Archived: Stoke Road Medical Centre

Updated 4 May 2017

Stoke Road Medical Centre is situated in a purpose built premises at 66-68 Stoke Road, Gosport, Hampshire, PO12 1PA.

The practice has existed in Gosport since the late 1800s and has been at its present site for the past 23 years. The practice has around 8,455 patients registered with it, with a higher number of patients who are older than the average and a higher than average level of deprivation, when compared with national figures. There is a larger than average percentage of patients that have a long standing health condition, for example, there is a high prevalence of cancer, stroke and heart disease. The practice provides care to 64 patients who live in care homes in the area.

The practice clinical staff includes seven GPs (4 female and 3 male) who cover 33 sessions a week; four nurses (equivalent to three whole time equivalents) and this includes two nurse practitioners and an advanced nurse prescriber. In addition there are two healthcare assistants; one general mental health practitioner, two pharmacists and a physiotherapist. The practice has a business manager, an operational practice manager, nine care navigators (whose duties include reception duties and telephony) and five administrative staff, including a medical secretary.

The practice is open from 8am until 6.30pm Monday to Friday. Extended hours appointments are available every third Tuesday of the month from 6.30pm until 8.40pm. On the third Saturday of each month a GP and nurse practitioner each run a session from 8am until 12.10pm. The practice is able to refer their registered patients to a Same Day Access Service, which is located in a nearby community hospital, and which provides triage and appointments for urgent problems.

Stoke Road Medical Centre has opted out of providing out of hours services which are provided via the NHS 111 service.

Updated 4 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stoke Road Medical Centre on 18 December 2014. The overall rating for the practice was requires improvement. The full comprehensive report on the December 2014 inspection can be found by selecting the ‘all reports’ link for Stoke Road Medical Centre on our website at www.cqc.org.uk .

At the inspection in December 2014 the shortfalls found included a lack of all necessary employment checks for all staff; no records to confirm that all administrative and reception staff had received annual appraisals; and a lack of completed audits for infection control processes.

This inspection was an announced follow up comprehensive inspection on 31 January 2017. Overall the practice is now rated as good.

Our key findings were as follows:

• The practice had improved in areas of infection control and recording cleaning carried out.

• All recently employed staff had the correct background and recruitment checks in place.

• All staff had regular appraisals and felt part of a team within the practice.

• There were effective systems in place for reporting significant events and complaints.

• The practice had effective staff feedback processes in place for learning.

• The management had employed specialised staff within the practice to improve patient access to mental health, physiotherapy and health visitor services.For example the practice provided two sessions of physiotherapy to all patients without a GP having to necessarily refer them.

• The practice was forward thinking with regards to improving quality and availability of care to all patients in the near and distant future.

• The practice worked collaboratively with other primary care and voluntary agencies to increase access to treatment or advice.

• The practice was aware of where it needed to continue to improve in the future, particularly with regards to administration issues and reviewing policies within their set time frames.

However, there were also areas of practice where the provider needs to make improvements.

The provider should:

• Review procedures for tracking prescription stationery throughout the practice.

• Review procedures for monitoring the number of annual patient checks for certain patient groups.

• Review the telephone systems in the practice to enable better access for patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 4 May 2017

This practice is rated good for the care of those patients with long term conditions

• Patients were able to access same day appointments.

• The practice carried out combined chronic disease clinics for conditions such as diabetes and chronic obstructive pulmonary disease (a breathing disorder).

• Patient self-management of their condition was promoted and care plans were in place.

• Medicines monitoring and review was available with the practice pharmacists.

• The practice carried out regular multi-disciplinary team meetings to co-ordinate care.

Updated 4 May 2017

This practice is rated as good for providing care for families, children and young people

• Integrated child health clinics were held to promote co-ordinated care.

• Immunisation rates were relatively high for all standard childhood immunisations.

• Same day appointments were available for those who needed them.

• Extended hours surgeries were held on Saturday mornings and one evening a week aimed at patients who had family or work commitments during the week

• A nurse practitioner was trained to provide contraceptive and family planning services.

Updated 4 May 2017

This practice is rated good for the care of older people.

• Same day appointments were prioritised for elderly and vulnerable patients.

• There was a named GP for all over 75 year olds.

• Care plans were in place to reduce avoidable admissions to hospitals.

• Home visits by GPs were available if needed.

• The practice worked with the local pharmacies to provide medicines in blister packs.

• There were longer appointments available for those who needed them.

Updated 4 May 2017

The practice is rated good for providing care of working age people

• Through a joint venture with three other local GP surgeries, same day access appointments were available at a local community hospital which also offered telephone triage and faxed prescriptions.

• Patients were able to book appointments and request prescription online.

• The practice offered an E-consultation service, where patients could email concerns to a GP at any time of day or night and a GP would respond the next working day.

• The practice offered a range of NHS health checks and contraceptive services.

• Extended hours surgeries were held on Saturday mornings and one evening a week aimed at patients who had family or work commitments during the week

Updated 4 May 2017

The practice was rated as good for providing care of people with poor mental health, including dementia.

• The practice employed a dedicated practice mental health practitioner.

• Patients were offered same day access appointments.

• Dementia awareness, including an outside agency dementia nurse holding a clinic in practice, in addition to practice referrals to memory clinic and information for carer organisations.

• Surgery Sign posters that improve access to all local voluntary services.

• A psychological therapy service was offered by the practice.

Updated 4 May 2017

The practice was rated as good for providing care of vulnerable patients.

• Translation service such as Language line and British Sign Language signers could be accessed when needed.

• Longer appointments were available if needed.

• Patients with learning disabilities were offered an annual health check.

• A practice pharmacist carried out prescribing and medicine checks.

• The practice was accessible for patients with limited mobility.