The Field House Also known as The Linbury Doctors Ltd

Updated 21 February 2024

The Field House is part of The Linbury Doctors Ltd and provides an independent GP consulting service for private patients covering Gloucestershire, Oxfordshire, Warwickshire, Worcestershire, the Cotswolds, Wiltshire and surrounding areas.

The service treats both adults and children. Face to face consultations can take place within the patients home or from two satellite clinics:

• Linbury Clinic – Gloucestershire

Tirlebrook Barn, Pamington, Tewksbury, Gloucestershire GL20 8LY

• Linbury Menopause Clinic

The Pain and Injury Clinic, Guild Hall, High Street, Henley in Arden B95 5AU

The Field House operates a home visiting service 7 days a week, 365 days a year, between the hours of 8am and 6pm. Outside of working hours, patients can call the service out of hours telephone line where they will be able to speak to the doctor on call.

The service is owned by two directors and the service employs seven salaried GPs and six administrative staff members.

How we inspected this service

• Prior to the inspection information was requested from the service and reviewed by the inspection team.

• A site visit was carried out, where we spoke with the directors, a salaried GP, and six administrative staff; and reviewed patient consultation records and organisational documents including policies and procedures.

• Information was also submitted by the service following the inspection.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 21 February 2024

This service is rated as Outstanding overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Outstanding

Are services responsive? – Outstanding

Are services well-led? – Outstanding

We carried out an announced comprehensive inspection at The Field House as part of our independent health inspection programme. This was the first Care Quality Commission (CQC) inspection of this location since its registration on 14 October 2020.

The Field House provides an independent GP consulting service for private patients covering Gloucestershire, Oxfordshire, Warwickshire, Worcestershire and Wiltshire. The service is registered with the CQC to provide the regulated activities of diagnostic and screening procedures; treatment of disease, disorder or injury; and maternity and midwifery services.

One of the Directors of the service is the Registered Manager. A Registered Manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

We reviewed the online feedback the service had received from 11 patients. All feedback was very positive about the service with patients rating the service 5 out of 5 stars. We also reviewed data from the service’s patient surveys. Patients expressed their satisfaction with the efficiency of the service and the quality of care they received from the doctors.

Our key findings were:

• The service provided care in a way that kept patients safe and protected them from avoidable harm.

• Effective policies and procedures were in place to keep patients and staff safe.

• There was an effective system for recording, acting and learning from significant events.

• Clinicians assessed needs and delivered care and treatment in line with current legislation, standards and guidance.

• The service made improvements using clinical audits which positively impacted quality of care and outcomes for patients.

• Patients were respected and valued as individuals and were empowered as partners in their care, practically and emotionally.

• Services were tailored to meet the needs of individual people and were delivered in a way to ensure flexibility, choice and continuity of care.

• Upon joining the service, patients were provided with an in-person GP visit either in their own home or another location if preferred.

• For patients receiving end of life care, GPs visited patients every day to provide them and their families with support.

• The service model enabled GPs to check in with their patients often, including regular review meetings to review the patient’s general healthcare.

• The leadership, management and governance of the service assured the delivery of high-quality and person-centred care; supported learning and innovation; and promoted the development and wellbeing of all staff.

• Once a month the service held an away day for all staff where standing service agenda items were discussed and training sessions were delivered from specialist guest speakers including healthcare consultants.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services