South & East Leeds General Practice Group Ltd

Updated 8 June 2021

The registered office of SELGP Group is located on the 1st Floor of Park Edge Practice, Asket Drive, Leeds LS14 1HZ. As part of our inspection we visited this location.

The provider is a GP federation, formed by approximately 30 GPs in South and East Leeds, covering over 220,000 patients. SELGP Group is a limited company but is non-profit, with the GP practices being the only shareholders. The provider has a board which consists of a chairperson, three GP directors, a director of primary care development, a business and transformation lead, a head of contracting and performance and three business administrators. The provider has other services registered with CQC, which do not form part of this inspection.

SELGP Group provides domiciliary phlebotomy services, on a sub-contractual basis, across South and East Leeds on the behalf of the GP practices within that area.

Appointments are booked on a ‘hub’ system by the patient’s registered GP practice. Phlebotomists visit housebound patients, who would otherwise have difficulty attending their GP practice, to have blood samples taken in line with their care and treatment needs.

The service operates Monday to Friday 9am to 5pm and is staffed by six phlebotomists (their total working hours equate to four and a quarter whole time equivalent). There is a manager who has day to day oversight of the staff and service.

How we inspected this service

Before visiting the service, we reviewed a range of information we hold, including information sent pre-inspection by the provider.

During our inspection we:

• Spoke with the business and transformation lead (manager of the service and board member)
• Spoke with the director of primary care development (board member)
• Spoke with two phlebotomists
• Looked at information the service used to deliver care and treatment
• Looked at documentation relating to governance of the service.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 8 June 2021

This service is rated as Good overall. This service has not previously been inspected.

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 inspection, as part of our inspection programme, at South & East Leeds General Practice Group Ltd (SELGP Group) on 13 May 2021.

Why we carried out this inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with that Act.

South & East Leeds General Practice Group Ltd was registered with the Care Quality Commission (CQC) in August 2017 under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, for the regulated activities of treatment, disorder or injury and diagnostic and screening procedures. The service employs six staff to provide phlebotomy services to patients within their own home or care setting; such as a residential or nursing home.

The chairperson of the SELGP Group board is the registered manager. A registered manager is a person who is registered with CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, we have conducted our reviews differently.

Since the service registered with CQC, we have carried out regulatory monitoring of the service.

As part of this inspection we reviewed a range of systems and processes relating to governance, service delivery and customer care.

Our key findings were:

• There was a leadership and managerial structure in place with clear responsibilities, roles and accountability to support good governance.
• There were clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse.
• The service had a good track record regarding safety and experienced low levels of incidents.
• The provider undertook regular audits to ensure effective service delivery.
• Any risks arising from COVID-19 were identified and managed in line with government guidance. Staff had access to personal protective equipment.
• Staff were appropriately trained and received updates as needed.
• Feedback from patients was positive about the service they received.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care