Archived: Dr Chandra Khatri Also known as Dr C P Khatri

Updated 11 August 2017

Dr Chandra Khatri provides primary medical services in Wigan from Monday to Friday. The surgery is open Monday to Friday 8am to 6:30pm, except Wednesdays when the practice closes at 1pm and Monday evenings when the practice is open until 8:45pm.

Appointments with a GP are available at the following time :

Monday 9am to 1pm, 3.30pm to 6.30pm and extended opening 6.30pm to 8.45pm.Tuesday, Thursday and Friday 9am to 1pm and 3:30pm to 6:30pm and  Wednesday 9am to 1pm

Patients requiring a GP outside of normal working hours are advised to contact the surgery and they will be directed to the local out of hours service which is provided by Bridgewater NHS Foundation Trust –through NHS 111. Additionally patients can access GP services in the evening and on Saturdays and Sundays through the Wigan GP access alliance at locations across Wigan Borough.

Dr Chandra Khatri is part of Wigan Clinical Commissioning Group (CCG).

The practice has a Personal Medical Services (PMS) contract with NHS England.

Dr Chandra Khatri is responsible for providing care to 4619 patients

The practice consists of three part time male GPs and a female GP for one session a week. The practice also has a part time health care assistant and was in the process of recruiting a part time practice nurse. The practice is supported by a practice manager, assistant manager and reception administrators.

Updated 11 August 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Chandra Khatri on 24 March 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for Dr Chandra Khatri on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection on 19 July 2017. Overall the practice is now 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 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. Patients we spoke with on the day were positive about their care and treatment.
• Information about services and how to complain was now available. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients we spoke with said they found it easy to make a pre bookable and on the day appointment with a GP.
• Feedback from patients about their care was consistently and strongly positive.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of the requirements of the duty of candour.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 11 August 2017

The practice is rated as good for the care of people with long-term conditions.

• The GPs had a shared lead in long-term disease management and patients at risk of hospital admission were identified as a priority.
• The practice offered longer appointments for those with multiple long term conditions, offering a holistic review.
• The practice followed up on patients with long-term conditions discharged from hospital and ensured that their care plans were updated to reflect any additional needs.
• There were emergency processes for patients with long-term conditions who experienced a sudden deterioration in health.
• All these patients had a named GP and there was a system to recall patients for a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and social care professionals to deliver a multidisciplinary package of care.

Updated 11 August 2017

The practice is rated as good for the care of families, children and young people.

• From the sample of documented examples we reviewed we found there were systems to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of accident and emergency (A&E) attendances.
• Immunisation rates were high for all standard childhood immunisations.
• Patients told us, on the day of inspection, that children and young people were treated in an age-appropriate way and were recognised as individuals.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• The practice worked with midwives, health visitors and school nurses to support this population group. For example, in the provision of ante-natal, post-natal and child health surveillance clinics.
• The practice had emergency processes for acutely ill children and young people and for acute pregnancy complications.

Updated 11 August 2017

The practice is rated as good for the care of older people.

• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns.
• The practice offered proactive, personalised care to meet the needs of the older patients in its population.
• The practice was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.
• The practice identified, at an early stage, older patients who may need palliative care as they were approaching the end of life. It involved older patients in planning and making decisions about their care, including their end of life care.
• The practice participated in a local CCG care home scheme to support patients living in residential and nursing homes. The practice referred patients to the scheme where they were provided with care plans and direct access to a dedicated team which included a GP, advanced nurse practitioner and practice nurse.
• The practice followed up on older patients discharged from hospital and ensured that their care plans were updated to reflect any extra needs.
• Where older patients had complex needs, the practice shared summary care records with local care services and signposted to relevant social care and voluntary organisations for additional support.
• Older patients were provided with health promotional advice and support to help them to maintain their health and independence for as long as possible. 

Updated 11 August 2017

The practice is rated as good for the care of working age people (including those recently retired and students).

• The needs of these populations had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care, for example, appointments were available one evening a week until 8:45pm. Additionally patients can access GP services in the evening and on Saturdays and Sundays through the Wigan GP access alliance at locations across Wigan Borough.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.
• Telephone consultations were available daily.

Updated 11 August 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The practice carried out advance care planning for patients living with dementia.
• 76% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which is 8% below the national average. However this was being addressed this year by the practice with the assistant practitioner taking the lead on reviews and care plans.
• The practice specifically considered the physical health needs of patients with poor mental health and dementia.
• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs.
• 89% of patients with poor mental health had a comprehensive care plan documented in their record agreed between individuals, their family and/or carers as appropriate. This was in line with the national average.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those living with dementia.
• Patients at risk of dementia were identified and offered an assessment.
• The practice had information available for patients experiencing poor mental health about how they could access various support groups and voluntary organisations.
• The practice had a system to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
• Staff interviewed had a good understanding of how to support patients with mental health needs and dementia.

Updated 11 August 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.
• End of life care was delivered in a coordinated way which took into account the needs of those whose circumstances may make them vulnerable.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice had information available for vulnerable patients about how to access various support groups and voluntary organisations.
• Staff interviewed knew how to recognise signs of abuse in children, young people and adults whose circumstances may make them vulnerable. They were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.