Archived: Greenwich Peninsula Practice

Updated 9 May 2016

Greenwich Peninsula Practice is based in purpose-built accommodation within a health centre shared with other community services. It is situated in a residential area of Greenwich, London, in the Royal Borough of Greenwich. Greenwich Clinical Commissioning Group (CCG) are responsible for commissioning health services for the locality. Malling Health (UK) Ltd (now part of IMH Group) has been the provider of the service since 2013.

The practice has 7663 registered patients. The practice has a larger than national average patient population under 60 years.

Greenwich Peninsula Practice is one of a number of GP practices provided by Malling Health (UK) Ltd which is registered as an organisation with the CQC. Greenwich Peninsula Practice provide services from one location at Millenium Village Heath Centre, School Bank Road, Greenwich SE10 0QN. Services are delivered under an Alternative Provider Medical Services (APMS) contract. The practice is registered with the CQC to provide maternitiy and midwifery services; diagnostic and screening procedures; family planning; surgical procedures; and treatment of disease, disorder and injury.

All services at the practice are provided by salaried or locum staff. GP staff include three salaried GPs, one male GP (1.0 wte); and two female GPs (1.6 wte). Nursing staff include one Advanced Nurse Practitioner (1.0 wte); one Practice Nurse (1.0 wte); and one Health Care Assistant (1.0 wte) all female. There is a Practice Manager (1.0 wte) and eight part-time reception staff.

The practice provides mentored placements for students undertaking Physician Associate training at St George’s, University of London.

The surgery is open between 08.00 and 18.30 hours Monday to Friday. Extended hours are provided on Tuesday until 20.30 hours and Saturday 9.00 to 11.30 hours.

Pre-booked and urgent appointments are available with a GP or Nurse on Monday to Friday from 08.00 to 12.00 and 14.00 to 18.15 hours (Tuesday to 20.15) and from 9.00 to 11.15 on Saturday.

When the surgery is closed the out of hours GP services are available via NHS 111.

The practice website (www.mhgreenwich.co.uk) includes health information and details of services provided by the surgery and within the local area but details of clinical staff were not up to date.

Updated 9 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Greenwich Peninsula Practice on 3 February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was a transparent and proactive approach to safety and a system was in place for reporting and recording significant events. However not all incidents and complaints were recorded and learning shared.

• Patients’ needs were assessed and care delivered in line with current best practice guidance.

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
• Risks to patients were assessed and well managed.

• Staff received ongoing training and development to ensure they had the skills, knowledge and experience to deliver effective care and treatment.

• Information about services and how to complain was available and easy to understand.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• The practice had a clear vision to deliver a high quality service which was responsive to patients needs and promoted the best possible outcomes for patients.

• There was a clear leadership structure and staff felt supported by management.

• Patient surveys indicated that some patients did not find it easy to make an appointment with a named GP and were dissatisfied with the level of continuity of care provided. Patients also said they did not feel involved in their care or decisions about their treatment. However, the practice was aware of these issues and had as a result recently recruited several new permanent members of clinical staff.

• The practice proactively sought feedback from staff and patients, which it acted on.

There were also areas of practice where the provider should make improvements:

• The provider should continue to review the impact on care to patients resulting from the lack of consistency of GP staff and make efforts to stabilise the turnover of clinical staff within the practice.

• The provider should ensure that the practice website is updated on a regular basis to keep patients informed of the frequent changes in clinical staff within the practice.

• The provider should formally record, investigate and share learning on all incidents and complaints for quality assurance purposes.

• The provider should consider ways to proactively identify patients with carer responsibilities.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 9 May 2016

The practice is rated as good for the care of people with long-term conditions.

• Patients at risk of frequent hospital admission were identified and followed up as a priority.

• Nationally reported data showed that outcomes for patients with long term conditions such as diabetes and chronic obstructive pulmonary disease (COPD) were above the CCG and national average.

• All patients with long term conditions were invited for an annual review to ensure their health and medicines needs were being met. 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.

• The practice was participating in the Year of Care programme aimed at improving the diagnosis and management of long term conditions.

Updated 9 May 2016

The practice is rated as good for the care of families, children and young people.

• There were safeguarding systems in place to identify and follow up children who were at risk.

• Childhood immunisation rates were comparable with the CCG average for all standard childhood immunisations.

• The percentage of patients diagnosed with asthma, on the register, who had an asthma review in the the last 12 months was comparable to the CCG and national average.

• Patients told us that children and young people were treated in an age-appropriate way.

• Cervical screening rates were comparable with CCG and national average.

• Appointments were available outside of school hours.

• The premises were suitable for children and babies and baby feeding and changing facilities were available if required.

• There were joint working arrangements with midwives and health visitors.

Updated 9 May 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.

• All patients over 75 years have been allocated a named GP and were invited to attend an annual health check.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those who required them.

Nationally reported data showed that outcomes for patients with conditions commonly found in older people were above the CCG and national average

Updated 9 May 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 had been considered and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. For example, appointments were available until 8.30 pm one evening per week and between 9.00 and 11.30 am on Saturday. Urgent appointments were available every day.

• There was a good uptake for NHS Health Checks. The practice had achieved 100% of their annual target of 229 NHS Health Checks completed for 2015/16.

• 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.

Updated 9 May 2016

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

• The percentage of patients with diagnosed poor mental health who had a comprehensive agreed care plan in the last 12 months was 96.0%.This was higher than the national average of 88.5%.

• The percentage of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months was 84.6%. This was comparable to the national average of 84.0%.

• The practice worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

• There was up to date information available in the waiting area informing patients about 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.

Updated 9 May 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 those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice worked with multi-disciplinary teams in the case management of vulnerable people.

• There was up to date information available in the waiting area informing patients about 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.