Archived: The New Surgery Also known as Dr Nimit Dabas

Updated 4 February 2016

The New Surgery has a patient population of approximately 2938. It provides services to an aging patient demographic, with a large commuter population. The practice is owned and managed by a GP. The male lead GP and male salaried GP provide 13 clinical sessions a week) and two locum male GPs alternate providing a single clinical session weekly. They are supported by a practice nurse who works three clinical sessions a week (12 hours). All specialist clinics are GP led. The practice manager is employed 10 hours a week and assisted by an administrative team.

The practice holds a General Medical Services contract. The practice was open between 8.30am to 7.45pm Monday and 8.30am to 6.30pm Tuesday to Friday. Appointments were from 9am to 12noon and 4.00pm to 6pm Monday to Friday. Extended hours surgeries were offered from 6.30pm to 7.30pm on a Monday evening and appointments were pre-bookable. The practice offered online appointment booking and prescription requests.

The practice has opted out of providing their own out of hour’s service. Patients are advised to call the 111 service and their out of hour’s provider is IC24.

The practice maintains their own practice website. The website provides important information to patients regarding their opening hours, how to make appointments, clinics and services available and support organisations.

Updated 4 February 2016

Letter from the Chief Inspector of General Practice

We carried out a desk top follow up inspection of The New Surgery on 19 January 2016. This was to follow up on concerns identified during the initial inspection of the practice conducted on 28 October 2015. Overall the practice is rated as good.

Our key findings were as follows:

• The practice had conducted appropriate recruitment checks on their staff ensuring locum GPs had undertaken DBS checks.

• The practice had conducted a legionella risk assessment and the practice manager had undertaken training on Legionnaires disease.

Professor Steve Field

(CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 December 2015

The practice is rated as good for providing effective, caring, responsive and well-led services; it is rated as requires improvement for safe services. The concerns which led to this rating apply to everyone using the practice, including this population group.

The practice had conducted an analysis of the needs of this population group and identified similarities with the 75years and over group. The GPs led on all chronic disease management in partnership with the practice nurse. Patients at risk of hospital admission were identified as a priority. Longer appointments and home visits were available when needed. All these patients had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care such as community geriatricians, specialist nurses and Basildon Hospital Advice and Guidance system.

Updated 10 December 2015

The practice is rated as good for providing effective, caring, responsive and well-led services; it is rated as requires improvement for safe services. The concerns which led to this rating apply to everyone using the practice, including this population group.

There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances or those who failed to attend appointments.

The practice provided antenatal care and advice, referring patients to the maternity service only after a full review of their medical needs has been conducted. Maternity care was conducted in partnership with the community midwifery team who attends the surgery. The practice conducted maternal post-natal and six to eight week baby development checks and worked with the community paediatric service and rapid access paediatric clinic.

Immunisation rates were high for all standard childhood immunisations. Appointments were available outside of school hours including telephone and emergency access. The premises were suitable for children and babies. Information was available on their website and within their waiting area on health and social care services.

Updated 10 December 2015

The practice is rated as good for providing effective, caring, responsive and well-led services; it is rated as requires improvement for safe services. The concerns which led to this rating apply to everyone using the practice, including this population group.

Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population. They identified patients at risk of unplanned hospital admission and placed them on their admission avoidance register developing care plans, supporting patients to better manage their conditions. Multiagency working was integral to their care plans with close working with the community matrons, falls and continence teams. Patients were ensured same day access to a GP including home visits where necessary. Vaccination programmes such as shingles, pneumococcal and shingles were advertised and invitations sent to remind patients. The practice welcomed the involvement of families and friends in the assessment and management of patient conditions with the patient’s consent.

Updated 10 December 2015

The practice is rated as good for providing effective, caring, responsive and well-led services; it is rated as requires improvement for safe services. The concerns which led to this rating apply to everyone using the practice, including this population group.

The needs of the working age population, including those recently retired had been identified. The practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. They had pre-bookable, on the day and telephone appointments and had introduced extended hours, proving popular with patient who worked during the day. The practice offered online services (appointment booking, prescription ordering and web GP services) as well as a full range of health promotion and screening (such as the national cancer programme, health checks, opportunistic smoking cessation advice and clinics available) that reflected the needs for this age group.

Updated 10 December 2015

The practice is rated as good for providing effective, caring, responsive and well-led services; it is rated as requires improvement for safe services. The concerns which led to this rating apply to everyone using the practice, including this population group.

The practice was proactive in conducting screening for dementia, undertaking annual dementia reviews and considered patients for their admission avoidance register. The GP’s undertake specialist assessment s and refer to the memory assessment service for early disgnosis. They work in partnership with the memory assessment team signposting patients with a diagnosis of dementia to the service.

The practice maintains and monitors their patients with poor mental health undertaking regular reviews. They are proactive inviting patients for screenings and following up on non attendance. Where appropriate family and friends are involved in the management of conditions with the patients consent. The GP’s work within multidisciplinary teams including accessing the mental health crisis teams for acute concerns where appropriate.

Updated 10 December 2015

The practice is rated as good for providing effective, caring, responsive and well-led services; it is rated as requires improvement for safe services. The concerns which led to this rating apply to everyone using the practice, including this population group.

The practice held a register of patients living in vulnerable circumstances. It had carried out annual health checks for people with a learning disability. The practice nurse had undertaken specialist training in learning disabilities and worked with the community learning disability nurse to better understand and respond to patient needs. They offered longer appointments for people with a learning disability.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. They told vulnerable patients about how to access various support groups and voluntary organisations. Staff were aware of their responsibilities to report concerns and share information with partner health and social care services.