Background to this inspection
Updated
17 April 2018
Dr Jadhav and Dr Patil, known locally as the Edlington Practice, is registered with CQC to provide GP services from The Martinwells Centre, Thompson Avenue, Doncaster, DN12 1JD. The practice provides primary medical care services for 4,781 patients under the terms of the national NHS General Medical Services contract. Further information can be found on the practice website www.theedlingtonpractice.nhs.uk.
The catchment area is classed as within the second most deprived areas in England. Income deprivation indices affecting children (28.25%) and older people (21.9%) are significantly higher than the clinical commissioning group (CCG) (25% and 18%) and England (20% and 16%) averages. The age profile of the practice population is broadly similar to other GP practices in the Doncaster area.
There are two GP partners (one male and one female) at the practice who are supported by a locum nurse practitioner, two practice nurses, one healthcare assistant, a practice manager and administrative team. A proactive care nurse also supports patients registered at the practice.
The practice opening hours are:
- 8am until 6pm Monday to Friday.
- 6.30pm to 8pm on Monday evenings.
The practice leaflet and web site include details of surgery and GP appointments times. GP appointments are available from 8am to 5.30pm each weekday and from 6.30pm to 7.30pm on Monday evenings.
Routine and specialist clinics such as long term condition management, family planning and child health clinics are also available. Out of hours care can be accessed via the surgery telephone number or by calling the NHS 111 service.
Updated
17 April 2018
This practice is rated as Good overall. (Previous inspection January 2015 – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people living with dementia) - Good
We carried out an announced comprehensive inspection at Dr Jadhav and Dr Patil on 12 March 2018 as part of our inspection programme.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw one area of outstanding practice:
- In March 2017 the practice linked with seven neighbouring GP practices to establish the proactive care nurse service. Patients with multiple long term conditions, those at risk of hospital admission and patients in care homes who had little confidence in managing their own conditions were referred to the service. Where other services were involved with the patient, they would continue. For example, diabetic specialist nurse or district nursing services. Initially, the patients confidence in managing their own health condition was assessed and again each time their care plan was updated. Following initial assessment patients may be referred to other specialities as needed including social prescribing, the complete care and well-being service or receive advice and support about benefits. Ninety-nine patients had been referred to the service and we saw feedback forms stating how it improved their confidence managing their own health conditions.
The areas where the provider should make improvements are:
-
Risk assess access to a defibrillator on the premises, weekly checks of emergency medicines and consider keeping a stock of Atropine, a medicine to treat slow heart beats, for potential use when contraceptive devices are inserted.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Families, children and young people
Updated
17 April 2018
Working age people (including those recently retired and students)
Updated
17 April 2018
People experiencing poor mental health (including people with dementia)
Updated
17 April 2018
People whose circumstances may make them vulnerable
Updated
17 April 2018