We carried out an announced comprehensive inspection at Shap Medical Practice on 31 January 2019 as part of our inspection programme. (Previous rating August 2015 – Good)
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected;
- information from our ongoing monitoring of data about services and;
- information from the provider, patients, the public and other organisations.
We have rated this practice as good overall, and outstanding for responsive and all population groups.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff treated patients with kindness and respect and involved them in decisions about their care.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
We rated the practice as outstanding for providing responsive services because:
- Services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care.
- There were innovative approaches to providing integrated person-centred care.
- The practice had identified areas where there were gaps in provision locally and had taken steps to address them.
We saw some areas of outstanding practice:
- The practice had scored above local and national averages for every question in the most recent National GP Patient Survey, released in July 2018. They showed us a report which ranked the practice’s performance in the survey at 107th out of all GP practices in England. Locally they ranked in the top three for many questions, especially those related to access to appointments.
- The practice carried out a number of services above those they were commissioned to perform, in order to benefit local patients and reduce pressure on other services. These included basic life support training for patients, carrying out catheter changes for patients, and identifying and monitoring patients with coeliac disease.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice