Archived: Dr Peter Gini Also known as Broadway Health Centre

Updated 15 September 2016

Dr Peter Gini’s practice is part of the Broadway Health Centre and is situated near the centre of Birmingham. The practice is part of the NHS Sandwell and West Birmingham Clinical Commissioning Group (CCG). CCGs are groups of general practices that work together to plan and design local health services in England. They do this by 'commissioning' or buying health and care services.

Dr Peter Gini is registered with the Care Quality Commission to provide primary medical services. The practice has a general medical service (GMS) contract with NHS England. Under the GMS contract the practice is required to provide essential services to patients who are ill and includes chronic disease management and end of life care.

The practice premises is purpose built building with all treatment and practice office areas on one floor. Based on data available from Public Health England, the practice is located in an area with the highest deprivation score.

The practice is open from 8am to 6.30pm Mondays to Fridays. Appointment are available from 9am to 12pm and 4pm to 6pm. Extended opening hours were offered on Mondays from 6.30pm to 8pm.

When the practice is closed during the out of hours period (6.30pm to 8am) patients receive primary medical services through an out of hours provider (Primecare).

The practice has two GP partners (both male). Other practice staff consist of a team of three nurses, a practice manager and a team of administrative staff.

The practice was previously inspected by CQC in September 2015.

Updated 15 September 2016

Letter from the Chief Inspector of General Practice

We carried out a focussed review inspection at Dr Peter Gini also known as Broadway Health Centre on 22 July 2016. The practice had previously been inspected in June 2015 and was rated as requires improvement for providing effective services. Staff performance and training needs were not identified and documented through a regular programme of annual appraisals for nursing staff. Following the inspection the practice sent us an action plan detailing the action they were going to take to improve.

We returned to the practice to consider whether improvements had been made in response to our previous inspection. We found the practice had made improvements and is now rated as good for providing effective services. This report should be read in conjunction with our previous inspection report for the practice.

Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Staff performance and training needs reviews were being carried out through a regular programme of annual appraisals.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 September 2015

The practice is rated as good for the care of people with long-term conditions. Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. 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. The practice made use of telehealth systems so that patients with long term conditions could remotely monitor their care at home.

Updated 10 September 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, for example, children and young people who had a high number of A&E attendances. 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.

Updated 10 September 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 dementia and end of life care. Care plans were in place and all patients with dementia had an annual review. It was responsive to the needs of older people and offered them longer appointments as well as home visits. The practice also worked with the local pharmacy to implement a medication delivery service.

Updated 10 September 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 and extended hours as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 10 September 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice carried out advance care planning for patients with dementia and regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health. The dementia diagnosis rate was above the national average of 95% and 100% of the practice’s patients diagnosed with dementia had regular face to face reviews. Staff had completed awareness training in Mental Capacity Act (2005) and dementia awareness. Patients experiencing poor mental health were offered an annual health review which the practice booked as an extended appointment at a time convenient for the patient and with the GP they preferred to see. The practice had provided information to patients experiencing poor mental health on how to access various support groups and voluntary organisations. It had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health.

Updated 10 September 2015

The practice is rated as outstanding 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 100% of these patients had received a follow-up. The practice offered longer appointments for people with a learning disability and there was a system in place for flagging vulnerability in individual patient records. Care plans were in place for patients with complex needs and shared with other health and social care workers as appropriate. These care plans were reviewed annually and had a section stating the patient’s preferences for treatment and decisions.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It provided information to vulnerable patients about how to access various support groups and voluntary organisations. The practice worked in conjunction with their Clinical Commissioning Group in developing a vaccine preventable illness plan. As part of this plan, the practice had completed a project with a specialised winter immunisation facilitation team . The project involved the practice offering flu vaccinations to all homeless patients who attended a local drop in centre, a total of 81 vaccinations were offered to these patients and the practices flu vaccination uptake increased by a further 56%.

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.