Newthorpe Medical Centre

Updated 11 August 2016

The Newthorpe Medical Centre provides primary medical services to approximately 6 865 patients living in the Eastwood, Newthorpe, Giltbrook, Nuthall, Watnall, Kimberley, Awsworth and Cossallareas.

The practice holds a Personal Medical Services (PMS) contract with NHS England. This is a contract for the practice to deliver enhanced primary care services to the local community over and above the General Medical Services (GMS) contract. The practice provides a range of services including: child health clinics, family planning advice, antenatal and postnatal care, vaccinations and health checks for patients with long term conditions, of working age and recently retired.

The clinical staff comprises four GP partners and one salaried GP. Three of the GPs are male and two are female. They are supported by three nurses and two health care assistants. The practice is also a training practice with three GP trainees and one second year foundation GP.

The non-clinical staff includes the practice manager, a team of reception, administration and secretarial staff and two cleaners.

Newthorpe Medical Centre opens from 8am to 6.30pm Monday to Friday. The GP appointments are generally available from 8.30am to 11.30am and 2pm to 6.30pm. Extended hours are offered from 7am on a Wednesday morning. In addition to these appointments, GPs offer telephone consultations, home visits and same day appointments for children and those patients with medical problems that require same day consultation.

The practice has opted out of providing an out-of-hours service to its patients but has alternative arrangements for patients to be seen when the practice is closed. The out-of-hours service is provided by Nottingham Emergency Medical Services (NEMS).

Updated 11 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Newthorpe Medical Centre on 14 January 2015. The practice was rated as as good overall but required improvement for providing safe services. A Requirement Notice was issued in respect of fit and proper persons employed.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Newthorpe Medical Centre on our website at www.cqc.org.uk.

After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements. We undertook this inspection to check the practice had followed their plan and to confirm that they now met the legal requirements. This report only covers our findings in relation to those requirements.

We carried out an announced focused inspection on 7 July 2016. Overall the practice is rated good including the safe domain.

Our findings across the areas we inspected was as follows:

• Risks to patients were assessed and well managed.

• The practice operated effective recruitment procedures and this assured the provider that staff were suitable for their role.

• The practice had strengthened its recording and monitoring systems for patient safety information, staff training, meeting minutes, as well as policies, procedures and guidance for staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 25 June 2015

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

Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. We saw good examples of joint working with community nurses specialising in diabetes management and chronic obstructive pulmonary disease (COPD) for example. Longer appointments and home visits were available when needed.

The practice maintained registers of patients with long term conditions. Patients were offered a structured annual review to check that their health and medication needs were being met.

Recall systems were in place to ensure patients attended. 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.

Updated 25 June 2015

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

There were systems in place to identify and follow up vulnerable adults and children living in disadvantaged circumstances and who were at risk of abuse. The monitoring of children and young people who had a high number of A&E attendances needed strengthening.

The practice offered a full range of childhood immunisations as well as ante-natal and post natal monitoring of both mother and baby. We saw good examples of joint working with midwives and health visitors.

Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. Appointments were available outside of school hours and the premises were suitable for children and babies.

Updated 25 June 2015

The practice is rated as good for the care of older people.

Every patient over the age of 75 years had a named GP. The practice offered proactive care to meet the needs of the older people in its population and had a range of enhanced services. For example, in dementia and end of life care.

Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. Flu and shingles vaccinations were offered to older patients in accordance with national guidance.

The practice was responsive to the needs of older people, and offered longer appointments and rapid access appointments for those with enhanced needs. Home visits to patients in their own homes or care homes were carried out when requested. Monthly multi-disciplinary care meetings were held to ensure integrated care for older people with complex health care needs.

Updated 25 June 2015

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, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 25 June 2015

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

People experiencing poor mental health and dementia were offered an annual physical health check and a review of their care plan. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. This included regular liaison with the community psychiatrist nurse who visited the practice weekly.

The practice carried out advance care planning for patients with dementia and recording of mental capacity assessments needed strengthening.

The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations. There was a system in place to follow up patients where they may have been experiencing poor mental health.

Updated 25 June 2015

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 people with a learning disability. It had carried out annual health checks for people with a learning disability and longer appointments where needed.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. Vulnerable patients could access 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 in normal working hours and out of hours.