Archived: Matching Green Surgery

Updated 18 March 2016

Dr BB Jas Practice is also known as Matching Green Surgery. It is located in a residential area of Basildon. The practice has five consulting rooms, onsite car parking and designated patient and parking bays for the disabled. There is also on street parking available.

The practice has approximately 3700 registered patients. The practice has three GP partners (two female and one male) who all provide clinical care. They are supported by a prescribing practice nurse, healthcare assistant, practice manager and administrative team.

The practice is open Monday to Friday from 8am to 6.30pm. However, the practice is open between 8am and 8.30am for patients to phone and book appointments. The surgery doors open at 8.30am.

The receptionists are available from 8am by telephone, and from 8.30am to 6.30pm at the front desk. GP consultations are between 9.20 and 11.50am, and 3.30 and 5.40 pm, Monday to Friday with extended hours on Monday evenings from 6.30pm to 7.50pm. The practice nurse works 9am to 12.40pm on Monday, Tuesday, Thursday and Friday. Afternoon clinics are held Monday and Wednesday from 4pm to 6.10pm.

The practice provides a range of services including, minor surgery, community cancer support care, preventative health checks, screening smoking cessation and alcohol advice, family planning, sexual health, child health surveillance and investigations such as 24hour blood pressure monitoring and spirometry.

The practice does not provide out of hour’s services. Patients are advised to call the national 111 service who will advise patients of the service they require. Currently their out of hour’s service is provided by IC24 and commissioned by Basildon and Brentwood CCG.

The practice population has higher representation amongst the younger age group, from birth to under 18 years than the national patient averages. Patient life expectancy for both males and females is below the CCG and national averages and deprivation levels for children and older people were above the national averages.

The practice had a comprehensive website detailing opening and appointment times. There is health information including signposting to support and specialist services.

Updated 18 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr BB Jas Practice on 10 February 2016. Overall the practice is 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 an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed with infection prevention control and fire risk assessments.
• Medicines were managed safely and prescribing behaviour monitored to ensure safe and effective practise.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about how to make a complaint was readily accessible. The practice investigated verbal and written complaints in a timely and appropriate manner. They acknowledged areas for improvement and shared learning.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• The practice valued and invested in their staff. They believed in clear communication, open working relationships and staff retention in order to deliver continuity of patient care.
• There was a clear leadership structure and staff felt supported by management. The practice valued feedback from staff and patients which it acted on.
• The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvement are:

• Ensure the practice maintains cleaning records to demonstrate when, where and how rooms had last been cleaned.
• Seek wider views from patients in relation to the services provided and respond to it accordingly.
• Maintain records of clinical discussions, decisions, actions assigned and an audit trail for completion.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 18 March 2016

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

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. The practice had below the national average emergency admission rate.
• The practice had better than the national average for the number of patients with diabetes, on the register who had received influenza immunisations, low cholesterol and had received foot examinations. Patients were referred for local diabetic educational programmes to increase their understanding of their conditions and promote self-management.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and 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 care professionals to deliver a multidisciplinary package of care.

Updated 18 March 2016

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

• 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.
• Immunisation rates were high for all standard childhood immunisations. Pregnant women were invited for flu vaccinations.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals.
• The practice’s uptake for the cervical screening programme was 86%, which was above the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw positive examples of joint working with midwives and health visitors who they met with regularly.

Updated 18 March 2016

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

• The practice offered proactive, personalised care to meet the needs of the older people in its population. For example, patients over 75 years were appointed a named GP and carer and next of kin details were recorded with the consent of the patient.
• The practice held multidisciplinary meetings with partner health and social care services. They worked closely with the Care Coordinator to inform and develop individualised care plans.
• The practice invited patients for shingles vaccinations, where appropriate.
• The practice was responsive to the needs of older people, and offered home visits, telephone appointments and urgent appointments for those with enhanced needs.

Updated 18 March 2016

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

• The needs of the working age population, those recently retired and the practice had adjusted the services. It offered extended hours on a Monday evening and longer appointments where appropriate to ensure the services were accessible, flexible and offered continuity of care.
• 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.

Updated 18 March 2016

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

• The practice had was similar to the local/national average for their patients diagnosed with dementia receiving a face to face review within the preceding 12 months.
• The practice worked with community health provision to ensure patients could access specialist provision such as the dementia crisis team and the community geriatrician service.
• The practice coordinated care with the crisis mental health service team. They had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• The practice co-ordinated care with community drugs and alcohol services.
• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

Updated 18 March 2016

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 those with a learning disability.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff 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.