Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr G C Francis & Partners (also known locally as Linden Medical Centre) on 27 July 2016. Overall the practice is rated as good.
Specifically, we found the practice good for providing safe, effective, caring, responsive and well led services.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. The majority of information about safety was recorded, monitored and reviewed.
- Risks to patients were assessed and well managed.
- We found that completed clinical audit cycles were driving positive outcomes for patients.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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 were available and easy to understand.
- 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 an anti-coagulation clinic (an anti-coagulant is a medicine that stops blood from clotting) offered onsite, resulting in 162 patients who required this service not having to travel to local hospitals.
- 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.
The areas where the provider should make improvements are:
- Improve the recording of discussions and actions during practice meetings including significant events.
- Review and improve the system in place to promote the benefits of smoking cessation in order to increase patient uptake.
- Review the process of identifying carers to enable them to access the support available via the practice and external agencies.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice