Petersfield Surgery

Updated 12 July 2023

The provider of the service is Havering Health Ltd. This is a group of local GP practices who have agreed to work together to offer a health service provided by clinicians with expertise in, understanding of, and commitment to their local communities. Havering Health Ltd directors who are all local GPs with practices in Havering. Havering Health Ltd also provides a call centre for the extended access primary care hub.

The services are commissioned by the local integrated care system commissioners for the residents of Havering who are registered with a local GP practice. It is commissioned for patients who are assessed as having an urgent primary care need and supports NHS 111, A&E, GP practices and urgent care centres. The services consist of:

• The same day extended access service offered GP appointments to any patients who called the service on the same day of their call. These were available from Monday to Friday from 6pm to 10 pm Monday to Friday and from 9am to 5pm on a Saturday and Sunday. Patients could book through the call centre, which was open to book appointments on a Monday to Friday 12 midday to 9pm and on a Saturday and Sunday from 9am to 5pm. Patients who called the 111 service or attended urgent care could also be offered an appointment. The extended access service is also located at Rosewood Medical Centre, 30 Astra Close, Hornchurch.
• The enhanced access service appointments delivered general practice services, that included appointments for planned care such as vaccinations, health checks and long-term condition reviews. They were available for GP practices to book their registered patients into, and patients could also book themselves online. The appointments were available from 6.30pm and10pm Mondays to Fridays and between 9am and 5pm on Saturdays.
• Patients were referred to the spirometry services by their NHS GP. The service was available 6pm to 10pm Monday to Friday and 12pm to 5pm Saturday. The average appointment length was one hour.
• The call handling and Havering Health management team are based at Havering Health Federation at 170 Rush Green Road, Romford RM7 0JU. Clinicians were recruited and paid on a sessional basis, at the time of the inspection 20 clinicians worked at the Petersfield service, who were supported by an administration team.

Updated 12 July 2023

This service is rated as Good overall. This is the first comprehensive inspection of this service.

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? – Requires Improvement

We carried out an announced comprehensive inspection at Petersfield Surgery access service on 15 and 23 June 2023, as part of our inspection programme.

At this inspection we found:

• At this inspection we identified some of the gaps in recruitment, training, clinical scope of practice and clinical supervision, which the Chief Executive Officer and staff had identified and were working towards improving but these were either not implemented or embedded at the time of the inspection.
• At the time of the inspection clinical audits had not been carried out regarding staff prescribing and referral decisions to ensure clinical staffs competency.
• The service had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the service learned from them and improved their processes.
• The Federation routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• 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 must make improvements as they are in breach of regulations are:

Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

• Have assurances that all staff are trained to the appropriate level of safeguarding training.
• Review the complaints procedure and enable complaints to be investigated by a member of staff whom is not part of the complaint

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care