20 July ans 23 August 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Your Health Partnership – Oakham Surgery on 20 July and 23 August 2017. The practice is part of partnership called Your Health Partnership (YHP), a five practice group (and one branch site) operating with centralised management and governance. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
- The practice had clearly defined and embedded systems to minimise risks to patient safety.
- Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
- Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
- Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
- The service operated ‘Doctor First’ appointment system and most patients said they found it easy to make an appointment. However, some working patients also stated that the appointment system did not work as well for them. The practice was in the process making changes to improve the appointment system following feedback from patients and staff.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- The practice was a partnership of five locations (and one branch site) and the management and leadership structure was clear and available to staff. Staff felt supported by management.
- We saw evidence that the practice proactively sought feedback from staff and patients, which it acted on. For example, patients with multiple long term conditions were managed in a single appointment and this was developed though feedback from nursing staff.
- The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
The areas where the provider should make improvement are:
- Continue to monitor the new appointment system to ensure it meets the needs of all patients.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice