Greenridge Healthcare Ltd Also known as Poplar Primary Care Centre

Updated 14 March 2016

Greenridge Healthcare Ltd (also known as Poplar Primary Care Centre) is a member of Birmingham Cross City Clinical Commissioning Group (CCG) and provides primary medical services to approximately 4600 patients. The practice is part of a group practice with two sites within the Birmingham area.

There are 5 GPs, 2 male and 3 female and 4 salaried GPs, 1male and 3 female. The GPs work across both practices within their group. The practice employs a practice pharmacist, one practice nurse and a healthcare assistant. There is a manager for Greenridge Healthcare and a practice manager based at Poplar Primary Care Centre. They are supported by a team of administrative/ reception staff.

The practice has an Alternative Primary Medical Services contract (APMS) with NHS England. APMS contract ensures practices provide essential services for people who are sick as well as having the facility to contract with other organisations to meet the local needs of the population.

The practice is open between 8am and 8pm on Mondays, and 8am to 6.30pm Tuesdays to Fridays. The practice opens at 7.30am till 10.30am on Saturdays. Appointments are from 8.30am to 11.30am and 3pm to 6.30pm Monday to Friday with the exception of Mondays when appointments were available until 8pm. Appointments were available from 7.30am until 10.30am on Saturdays.

The practice has a website which allows patients to book online appointments and order repeat prescriptions. Details of surgery opening hours and out of hours arrangements are included. The website can be translated into other languages.

The practice does not provide an out-of-hours service but has alternative arrangements in place for patients to be seen when the practice is closed. When the practice is closed during out of hours patients can access general medical advice by contacting NHS 111

We reviewed the most recent data available to us from Public Health England which showed that the practice has a higher than average practice population of patients under the age of five in comparison to other practices nationally and a higher percentage of patients over the age between 25 and 40 years.

Updated 14 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Greenridge Healthcare Ltd (also known as Poplar Primary Care Centre on 11 January 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 significant events. Staff knew how to and understood the need to raise concerns and report incidents and near misses.

• Information about safety was recorded, monitored, appropriately reviewed and acted upon and risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
• Staff had 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.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that 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 practice premises were acknowledged as a challenge to providing privacy in the reception area, but the staff were aware of this and acted accordingly.
• The practice held regular clinical meetings, but meetings with all the staff were not organised.

However, there were areas of practice where the provider should make improvements.

• Consider how staff are kept informed and up to date with necessary information in the absence of team meetings for non- clinical staff.
• Review how training is managed and updates monitored in the absence of up to date training records.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 14 March 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. Longer appointments and home visits were available when needed and all these patients had a named GP and a structured annual review to check their health and medicines needs were being met. The practice maintained registers of patients with long term conditions and all of these patients were offered a review to check that their health and medication 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 14 March 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. Immunisation rates were relatively high for all standard childhood immunisations. Appointments were available after school hours and on Saturday mornings, the premises were suitable for children and babies and we saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 14 March 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 and had a range of enhanced services, for example, in dementia, avoidance of unplanned admissions and end of life care. The practice was responsive to the needs of older people, and offered home visits and telephone consultations as required and on the day appointments for those with enhanced needs. Care and treatment of older people reflected current evidence-based practice

Updated 14 March 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. The practice told us they offered extended opening hours with pre bookable appointments. The practice opened on a Saturday morning, minor surgery appointments were also available at this time, although completed at another location. The practice was proactive in offering online services, with patients being able to order repeat prescriptions, book and cancel appointments. NHS health checks were available for patients aged between 40 and 74 years.

Updated 14 March 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). 78.6% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which is comparable to the national average. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. The practice carried out advance care planning for patients with dementia. The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations and had 73 patients recorded on the practice mental health register. Staff had a good understanding of how to support patients with mental health needs and dementia and one of the GPs had implemented a self-referral information sheet for counselling, which had all the appropriate information the patient would require for example their NHS number. In addition included were contact details for other support groups and services.

Updated 14 March 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 and offered longer appointments for patients with a learning disability and had 26 patients on the learning disabilities register. The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. Staff knew how to recognise signs of abuse in vulnerable adults and children and 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. The practice informed vulnerable patients about how to access various support groups and voluntary organisations.