Tadley Medical Partnership

Updated 16 July 2015

The Tadley Medical Partnership is situated in Tadley Hampshire. The building is purpose built and occupies a single floor. The building has car parking, with allocated spaces for those with a disability. Access to the practice is via a ramp and automatic opening doors. There are approximately 19,900 patients of all ages registered and cared for at the practice.

The practice consists of six female GPs and four male GPs. There is a nurse sister who leads the six practice nurses and two phlebotomists. There is a practice manager who leads an administrative team that includes receptionists and manage the day to day running of the practice.

The practice holds a Personal Medical Services contract with NHS England and has expanded its contracted obligations to provide enhanced services to patients. An enhanced service is above the contractual requirement of the practice and is commissioned to improve the range of services available to patients. The increased range of services provided included minor surgery, insertion of

contraceptive devices, phlebotomy (taking of blood samples) and the conversion of patients with diabetes who took oral medication to insulin.

The practice is open from 08.30 – 18.30 with extended hours being offered Monday evening and Tuesday and Wednesday Mornings at Holmwood. At Morland extended hours are offered Thursday evening and the first Saturday of each month (08.30 – 12.00).

The practice does not provide out-of-hours services to the patients registered there. These services are provided by NHS 111.

Updated 16 July 2015

Letter from the Chief Inspector of General Practice

We inspected this service on 27 February 2015. The inspection was a comprehensive inspection.

The overall rating for this service is good. We found the practice to be good in the effective, caring and well-led domains and good in the safe and responsive domains. We found the practice worked effectively to provide good care to older people, people with long term conditions and people in vulnerable circumstances, families, children and young people, working age people and people experiencing poor mental health

Our key findings were as follows:

• Patients were kept safe because there were arrangements in place for staff to report and learn from key safety risks. The practice had a system in place for reporting, recording and monitoring significant events over time.
• The practice had a patient participation group that took an active role in developing and improving patient services.
• The practice could demonstrate improved outcomes for patients through the use of a range of clinical audits.
• The partners provided strong and clear leadership which had led to a committed and motivated staff group.
• The practice was responsive to its different patient groups and patients were overwhelmingly satisfied with the service they received.
• The results from the practice satisfaction survey showed that 92% of patients said they were very satisfied with the care they received

Outstanding Practice - 

The practice offered an endoscopy service to its' patients that reduced waiting time for patients and quicker referral to secondary care if required. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 16 July 2015

The practice is rated as good for the care of people with long-term conditions. There were emergency processes in place and referrals were made for patients whose health deteriorated suddenly. Longer appointments and home visits were available when needed. All these patients had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 16 July 2015

The practice is rated as good for the care of families, children and young people. There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk. Immunisation rates were very high for all standard childhood immunisations. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. Appointments were available outside of school hours and the premises were suitable for children and babies. We saw good examples of joint working with midwives, health visitors and school nurses. Emergency processes were in place and referrals were made for children and pregnant women whose health deteriorated suddenly.

Updated 16 July 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. 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 end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.

Updated 16 July 2015

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 was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this group.

Updated 16 July 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). 78% of people experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advance care planning for patients with dementia.

The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations. Staff had received training on how to care for people with mental health needs and dementia.

Updated 16 July 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability. It had carried out annual health checks for people with a learning disability and 95% of these patients had received a follow-up. It offered longer appointments for people with a learning disability.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It had told vulnerable patients about how to access various support groups and voluntary organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.