Archived: Park View Medical Centre

Updated 7 November 2016

Park View Medical Centre provides primary medical services to approximately 4836 patients through a general medical services (GMS) contract. The practice is located in Long Eaton in Nottinghamshire.

The practice is managed by a sole GP who is in the process of applying to change the current registration from a partnership to an individual following the retirement of two partners. 

The clinical team includes one lead GP, two salaried GPs, two practice nurses, a nurse practitioner and a healthcare assistant. The lead GP and practice manager form the management team. The team is supported by a medical secretary, two administrators and four receptionists including a senior receptionist.  

The practice is open Monday to Friday from 8.30am to 7pm. The practice provides extended hours on a Tuesday, Wednesday and Thursday morning from 8am to 8.30am. 

The practice also offers appointments Monday to Friday from 6pm to 8pm at a medical centre in Long Eaton, to accommodate those patients who are unable to attend the practice in the normal and extended working hours. 

When the surgery is closed, patients are advised to dial the local out of hours service which is provided by Derbyshire Health United.

Updated 7 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Park View Medical Centre on 8 December 2015. During that inspection we found that an effective audit system was not in place to monitor and improve the quality of care and the services provided, including complete audit cycles.

Overall the practice was rated as good with are services effective requiring improvement in view of the above. 

After the comprehensive inspection, the practice wrote to us to say what action they had taken to meet the legal requirement in relation to the above breach.

We undertook this desk based review on 30 September 2016 to check that the provider had completed the required improvements, and now met the legal requirement. We did not visit the practice as part of this inspection.

This report only covers our findings in relation to the above requirement and areas requiring improvement. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Park View Medical Centre on our website at www.cqc.org.uk.

Our finding across the area we inspected was as follows:

• The practice had taken appropriate action to meet the legal requirement.
• Effective systems were in place to monitor and improve the quality of care and the services provided, including a programme of complete audit cycles.

​Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 14 April 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 achieved 100% for asthma related indicators comparable to the CCG average and above the national average of 2.6%

• All these patients had a named GP and a structured annual review to check that their health and medicines needs were being met.

• For those people with the most complex needs, the Lead GP and practice nursing team worked with relevant health and care professionals to deliver a multidisciplinary package of care. For example, the practice worked closely with the local Macmillan Nurse to optimise the care and treatment received for those patients requiring end of life care.

Updated 14 April 2016

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

• There was a robust system in place for the safeguarding of children.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• Childhood immunisation rates for the vaccinations given to under two year olds ranged from 98.4% to 100% and five year olds from 98.4% to 100%. This was above the CCG average of 98%

• There was a fortnightly clinic held by the Citizens Advice Bureau.

• Midwives and health visitors provided weekly clinics from the practice.

• Patients we spoke with were positive about the services available to them and their families at the practice.

• Contraceptive services including contraceptive implant and coil fitting services were available.

Updated 14 April 2016

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

• A Member of the extended practice team undertook weekly scheduled visits to residential care homes and was part of a clinical commissioning group (CCG) pilot to work with the local community matron to reduce the number of unplanned hospital admissions while improving patient care Practice nurses visited patients including patients who could not or would not leave their home to provide flu vaccinations.

• The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, in dementia and end of life care.

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

Updated 14 April 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’s uptake for the cervical screening programme was 82.0% which was above the national average of 74.4%

• The practice was proactive in offering online services including online appointments and an online prescription service.

• The practice offered a telephone consultation service requested by patients to improve access to the service.

• The practice offered extended opening hours and same day urgent appointments.

• The practice also offered NHS health checks for patients aged 40-75 years of age.

Updated 14 April 2016

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

• The staff we spoke with had a good understanding of the mental capacity act and how best they could support patients who had been experiencing poor mental health.

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

• The practice hosted weekly clinics from mental health workers to support those who had problems with their mental health.

• The percentage of patients with a mental health condition whose notes recorded smoking cessation status in the preceding 12 months from 2014/2015 was 97.2% and was comparable with the CCG average.

Updated 14 April 2016

The practice is rated as good for the care of people whose circumstances make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people and those with a learning disability.

• We saw evidence on the practice’s computer system that patients who had a learning disability were offered longer appointments.

• Staff discussions demonstrated that they were aware of their roles and responsibilities in recognising signs of abuse in children and vulnerable adults. There was documentation in the clinical rooms, which provided clinicians with relevant contact details for agencies, and staff who worked both in and out of hours.