Chrisp Street Practice

Updated 2 December 2016

Chrisp Street Health Centre is located in a purpose built building within a residential area in East London. The practice is a part of Tower Hamlets Clinical Commissioning Group.

There are 14000 patients registered at the practice, 35% of which are of South Asian origin and 35% are white British.

The practice has five male and three female GP partners and two male salaried GP’s carrying out 56 sessions per week. There are four female practice nurses and one female partner nurse carrying out 35 sessions per week and two assistant practitioners. The practice has one practice manager and 16 reception/administration staff members.

The practice is a training practice for first, second and fifth year medical students and provides placements to nursing students.

The practice operates under a General Medical Services Contract (GMS); a contract between NHS England and general practices for delivering general medical services. This is the commonest form of GP contract.

The practice is open Monday to Friday between 8:30am and 6:30pm and one Saturday a month from 9:00am to 12:00pm. Phone lines are open from 8:30am and appointment times are as follows:

• Monday 8:30am to 12:00pm and 2:00pm to 6:30pm

• Tuesday 8:30am to 12:30pm and 2:00pm to 7:30pm

• Wednesday 8:30am to 12:30pm and 2:00pm to 6:00pm

• Thursday 8:30am to 12:00pm and 2:00pm to 7:30pm

• Friday 8:45am to 12:45pm and 2:00pm to 6:00pm

• Saturday 9:00am to 12:00pm (once a month)

The out of hours provider covers calls made to the practice whilst it is closed.

Chrisp Street Health Centre operates regulated activities from one location and is registered with the Care Quality Commission to provide treatment of disease, disorder or injury, family planning, maternity and midwifery, diagnostic and screening procedures and surgical procedures.

Updated 2 December 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Chrisp Street Health Centre on 1 June 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.
• 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.
• The practice carried out an anticoagulation service for a network of five practices.
• 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. Improvements were made to the quality of care as a result of complaints and concerns.
• The practice carried out an annual patient survey to improve patient satisfaction with practice services.
• 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.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 2 December 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.

• The percentage of patients on the diabetes register with a record of a foot examination and risk classification in the preceding 12 months was 92% compared with a national average of 88%.

• 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.

• The practice produced a self-help leaflet which advised patients how to self-manage certain illnesses.

Updated 2 December 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.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• 88% of women aged 25 to 64 had a record of a cervical screening test documented in their record in the preceding five years compared to 82% nationally.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 2 December 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.

• The practice was a part of a scheme, which focuses on older patients, housebound patients and the vulnerable.

Updated 2 December 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 including telephone consultations and phlebotomy as well as a full range of health promotion and screening that reflects the needs for this age group.

• The practice offered extended hours two days a week and was open one Saturday a month for patients who were unable to attend the practice during normal working hours.

Updated 2 December 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• 84% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which is the same as the national average.
• The percentage of patients with schizophrenia, bipolar affective disorder and other psychosis who had a comprehensive agreed care plan documented in the record was 88% which was equal to the national average of 88%.

• The practice regularly worked with multi-disciplinary teams in the case management of patients 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.

• 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.

• A GP with other clinicians visited local mosques and spoke to hard to reach population about mental health giving information and advice.

Updated 2 December 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 homeless people and 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.

• The practice informed vulnerable patients 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.