Collingham Medical Centre

Updated 28 October 2021

Collingham Medical Centre is located at High Street, Collingham, Newark, Nottinghamshire, NG23 7LB. Collingham Medical Centre provides primary medical services in the rural village of Collingham and 31 surrounding villages, covering an area of 132 square miles. Collingham Medical Centre is a dispensing practice and dispenses medicines to patients who live more than 1.6 km from a pharmacy. The dispensing of medicines is co-located within a community pharmacy next door to the practice.

The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, maternity and midwifery services, family planning, surgical procedures and treatment of disease, disorder or injury.

Six GPs, four nurses, two health care assistants work at the practice. The clinicians are supported by a practice manager, assistant practice manager and reception and administrative staff.

Collingham Medical Centre is situated within the NHS Nottingham and Nottinghamshire Clinical Commissioning Group (CCG) and provides services to approximately 7,502 patients. Information published by Public Health England shows that deprivation within the practice population group is in the eighth decile (8 of 10). The lower the decile, the more deprived the practice population is relative to others.

Collingham Medical Centre is open from 8.30am to 6.00pm Monday to Friday. Extended access service is from 6.30pm to 8.00pm on Mondays and 8.30am to 11:30am every one in five Saturdays. The practice has opted out of providing out-of-hours services to its own patients. This service is provided by Nottinghamshire Emergency Medical Services.

Updated 28 October 2021

We carried out an announced comprehensive inspection at Collingham Medical Centre (previously known as Dr Lisa Terrill & Partners) on 15 November 2016. The overall rating for the practice was good, with a rating of requires improvement for the responsive section of the report. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Collingham Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 5 February 2018 to confirm that the practice had addressed the areas for improvement that we identified in our previous inspection on 15 November 2016. This report covers our findings in relation to those improvements made since our last inspection.

Our key findings were as follows:

At our previous inspection on 15 November 2016, we rated the practice as requires improvement for providing responsive services because patients sometimes experienced difficulties in accessing appointments. At this inspection we found that the arrangements in respect of access to appointments had significantly improved. Consequently, the practice is now rated as good for providing responsive services.

• National GP patient survey data showed patients’ satisfaction with how they could access care and treatment had increased since our previous inspection and was comparable to local and national averages. This was supported by patients spoken with during this inspection.

• The practice had introduced new staff roles to enable them to make better use of clinical resources and direct patients to the most appropriate response.

• A programme of regular auditing was used to oversee appointment availability and to identify areas for improvement.

At our previous inspection we identified two other areas where we had asked the provider to make improvements:

• Review the processes in place for recalling patients for blood monitoring when high risk medicines are being prescribed.

• Work with patients to develop a new patient participation group (PPG).

At this inspection we found that improvements had been made in both these areas.

The recall arrangements for patients prescribed high risk medicines had been strengthened. There was a clear protocol in place, which included a register of patients requiring this type of monitoring, and we found this was being implemented reliably. If patients failed to attend for their blood tests the practice made repeated attempts to contact and encourage them to do so. Clinicians were kept informed about patients whose tests were overdue so they could consider risk and discuss with the patient if they attended the practice for other reasons. The practice had carried out an audit to help drive improvement in this area. A second audit had also been completed in January 2018 and showed that improvements had been achieved.

The practice had established a new PPG in October 2017. There was a formal structure for this group, including terms of reference and regular, minuted meetings. During this inspection we reviewed documents relating to the PPG and met members of the group. The PPG had identified communication between patients and the practice as a key area for improvement and were supporting the production and sharing of written information for display and distribution. This included a newsletter, updating the practice website, reception area notice boards and circulating information throughout the local area, to help make it more easily accessible to patients. During January 2018, the PPG had promoted the completion of Friends and Family feedback cards, resulting in 88 completed responses, which was a significant increase in comparison to previous months. These responses were to be reviewed at the next PPG meeting and an action plan prepared to take forward the findings from this.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice