Bersted Green Surgery

Updated 18 December 2018

Bersted Green Surgery provides primary care services to approximately 13,500 patients living within the Bognor Regis area. The practice also provides a GP service to HM Prison Ford.

The age profile of the practice is in line with the England average. The practice serves a large number of working age patients and has notably less than the local clinical commissioning group (CCG) average for numbers of patients over the ages of 65, 75 and 85. The percentage of registered patients suffering deprivation (affecting both adults and children) is in the fifth more deprived centile for England. Income deprivation affecting children and older adults is higher than the CCG average but in line with the England average. The practice has more patients with long standing health conditions and health related problems affecting their daily lives than the national average, which could mean an increased demand for GP services.

There are five GP partners and five salaried GPs (five male and five female). The practice also employs four practice nurses and three health care assistants, two paramedic practitioners and a pharmacist. There is practice manager and a team of receptionists and administrative staff.

The practice is a training practice for GP trainees and foundation level 2 doctors.

For information about practice services, opening times and appointments please visit their website at http://www.berstedgreensurgery.nhs.uk

The practice is registered to provide the regulated activities of diagnostic and screening procedures; treatment of disease, disorder and injury; maternity and midwifery services; family planning, and surgical procedures.

Updated 18 December 2018

This practice is rated as Good overall. (Previous rating March 2016 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced inspection at Bersted Green Surgery on 7 November 2018 on as part of our planned inspection programme.

At this inspection we found:

• The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they could access care when they needed it. However, some patients reported that it could be difficult to get through to the practice on the phone.
• The practice had good facilities and was well equipped to treat patients and meet their needs. The premises were clean and hygienic.
• Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• Two of the GPs ran drop-in clinics for homeless patients. These were held at two local homeless centres, to encourage homeless patients to attend.

The areas where the provider should make improvements are:

• Develop a central log of all significant events so that an overview and audit trail can be maintained.
• Review ways to improve the uptake of cervical screening for eligible patients.
• Review areas in the quality and outcomes framework (QOF) where exception reporting is high (Exception reporting is the removal of patients from QOF calculations where, for example, the patients are unable to attend a review meeting or certain medicines cannot be prescribed because of side effects). For example, mental health, asthma and chronic lung disease indicators.
• Ensure that a patient participation group is established so that the practice can engage with a wider group of patients and utilise their feedback and support in improving services.
• Make complaints literature and guidance widely available to patients and ensure it provides the name and contact details for the practice manager, NHS England, the parliamentary and health service ombudsman and independent advocacy and support services.
• Continue to look at ways to improve staffing levels on reception and the telephones so patients get timely access to the service.

Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 18 December 2018

Updated 18 December 2018

Updated 18 December 2018

Updated 18 December 2018

Updated 18 December 2018

Updated 18 December 2018