Hampton Medical Centre - Lewis

Updated 6 November 2017

Hampton Medical Centre provides primary medical services in Hampton to approximately 12,500 patients and is one of 29 practices in Richmond Clinical Commissioning Group (CCG).

The practice population is in the third least deprived decile in England. The proportion of children registered at the practice who live in income deprived households is 13%, which is higher than the CCG average of 10%, and for older people the practice value is 12%, which is higher than the CCG average of 11%. The age distribution of the practice population is largely in line with local averages. Of patients registered with the practice, the largest group by ethnicity are white (86%), followed by Asian (8%), mixed (3%), black (2%) and other non-white ethnic groups (1%).

The practice operates from premises which have been altered and extended several times, and at the time of the follow-up inspection the practice was nearing the completion of a further programme of extension and renovation. The practice is a short walk from Hampton train station and car parking is available on the surrounding streets. All patient facilities are on the ground floor. The first floor is used as an open-plan meeting room for staff. The practice has access to nine doctors’ consultation rooms and three nurse consultation rooms. The practice team at the surgery is made up of two part time male GPs, one full time male GP and two part time female GPs who are partners, and one part time male salaried GP, one full time  male salaried GP and one part time female salaried GP . In addition, the practice also has two part time GP Registrars. In an average week, the practice provides 50 GP clinical sessions. The practice has one full time female nurse and one part time female nurse, and a full time female health care assistant. The practice team also consist of a practice manager, operations manager and nine reception/administrative staff.

The practice operates under a General Medical Services (GMS) contract, and is signed up to a number of local and national enhanced services (enhanced services require an enhanced level of service provision above what is normally required under the core GP contract).

The practice is open between 8.30am and 6pm Monday to Friday. Appointments are from 8.30am to 1pm every morning, and 2pm to 6pm every afternoon. Patients can also access appointments via the CCG seven-day opening Hub, which offers appointments from 8am until 8pm every day, including weekends.

When the practice is closed patients are directed to contact the local out of hours service.

The practice is registered as a partnership with the Care Quality Commission to provide the regulated activities of diagnostic and screening services; maternity and midwifery services; treatment of disease, disorder or injury; surgical procedures; and family planning. 

Updated 6 November 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Hampton Medical Centre on 17 March 2016. The practice was rated as requires improvement overall. Breaches of legal requirements were found relating to the Safe and Responsive domains. We carried out a desk-based re-inspection of the practice on 26 January 2017 in order to check that the practice had addressed the breaches of regulation identified at the previous inspection. During this inspection we found that the practice had addressed the issues relating to safety, but that further improvement was required in relation to their responsiveness, and a Requirement Notice was issued in relation to a breach of regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

After the focussed inspection, the practice submitted an action plan, outlining what they would do to meet the legal requirements in relation to the breaches of regulation 17 (Good governance).

We undertook this further focussed desk-based inspection on 28 September 2017 to check that the practice had followed their plan and to confirm that they now met the legal requirements. This report covers our findings in relation to those requirements. You can read the reports from our previous inspections by selecting the ‘all reports’ link for Hampton Medical Centre on our website at www.cqc.org.uk.

Following the focussed inspection in January 2017, we found the practice to be good for providing safe services. The practice had made some improvements in providing responsive services but there remained areas relating to patient satisfaction which had not been fully addressed and therefore they remained rated as requires improvement for providing responsive service but were rated as good overall. Following this further follow-up inspection, they are rated as good for providing responsive services and overall.

Our key findings were as follows:

• The practice continued to improve its NHS GP Patient Survey satisfaction scores in relation to patient access to the service, although in some areas they remained below local and national averages. They had an action plan in place to address areas of low satisfaction.
• The practice was pro-actively trialling ways to make it easier for patients to book appointments and to provide feedback on their experiences.
• The practice actively engaged with the Patient Participation Group and could provide examples of action they had taken in response to the group’s feedback.

The areas where the provider should make improvement are:

• They should continue to review and act on patient feedback in order to further improve patient satisfaction in the service provided.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 6 November 2017

Updated 6 November 2017

Updated 6 November 2017

Updated 6 November 2017

Updated 6 November 2017

Updated 6 November 2017