• Doctor
  • Out of hours GP service

Balaam Street NHS Property Services Building (Balaam Park Health Centre)

113 Balaam Street, Plaistow, London, E13 8AF (020) 7511 4448

Provided and run by:
Newham GP Co-Operative Ltd

Important: This service was previously registered at a different address - see old profile

Inspection summaries and ratings at previous address

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Background to this inspection

Updated 7 September 2018

Newham GP Cooperative Ltd provider is a non-profit company limited by guarantee and established in 1994 formed of 41 Newham GP Practices cooperative members in the Newham Clinical Commissioning Group (CCG), it does not provide any direct walk in services. The Newham GP Cooperative is governed by a board of members and provides a range of health services in the Newham CCG area:

  • GP Out-of-Hours (OOH) services to 51 practices and an estimated 400,000 patients in Newham. This service runs from 6.30pm to 8am Monday to Friday and 24 hours a day during weekends and Bank Holidays.
  • Extended hours services for 33 Newham CCG Practices from 10 locality hubs. This service provides pre-bookable appointments six days a week, Monday to Friday 6.30pm to 9pm and Saturday 9am to 1pm.
  • A Newham wide ‘Wrap Around” service from 8am to 8pm from three GP practice locality hubs, providing pre-bookable same day appointments seven days per week.
  • A “See & Treat” GP consultation service operated by Barts Health NHS Trust for patients attending Newham University Hospital A&E department from 11pm to 3am. Patients attending this service are triaged by Barts Health NHS Trust prior to being referred on, where appropriate, to the see & treat Newham GP Cooperative GP located within the Newham University Hospital Urgent Care Centre.
  • A GP led streaming service for patients attending Newham University Hospital A&E department, choosing the most appropriate clinical care pathway for the patient. We did not inspect this element of the service because it falls under a different provider that is Barts Health NHS Trust.

Newham CCG has 51 GP led services providing clinical services to a growing population. The CCG population has higher than national average deprivation indicators, including income deprivation affecting children and older people.

Urgent Care Centre Newham General Hospital is the registered location for the out of hours GP service provided by Newham GP Cooperative Limited (the provider). The service is co-located within the Accident and Emergency (A&E) Department and Urgent Care Centre (UCC) of Newham University Hospital, operated by Bart's Health NHS Trust. The full location address is Newham GP Cooperative Ltd, Newham University Hospital, Glen Road, Plaistow, London, E13 8SL.

The area of the hospital allocated to the provider consists of a separate patient waiting area with split height reception desk and patient and staff facilities. The waiting area and reception desk are accessed either through a separate external door with videophone entry system. Or through the connecting door of the GP streamer service, accessed via the main A&E reception desk/ waiting area. There is also staff access between the provider area and the main A&E department. There are five GP consultation and treatment rooms, a medicines store and an administrative office.

The staff team are 55 GPs who are self-employed collectively providing a whole time equivalent (WTE) of 18 full time GPs, 49 receptionists working across all sites collectively providing a WTE of 12.2, and six board level and headquarters staff collectively providing a WTE of six.

The service operates daily from 6.30pm until 8.00am and at all times on weekends and bank holidays. The service is open during operating hours to any patient presenting at A&E with a GP appropriate condition, any patient registered with a GP Practice in the Newham area requesting an out of hours appointment and any patient referred through NHS 111. The service manages approximately 4000 patient contacts per month including telephone assessments, home visits and face to face consultations.

The service was last inspected by CQC on 2 March 2017 and was in breach of Regulation 12 (Safe care and treatment) and Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 at that time.

Overall inspection

Good

Updated 7 September 2018

This service is rated as Good overall. (Previous inspection 2 March 2017– Requires improvement)

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

We carried out an announced comprehensive at Urgent Care Centre Newham General Hospital Trust on 30 July 2018 to follow up on breaches of regulations.

At this inspection we found:

  • The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
  • The service 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 people with compassion, kindness, dignity and respect.
  • Patients were able to access care and treatment from the service within an appropriate timescale for their needs.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Review and monitor frequently attending older patients who may be vulnerable.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice