Dr Muhammad Shahzad Also known as Savita Medical Centre

We carried out a review of Dr Muhammad Shahzad also known as Savita Medical Centre on 15/04/2021. Overall, the practice is rated as Good.

Set out the ratings for each key question

Safe - Good

Following our previous inspection on 10 & 22 October 2019, the practice was rated Good overall and for the key questions effective, caring, responsive and well-led. The practice was rated requires improvement for providing safe services and issued a requirement notice for Regulation 12 Safe care and treatment.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr Muhammad Shahzad on our website at www.cqc.org.uk

Why we carried out this review

This review was a focused review of information without undertaking a site visit to follow up on breaches of Regulation12 Safe care and treatment. At the last inspection we found;

• Safeguarding policies did not take account of patients accessing any online services.
• Staff were not up to date with their routine immunisations.
• Actions were not always taken to address the health and safety risk assessments recommended areas for improvement.
• The practice had not completed documented premises and security risk assessments.
• Not all staff had undertaken fire safety update training.

We also followed up on ‘should’ actions identified at the last inspection. Specifically;

• Monitor and improve on patient satisfaction scores relating to treatment with care and concern.
• Update whistleblowing policy to ensure it is in line with the NHS Improvement Raising Concerns (Whistleblowing) Policy.
• Monitor and continue to improve cervical screening uptake rates.

How we carried out the review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.

This review was carried out without visiting the location by requesting documentary evidence from the provider.

We found that:

The practice had made the necessary improvements to the delivery of care to ensure patients were kept safe and protected from avoidable harm;

• Safeguarding policies had been updated to take account of patients accessing online services.
• Staff were up to date with their routine immunisations.
• Recommendations from health and safety risk assessments had been acted upon.
• Premises and security risk assessments had been undertaken.
• Fire safety update training had been undertaken by all staff.

In addition;

• Patient satisfaction scores in relation to treatment with care and concern had improved. National GP survey performance for this indicator had increased from 75% (Jan 2019 – March 2019) to 87% (Jan 2020 – March 2020).
• The practice had updated the whistleblowing policy in line with NHS Improvement Raising Concerns (Whistleblowing) Policy.
• Since the last inspection the practice’s cervical screening uptake had decreased from 58% to 52% (Public Health England data). However, we have taken into account that cervical screening has been adversely affected during the current pandemic. We were also provided with evidence that the practice had made efforts to improve the call / recall system for eligible patients.

Whilst we found no breaches of regulations, the provider should:

• Improve cervical screening uptake to bring in line with the England average.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care