Archived: Dr Gautamkumar Dave

Updated 4 July 2016

Dr Gautamkumar Dave, The Laurbel Surgery is in a purpose built surgery in the east of the city of Hull. Dr Gautamkumar Dave’s practice provides General Medical Services to approximately 3,150 patients living in the east of Hull.

The practice has one male GP partner and one male salaried GP. The practice has two practice nurses and a healthcare assistant. The healthcare assistant post was vacant at the time of the inspection. They are supported by a team of management, reception and administrative staff.

The practice is in a relatively affluent area and has a lower than average proportion of its population who are classed as deprived. It also has a higher than average number of patients who are over 65.

The practice is open between 8.00am and 6.30pm Monday to Friday. It provides appointments between 8.00am to 10.00am, 11.00am to 1.00pm, and 4.00pm to 6.00pm on Monday to Thursday and between 8.00am to 10.00am and 4.00pm and 6.00pm on Friday. The practice, along with all other practices in the Hull CCG area have a contractual agreement for NHS 111 service to provide Out of Hours services from 6.30pm. This has been agreed with the NHS England area team.

The practice also offers enhanced services including childhood vaccination and immunisation scheme, timely diagnosis for people with dementia, improving patient online access, influenza and pneumococcal immunisations, minor surgery, patient participation, and rotavirus and shingles immunisations and unplanned admissions.

Updated 4 July 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Gautamkumar Dave, The Laurbel Surgery, on 12 April 2016. Overall the practice is rated as good.

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

• There was an open and transparent approach to safety and an effective system in place for reporting and recording clinical significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are to ensure:

• findings from clinical audits should be used more effectively to improve patient outcomes

• reporting of significant events covers both clinical and administrative events.

• the practice had a comprehensive business plan which addressed future development needs.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 4 July 2016

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. Nationally reported data for 2014/2015 showed that the practices performance across a range of diabetes related indicators was similar to the national average for the majority of the indicators. For example 99% of their patients with diabetes had received an influenza injection compared to the national average of 94%. Longer appointments and home visits were available when needed. All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 4 July 2016

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. Immunisation rates were relatively high for all standard childhood immunisations, with the percentage of children under two receiving vaccines at 100% for four of the five vaccinations. This compared to national averages of between 95% and 98%. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals. Nationally reported data for 2014/2015 showed that the practice was in line with national averages for rates of cervical screening. Appointments were available outside of school hours and the premises were suitable for children and babies. There was joint working with midwives, health visitors and school nurses.

Updated 4 July 2016

The practice is rated as good for the care of older people. The practice offered proactive, personalised care to meet the needs of the older people in its population. The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs. All patients over 75 were invited for an annual health check if they had not visited a nurse or GP in the past twelve months.

Updated 4 July 2016

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 as well as a full range of health promotion and screening that reflects the needs for this age group.  

Updated 4 July 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). 100% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months. This is better than the national average of 84%. Overall the practice performance across a range of mental health related indicators was comparable to the national averages. The practice worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia. The practice told patients experiencing poor mental health about how to access various support groups and voluntary organisations. The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health. Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 4 July 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability. The practice offered longer appointments for patients with a learning disability. The practice regularly worked with other health care professionals in the case management of vulnerable patients and informed them about how to access various support groups and voluntary organisations. 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.