Archived: Viran Medical Centre

Updated 5 November 2018

Viran Medical Centre is situated in a one storey porta cabin on the car park of the Tarleton Group Practice, St Mark’s Square, Gorse Lane, in the village of Tarleton, Lancashire.

Beacon Primary Care has been caretaking this practice since July 2017 and it is part of the West Lancashire Clinical Commissioning Group (CCG). Services are provided under an Alternative Provider Medical Services (APMS) contract with NHS England which will expire in January 2019.

The link to the practice website is www.viranmedical.org.uk.

There are 2200 patients on the practice list. The majority of patients are white British with a higher than average number of people over the age of 65, and a lower than average number of patients under the age of 18 years. The practice is in the second least deprived decile, level 9. Level one represents the highest levels of deprivation and level ten the lowest.

Patients requiring a GP outside of normal working hours are advised to contact the out of hour’s service provider for West Lancashire.

The practice is staffed by Beacon Primary Care consisting of two GP partners, one female and one male. There are also four female and one male salaried GPs, six female practice nurses, five nurse practitioners, four health care assistants, four phlebotomists, a practice manager, two deputy practice managers and a team of reception and administration staff. These staff work across the five sites run by Beacon Primary Care to provide comprehensive cover at all times, however a lead receptionist is based at Viran Medical Centre to provide continuity. Additionally, 0.5 working time equivalent (wte) locum GP’s provide regular clinical sessions. The practice offers placements to student nurses.

The regulated activities delivered are diagnostic and screening procedures, family planning services, maternity and midwifery services and treatment of disease, disorder or injury.

Updated 5 November 2018

This practice is rated as Good overall. (Previous rating 14/03/2018 – Requires Improvement)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services well-led? – Good

We carried out a comprehensive inspection of Viran Medical Centre on 14 March 2018. The overall rating for the practice was requires improvement with both key questions safe and well led rated as requires improvement. The full comprehensive report on the 14 March 2018 inspection can be found by selecting the ‘all reports’ link for Viran Medical Centre on our website at  www.cqc.org.uk.

This focussed inspection was carried out on 11 September 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach identified in the requirement notice.

Our key findings were as follows:

The practice had clear systems and processes to assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk.

We saw one area of outstanding practice:

The practice had developed new protocols to manage all patients judged to be at risk which included a tool to identify vulnerable children, a policy to follow up children who had not attended appointments and a holistic assessment for patients with sensory impairment or who were carers for others. These protocols triggered alerts on patient records and multiagency discussion to ensure all staff who had contact with them could take appropriate action. All patients with any safeguarding risk had been reviewed since the last inspection and the practice monitored a spreadsheet of their status. The practice had regular contact with health visitors and school nurses and had been invited into a school to discuss the health and welfare of a pupil. Safeguarding was discussed at each monthly staff study day. The patient electronic health record coding team had reviewed the coding of vulnerable patients and the coding protocol had been audited to ensure it was accurate.

Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 21 May 2018

Updated 21 May 2018

Updated 21 May 2018

Updated 21 May 2018

Updated 21 May 2018

Updated 21 May 2018