Harbury Surgery

Updated 4 July 2017

Harbury Surgery is the only provider of GP services to the village of Harbury in Warwickshire. The practice has a General Medical Services (GMS) contract with NHS England. A PMS contract is one type of contract between general practices and NHS England for delivering primary care services to local communities. Its current premises were purpose built approximately 20 years ago and have accessible facilities for patients with disabilities. The practice has a patient list size of approximately 5,800.

Patients are also served by a small branch located in nearby Bishops Itchington. Both the main site and the branch have medicine dispensaries. A higher than average proportion of the patient population are aged over 45 and levels of social deprivation are significantly lower than the national average. The practice also provides some enhanced services to patients. An enhanced service is separate from the core contractual requirements of the practice and is commissioned at national or local level to improve the range of services available to patients. For example, the practice offers minor surgery, medicine dispensing, patient online access and facilitates timely diagnosis and support for people with dementia.

The clinical team includes two GP partners and three salaried GPs, two nurses and a phlebotomist (a healthcare professional who takes blood samples from patients). The team is supported by a practice manager, an assistant practice manager, six administrative and reception staff and three dispensers.

The practice reception operates from 8.30am to 12.30pm, and 1.30pm to 6.30pm from Monday to Friday. From 8am to 8.30am and 12.30pm to 1.30pm the practice’s answering machine directs patients the on-call GP’s mobile phone. The branch at Bishops Itchington opens daily from 9am to

12pm, and on Monday and Wednesday afternoons from 3.45pm until 6pm. Appointments are available between these hours and patients are directed to out-of-hours services provided by NHS 111 when the practice is closed.

Updated 4 July 2017

Letter from the Chief Inspector of General Practice

We had carried out an announced comprehensive inspection of Harbury Surgery on 23 June 2016. As a result of our inspection the practice was rated as good overall but required improvement for providing safe services. The full comprehensive report for the June 2016 inspection can be found by selecting the ‘all reports’ link for Harbury Surgery on our website at www.cqc.org.uk.

This inspection was a focused desk-based review carried out on 31 May 2017 to confirm that the provider had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 23 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

The practice is now rated as good for the provision of safe services and rated as good overall.

Our key findings were as follows:

• The practice had taken action to improve the overall security in the management of medicines and prescription stationery. Evidence was provided to demonstrate that systems had been implemented and that security locks had been installed to all clinical rooms.

• Improvements had been made to ensure that patients’ privacy and dignity during examinations, investigations and treatments was protected at all times in examination rooms. Evidence provided demonstrated that curtain rails and disposable curtains had been installed.

• The practice provided copies of meeting minutes to demonstrate the action they had taken to ensure that all clinical discussions were recorded.

• The practice had taken steps to increase the number of patients on their carers register. They had identified patients who were also carers or had a carer, so the practice could provide them with appropriate support and guidance. The number of carers had increased from 21 to 198, which represented an 11% increase since the inspection in June 2016.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 4 July 2017

Following our comprehensive inspection on 23 June 2016 we rated the practice as good for the population group of patients with long-term conditions. We did not review any evidence during our desk based review to alter this rating.

Updated 4 July 2017

Following our comprehensive inspection on 23 June 2016 we rated the practice as good for the population group of families, children and young patients. We did not review any evidence during our desk based review to alter this rating.

Updated 4 July 2017

Following our comprehensive inspection on 23 June 2016 we rated the practice as good for the population group of older patients. We did not review any evidence during our desk based review to alter this rating.

Updated 4 July 2017

Following our comprehensive inspection on 23 June 2016 we rated the practice as good for the population group of working age patients (including those recently retired and students). We did not review any evidence during our desk based review to alter this rating.

Updated 4 July 2017

Following our comprehensive inspection on 23 June 2016 we rated the practice as good for the population group of patients experiencing poor mental health (including patients with dementia). We did not review any evidence during our desk based review to alter this rating.

Updated 4 July 2017

Following our comprehensive inspection on 23 June 2016 we rated the practice as good for the population group of patients whose circumstances may make them vulnerable. We did not review any evidence during our desk based review to alter this rating.