. It is one of 61 GP practices in the Croydon Clinical Commissioning Group (CCG) area. There are approximately 3,250 patients registered at the practice, 140 (4%) of whom reside in seven local care homes. There is an annual patient turnover rate of 11%.

The practice is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, family planning services, maternity and midwifery services, surgical procedures and treatment of disease, disorder or injury.

The practice has a personal medical services contract with the NHS and is signed up to a number of enhanced services (enhanced services require an enhanced level of service provision above what is normally required under the core GP contract). These enhanced services include childhood vaccination, extended hours access, dementia diagnosis and support, flu and pneumococcal immunisation, learning disabilities, minor surgery, remote care monitoring, risk profiling, rotavirus and shingles immunisation, and unplanned admissions.

The practice has an above average population of male and female patients aged 25 to 39 years and over 85 years. Income deprivation levels affecting children and adults registered at the practice are above the national average.

The clinical team includes a male lead GP, a male salaried GP, two female salaried GPs (one of whom is on maternity leave), and a female and two male locum GPs. The GPs provide a combined total of 16 clinical sessions per week. There are three female locum practice nurses, and a female health care assistant. The clinical team is supported by an interim practice manager, a managing partner, a general manager, and six reception/administrative staff.

The practice is open from 8.00am to 6.30pm Monday to Friday. It is closed on bank holidays and Sundays. Appointments with GPs are available from 8.30am to 12.00pm and from 3.30pm to 5.30pm Monday to Friday. Appointments with nurses are available at various times on Monday, Wednesday morning, Thursday and Friday (the health care assistant is available on Tuesdays). Extended hours are available every Saturday from 8.00am to 11.00am.

The premises operate over two floors of a converted house. On the ground floor there is a consulting room, a treatment room, a waiting area, a reception area and a wheelchair accessible toilet for patients. On the first floor there is a consulting room, a treatment room and three staff areas. There is wheelchair access throughout the ground floor. There is no lift to the first floor and there are no baby changing facilities available. The practice arranges for patients with mobility problems to be seen on the ground floor.

The practice directs patients needing urgent care out of normal hours to contact 111 which directs patients to a local contracted OOH service or Accident and Emergency, depending on the urgency of patients’ medical concerns.

Updated 4 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Haling Park Partnership on 25 August 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.

• Data from the Quality and Outcomes Framework (QOF) showed that in 2014/2015 patient outcomes were in line with local and national averages; however their exception reporting rate was higher than expected for some indicators.

• 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 area where the provider should make improvement is:

• Review the exception reporting system for asthma, atrial fibrillation, cancer, chronic obstructive pulmonary disease, depression, and peripheral arterial disease to improve patient engagement and outcomes.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 4 November 2016

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.

• Nationally reported data for 2014/2015 showed that outcomes for patients with diabetes were in line with local and national averages.

• Longer appointments and home visits were available when needed.

• All patients with a long-term condition had a named GP and the majority had received a structured annual review to check their health and medicines needs were being met.

• In the previous 12 months of 2014/2015, 78% of patients with asthma had an asthma review. This was in line with the local and national averages.

• In the previous 12 months of 2014/2015, 91% of patients with chronic obstructive pulmonary disease had a review of their condition. This was in line with the local and national averages.

• 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 4 November 2016

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 Accident & Emergency attendances.

• The practice provided care for patients from a local mother and baby unit.

• Immunisation rates were in line with local averages 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.

• 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 and health visitors.

• In the previous 12 months of 2014/2015, 83% of women aged between 25 to 64 years had a cervical screening test. This was in line with local and national averages.

Updated 4 November 2016

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.

• Nationally reported data for 2014/2015 showed that outcomes for conditions commonly found in older people were in line with local Clinical Commissioning Group (CCG) and national averages. For example in the previous 12 months of 2014/2015, 83% of patients with hypertension had well-controlled blood pressure, which was in line with local and national averages.

Updated 4 November 2016

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.

• Extended hours opening was available from 8.30am to 11.00am on Saturdays.

Updated 4 November 2016

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

• In the previous 12 months of 2014/2015, 93% of patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive agreed care plan in their record. This was in line with local and national averages.

• In the previous 12 months of 2014/2015, 81% of patients diagnosed with dementia had a face-to-face review of their care, which in line with 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.

• 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 4 November 2016

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.