St Peter's Surgery

Updated 17 December 2018

St Peter’s Surgery is registered with the Care Quality Commission (CQC) as a partnership in Walsall, West Midlands. The practice is part of the NHS Walsall Clinical Commissioning Group (CCG) and is a training practice for GP Registrars and Foundation Doctors to gain experience in general practice and family medicine. The practice holds a General Medical Services (GMS) contract with NHS England. A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract.

The practice operates from 51 Leckie Road, Walsall, West Midlands, WS2 8DA.

There are approximately 9,770 patients of various ages registered and cared for at the practice. Demographically the practice has a higher than average patient population aged under 18 years, with 27% falling into this category, compared with the CCG average of 24% and England average of 21%. Twelve per cent of the practice population is above 65 years which is considerably lower than the CCG average of 16% and the national average of 17%. The percentage of patients with a long-standing health condition is 54% which is in line with the local CCG average of 56% and the national average of 54%. The practice provides GP services in an area considered as one of the most deprived within its locality. Deprivation covers a broad range of issues and refers to unmet needs caused by a lack of resources of all kinds, not just financial.

The staffing consists of:

• Six GP partners (three male / three female) and one male locum GP.
• Two female practice nurses and a female health care assistant.
• A management team including a practice business manager, practice operations manager, secretarial and administrative staff, and reception staff.

The practice offers a range of services for example: management of long-term conditions, child development checks and childhood immunisations, minor surgery, extended hours service and shared care for substance misuse. Additional information about the practice is available on their website at www.stpeterssurgery.com

Updated 17 December 2018

This practice is rated as Good overall. (Previous rating July 2016 – Good)

The key questions at this inspection 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 St Peter’s Surgery on 21 November 2018 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
• The practice understood the needs of its population and tailored services in response to those needs. There was evidence of a number of projects and services the practice had been involved with to ensure patients’ needs were met.
• The practice was participating in the Macmillan Cancer Champion project. A member of reception staff and one of the practice nurses had undertaken additional training to fulfil this role. One of the GP Partners was the Macmillan GP Facilitator.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• The practice had amended the appointment system to increase the number of same day appointments and were in the process of installing an additional telephone line to improve telephone access.
• Action had been taken to strengthen the clinical leadership through the development of lead roles for clinicians, with protected time in finance, transformation, education and quality and training.
• The practice had participated in Clinical Commissioning Group support programmes, which had enabled to the practice to implement a workflow management system which reduced the paper workload for GPs.
• The practice management had a deep understanding of issues, challenges and priorities in their service, and beyond. For example: the clinical staff worked closely with the external colleagues such as the substance misuse team and support workers from a local hostel to provide a service for vulnerable patients.
• There was a strong focus on continuous learning and improvement at all levels of the organisation. For example: staff had undertaken additional training to become an IRIS (Identification and Referral to Improve Safety) trained practice, and protected practice education sessions (PES) had been introduced.
• The practice had participated in the National Cancer Diagnosis Audit 2017. They were the only practice within the CCG to have participated in the audit.

The areas where the provider should make improvements are:

• Document risk assessments for those staff whose immunisation status was not known, until the complete immunisation status for all members of staff has been obtained.

Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 17 December 2018

Updated 17 December 2018

Updated 17 December 2018

Updated 17 December 2018

Updated 17 December 2018

Updated 17 December 2018