This practice is rated as good overall. At the previous inspection in October 2015 the practice was rated as outstanding overall; with an outstanding rating achieved for responsive and well-led services and a good rating achieved for safe, effective and caring.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at University of East Anglia Medical Centre on 7 September 2018.
At this inspection we found:
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided and worked with the university to ensure that care and treatment were provided at the most appropriate times. It ensured that care and treatment was delivered according to evidence-based guidelines.
- The practice’s performance in relation to the Quality Outcome Framework (QOF) results was generally in line with the Clinical Commissioning Group (CCG) and national averages.
- The practice had a programme of quality improvement activity planned and we saw evidence of a two-cycle audit completed which positively impacted on the quality of patient care.
- The practice had been operating a Norfolk and Suffolk Foundation Trust and University of East Anglia Medical Centre pilot for the placement of a mental health specialist nurse providing one session a week at the practice for approximately one year.
- Results from the July 2017 national GP patient survey were generally above local and national averages.
- The practice had initiated positive service improvements for its patients that were over and above its contractual obligations. It acted on suggestions for improvements and changed the way it delivered services in response to feedback from patients and the patient participation group (PPG).
- We saw evidence that complaints and significant events were handled effectively, trends were analysed and lessons learned and distributed amongst relevant staff.
- The practice actively reviewed the needs of its population and worked directly with the university to respond to patient needs and demand; the practice ensured that clinics were held at the correct time.
- The practice offered intuitive online services such as online registration that automatically notified the practice of existing long-term conditions and a website which translated into over 100 different languages to meet the need of the diverse student population.
- The leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care.
- There were high levels of staff and patient satisfaction. Staff were proud of the organisation as a place to work and spoke highly of the culture and morale.
- There were consistently high levels of constructive staff, patient and external stakeholder engagement.
The areas where the provider should make improvements are:
- Review and improve the uptake of cervical screening.
- Review and improve Quality Outcomes Framework exception reporting for Diabetes.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice