LPS - The Surgery

Updated 14 June 2018

LPS – the Surgery, also known as Cotterills Lane Surgery is located in Alum Rock, Birmingham. The practice has 2865 patients registered and a higher proportion of patients who are children and young people with 33% of the population being under the age of 18 years in comparison to the national average of 21%. The practice has a transient patient population with large numbers of refugees and Romanian patients who often live in the area for a short while before moving away.

The practice holds a General Medical Services (GMS) contract with NHS England. A GMS contract ensures practices provide essential services for people with health issues including chronic disease management and end of life care.

The practice is located in a purpose built building and is in an area with high levels of social and economic deprivation, compared to England as a whole. The practice deprivation level is ranked as one out of 10, with 10 being the least deprived. Many of the people in the practice area are from Black and Minority Ethnic (BME) groups, with 71.8% of the practice population being within this group.

The practice team consists of three GP partners (one male, two female). Two of the GP partners (1male and 1 female) are full time and the third GP partner supports the practice when required. There is also a practice nurse, a practice manager, assistant practice manager and a team of administrative and reception staff.

The practice is open between 8.30am and 6pm Mondays to Fridays except for Thursday afternoons when the practice closes at 1pm. Emergency appointments are available daily and telephone consultations are also available for those who need advice. Home visits are available to those patients who are unable to attend the practice. When the practice is closed the out of hours service is provided by Badger (out of hours service provider) and the NHS 111 service.

Updated 14 June 2018

This practice is rated as Good overall. (Previous inspection January 2017 – Good overall, with requires improvement rating for providing Effective services)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at LPS The Surgery, also known as Cotterills Lane Surgery on 24 April 2018. This inspection was in response to previous comprehensive inspection at the practice in January 2017, where breaches of the Health and Social Care Act 2008 were identified. You can read the report from our last comprehensive inspection on 25 January 2017; by selecting the 'all reports' link for LPS – The Surgery on our website at www.cqc.org.uk.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• In order to manage recalls and screening with a transient population, the practice continued to monitor patients that were registered at the practice, to ensure patients that were no longer living within the local area were removed from the practice list..
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• The practice had achieved higher than average results for several aspects of care from the 2017 National GP Patient survey.
• The practice had a large number of Romanian patients on the practice list. To support this group of patients, the practice had organised interpreters four afternoons a week to aid patients during consultations.
• The practice had tried to set up a virtual patient participation group (PPG), however this had been unsuccessful. The practice continued to try and encourage patients to join the patient participation group and we saw evidence to support this.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients commented positively on the care received by the practice.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Continue to encourage patients to attend screening programmes.
• Review and improve the process to increase interest in patient participation group.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 14 June 2018

Updated 14 June 2018

Updated 14 June 2018

Updated 14 June 2018

Updated 14 June 2018

Updated 14 June 2018