New Horizons Medical Partnership

Updated 25 August 2016

• Forest Gate Surgery is located at, 1 Hazel Farm Road, Totton, Southampton, Hampshire. SO40 8WU. There is ample parking at the practice and can be accessed by public transport. There is disabled access and all patient areas are on the ground floor.

• Forest Gate Surgery has seven GP partners however one was due to retire at the end of the month and three salaried GPs. It provides a placement for GP registrars (GPs under training). The practice is supported by a practice nursing team. The clinical team are supported by a management team, secretarial and administrative staff and reception staff. The practice is part of the NHS West Hampshire Clinical Commissioning Group (CCG) and has a practice population of approximately 13400 patients. The majority of patients within the practice are either young or of working age with a small percentage of patients aged between 65 and 85. The general ethnicity of patients is white British.

• The practice is open between 8.30 am and 6 pm Monday to Friday. Appointments with GPs and nurses are from 8.30 am to 6 pm daily. Extended hours appointments are offered at the following times from 7 am to 8 pm on Mondays and 7 am to 6 pm on Fridays.

When the practice is closed patients are advised to dial 111 for the local out of hours service provided by West Hampshire CCG.

Regulated activities are provided from Forest Gate Surgery, 1 Hazel Farm Road, Totton, Southampton, Hampshire. SO40 8WU.

Updated 25 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Forest Gate Surgery, 1 Hazel Farm Road, Totton, Southampton, SO40 8WU on 22 June 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.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with 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 services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and 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.
• 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 and complied with the requirements of the duty of candour.

We saw one area of outstanding practice;

One of the GPs at the practice had received a letter of commendation from the clinical commissioning group (CCG) prescribing lead for their work, including audits and leadership in practice prescribing. This included identifying any anomalies in prescribing at the practice and addressing the prescribing of individual people who were responsible for anomalies for example, improving the safety of non-steroidal anti-inflammatory drugs (NSAIDs) prescribing.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 25 August 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.

• Nationally published data around the management of patients with diabetes showed that the practice was comparable to other practices.

• 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 25 August 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 relatively high for all standard childhood immunisations.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• Nationally reported data showed that the practice had a comparable number of exceptions compared to the national average for women aged 25 – 64 whose notes recorded that a cervical screening test had been performed in the preceding five years.

• 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.

Updated 25 August 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.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• The practice employed a GP whose speciality was frailty and managed most of the patients who lived in nursing and residential homes that the practice had a relationship with in their area.

Updated 25 August 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 students had been identified and the practice had adjusted the services it offered to ensure these 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 25 August 2016

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

• 73% of patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive, agreed care plan documented in their record, which is comparable to the national average.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

• The practice carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• 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.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 25 August 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 homeless people, travellers who worked within the circus and those with a learning disability.

• 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 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.