Archived: Dr Mukesh Saksena

Updated 30 March 2016

Dr Mukesh Saksena’s practice is situated in area in Runcorn with high unemployment rates. There were 2650 patients on the practice register at the time of our inspection.

The practice is managed by an individual GP. There is a practice nurse who was on maternity leave at the time of the inspection. The practice had employed an agency nurse to cover. Members of clinical staff are supported by a practice manager and reception and administration staff.

The practice is open 8am to 6.30pm every weekday except for Wednesday afternoons when the practice is closed but the GP is available on call. An open access clinic is available from 9am to 10.40am every morning and pre bookable appointments are available from 4pm to 5.30pm daily except Wednesday afternoons, to see the GP. Patients requiring a GP outside of normal working hours are advised to contact the GP out of hours service, provided by Urgent Care 24 by calling 111.

The practice has a General Medical Services (GMS) contract and has enhanced services contracts which include childhood vaccinations.

Updated 30 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Mukesh Saksena’s practice on 24 February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• The practice is a small family practice run and managed by one GP with the administration support of a practice manager. Patients said they found it easy to make an appointment with urgent appointments available the same day.
• The practice was clean and had good facilities including disabled access and translation services.
• There were systems in place to mitigate safety risks including analysing significant events and safeguarding.

• Patients’ needs were assessed and care was planned and delivered in line with current legislation.

• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available. The practice sought patient views about improvements that could be made to the service, including having a patient participation group (PPG) and acted on feedback.

• Staff worked well together as a team and all felt supported to carry out their roles.

There were some areas of outstanding practice with regards to access:

• There were a variety of appointments available to suit all patients’ needs.These included an open access clinic every morning, telephone consultations and pre-bookable appointments. Results from the GP national patient survey published in January 2016 from 117 responses indicated satisfaction rates with making appointments was much higher than local and national averages. For example,

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 March 2016

The practice is rated as good for providing services for people with long term conditions.  The practice had registers in place for several long term conditions including diabetes and asthma. Longer appointments and home visits were available when needed. All these patients had a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 30 March 2016

The practice is rated as good for providing services for families, children and young people. The practice regularly liaised on a six weekly basis with health visitors to review vulnerable children and new mothers. The community midwife holds a weekly clinic at the practice. There were systems in place 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 A&E attendances.

Updated 30 March 2016

The practice is rated as good for providing services for older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and offered home visits and care home visits. The practice participated in meetings with other healthcare professionals to discuss any concerns. There was a named GP for patients aged over 75. 

Updated 30 March 2016

The practice is as rated good for providing services for working age people. The needs of this population group had been identified and the practice had adjusted the services it offered to ensure these were accessible. For example, the practice offered online appointment bookings.

Updated 30 March 2016

The practice is rated as good for providing services for people experiencing poor mental health. Patients experiencing poor mental health received an invitation for an annual physical health check. Those that did not attend had alerts placed on their records so they could be reviewed opportunistically. 

Updated 30 March 2016

The practice is rated as good for providing services for people whose circumstances make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability. It had carried out annual health checks and longer appointments.