Prospect Medical Group

Updated 30 October 2024

Date of Assessment: 21 to 28 January 2025. Prospect Medical Group is a GP practice and delivers services to approximately 15,000 under a contract held with NHS England. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the first decile (1 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.

Staff and managers understood and managed risks. However, some of the monitoring of patients prescribed certain high-risk medications and the risk of infection could be improved.

People were mostly involved in assessments of their needs. However, improvements could be made to the monitoring of patients with long term conditions. Some clinical audits were carried out, however there was no organised schedule of them to improve care. The cervical screening indicators and childhood immunisations were below the national average.

People were treated with kindness and compassion. Staff protected their privacy and dignity.

Patients and staff feedback told us that patients could not always access care and treatment in a timely manner and in ways that met their needs. Services were designed to provide care and treatment for patients.

We saw that leaders did not always demonstrate they had the experience, capacity and capability to ensure that the organisational vision could be delivered and risks were well managed. There were no formulated plans to respond to negative patient feedback and understand the issues. Staff reported that they were not included in the vision for the practice. There was no patient participation group (PPG).

Updated 30 October 2024

Feedback from patients from the various sources of information available was mixed.

The most recent National GP Patient Survey results were below average. All responses for caring were lower than the national average. For example, the percentage of respondents to the GP patient survey who responded positively to the overall experience of their GP practice was 49.1%, while the national average was 73.9%. In relation to access, results were significantly below the national average.

The practice sent us some analysed results of NHS friends and family test data from January 2025. There were 54 responses of which 45 were good or very good (83%), 5 responses were poor or very poor, with various issues raised. The positive responses praised the practice for providing a good service.

The practice told us they had prepared a survey of patients which they intended to send out. After our assessment they realised that they had sent some out in December 2024 and sent us the analysed results. The results were mostly data, with no conclusions drawn, recommendations made or action plan drawn up in response.

The commission received 5 complaints in the 12 months prior to our assessment. The themes from these were the attitude of the staff and issues with obtaining an appointment.

We shared a link on our website during our assessment for patients to give us feedback on their care. All were positive praising the GPs and nurses for providing a good service. Four patients said that appointments could be diffiicult to obtain, the practice was busy and oversubscribed.

The practice sent us some patient feedback they had received. There were 2 summaries of patient feedback regarding individual GPs which included almost all very good feedback.

The practice sent us 5 thank you cards they had received, which were positive and thanked the staff for good care and kindness.

The practice had struggled to convene a patient participation group (PPG) to gain views of people using the service.