Background to this inspection
Updated
20 April 2020
Akerman Medical Practice is located at: 60 Patmos Road London SW9 6AF.Akerman Medical practice was established in 1996.The area are good transport links with tube and over ground stations nearby. The practice is in a shared community health centre, located on the second floor with lift access.
The practice is registered with the CQC to carry out the following regulated activities - diagnostic and screening procedures, treatment of disease, disorder or injury, surgical procedures, family planning, maternity and midwifery services and treatment of disease, disorder or injury.
The practice provides NHS services through an APMS contract to 5514 patients. In May 2020 practice will be switching back to GMS contract due to CCG desire to equalise all contracts in Lambeth.
The practice’s clinical team is led by the provider (principal GP), who provides nine clinical sessions per week. A salaried GP working eight sessions. The rest of the team consist of a practice manager, a practice nurse and an extensive administrative team consisted of reception staff, a medical secretary, pharmacist, a first contact practitioner, social prescriber and a dietician.
The practice is open between 8am to 6.30pm Monday to Friday. Extended hours are offered on Monday and Tuesday until 7:30pm and every third Saturday of the month between 10am-1pm. The practice offers 100% triage consultations (This is the process whereby before coming into the practice for a face to face consultation, the GP will discuss and assess the patient over the phone, then determine if the patient is required to come into the practice). Patients are notified about this system prior to registration with the practice.
When the practice is closed patients are directed (through a recorded message on the practice answer machine) to contact the local out of hour’s service. Information relating to out of hour’s services is also available on the practice website.
There are higher than average number of patients between the ages of 15 and 44 and fewer patients aged over 65 than the national average. The National General Practice Profile states that, 46% of the practice population from White background, other Asian and Other background are 9.6%, Mixed race 8.1% and 36.4 representing Black ethnicity. Information published by Public Health England, rates the level of deprivation within the practice population group as two, on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.
Updated
20 April 2020
We decided to undertake an inspection of Akerman Medical Practice, following our annual review of the information available to us.
This inspection focused on the key questions Safe, Effective, Caring, Responsive and Well-led.
We rated the practice as Requires Improvement overall with the following key question ratings:
Safe- Good
Effective – Requires Improvement
Caring- Requires Improvement
Responsive- Good
Well-led – Good
The practice had previously been inspected on 15 August 2016 and had been rated as good overall.
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as requires improvement overall and requires improvement for
Families, children and young people and Working age people (including those recently retired and students) due to low clinical patient outcomes.
We rated the practice as requires improvement for providing effective services because:
- Whilst there was monitoring of the outcomes of care and treatment, the practices patient quality outcomes relating to Families, children and young people and Working age people were low compared to local and national levels.
We rated the practice as requires improvement for providing caring services because:
- Results from the national GP patient survey relating to patient experience were low compared to local and national levels.
We rated the practice as good for providing safe services because:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
We also rated the practice as good for providing well-led services because:
- The leadership, governance and culture promoted the delivery of high-quality person-centred care. However, the leadership of the practice acknowledged the difficulties they had with staff changes in the last few months and were aware of the areas that required strengthening.
The areas where the provider should make improvements are:
- Review arrangements for emergency equipment used at the practice.
- Continue efforts to increase the uptake of childhood immunisations and cervical cancer screening.
- Continue efforts to strengthen the systems used for monitoring patients on high risk medicines.
- Continue to address patient feedback from the National GP National Patient Survey.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care.