Hassengate Medical Centre

Updated 26 April 2016

Dr NJ Tresidder and Partners, also known as Hassengate Medical Centre is situated in Stanford-le-Hope, Essex. It provides GP services to approximately 13,200 patients living in Stanford-le-Hope. The practice boundary starts at the practice side of Lampits Hill Road, through Stanford and Corringham to St Clere’s Golf Course.

Dr NJ Tresider and Partners is one of 33 practices commissioned by the Thurrock Commissioning Group. The practice holds a General Medical Services contract (GMS) with the NHS. This contract outlines the core responsibilities of the practice in meeting the needs of its patients through the services it provides.

The practice population has a slightly higher number of children aged five to18 years compared to the England average as well as patients aged over 65 years. There are fewer patients over 75 years. Economic deprivation levels affecting children and older people are significantly lower than average, as are unemployment levels. The life expectancy of both male and female patients is higher than the local average by two years. There are more patients on the practice’s list that have long standing health conditions and a comparable number of patients with health-related problems in daily life. A majority of this data relates to the year 2013/2014.

The practice is governed by a partnership that consists of three male GPs, three female GPs and the practice manager, who is not a GP. The partnership is supported by a male salaried GP, a female salaried GP and a female registrar. A registrar is a qualified doctor who is training to become a GP.

There are two nurses (one of whom is a prescribing nurse), two healthcare assistants and a phlebotomist (a person who performs blood tests) working at the practice.

Administrative support consists of a full-time practice manager, a part-time administration manager as well as 13 part-time reception and administrative staff.

The practice is open from 8am until 6.30pm on a Monday, Thursday and Friday, from 7am until 6.30pm on a Tuesday and from 8am until 8pm on a Wednesday. It is closed on the weekends.

Practice appointments are from 8.10am until 10:40am every weekday morning, except on a Tuesday when surgery starts and finishes an hour earlier. Afternoon surgery starts at 1.20pm and finishes at 4pm on a weekday except Wednesday, when surgery starts at 3:30pm and finishes at 8pm.

The practice has temporarily ceased to register new patients. This is because they had experienced a surge in registrations and felt that a temporary cessation was required to meet the demands of the existing practice population. This was under continual review by the provider and NHS England.

Updated 26 April 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr NJ Tresidder and Partners, also known as Hassengate Medical Centre on 29 February 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 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.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• Staff and patients were involved and updated about changes at the practice.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted upon.
• There was an active and valued Patient Participation Group.

The areas where the provider should make improvements are:

• Identify a named infection control lead to monitor the systems and processes in place.

• Put in place suitable arrangements to track prescription stationery through the practice.

• Audit patients prescribed Thyroxine medication to ensure that they have had blood tests to check their medicine is being prescribed at the correct and safe dose.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 26 April 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 practice had identified patients who had a number of long-term conditions and arranged for their routine checks to be carried out during one appointment, where possible.

• 97% of patients with diabetes had received a flu jab in the last year. This was comparable to the national average of 95%.

• Appointments with the diabetic specialist nurse were available at the practice.

• 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 26 April 2016

The practice is rated as good for the care of families, children and young people.

• Immunisation rates were relatively high for all standard childhood immunisations. For children under two, vaccination rates were between 93% and 98%, compared to the local average of 92% and 97%.

• There were effective procedures in place which sought to keep children and young people safeguarded from abuse.

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

• A midwife held weekly clinics at the practice.

• There was joint working with midwives, health visitors and school nurses.

Updated 26 April 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 percentage of female patients aged 50-70 who had been screened for breast cancer within the last six months of invitation was 76%. This was better than the local average of 70%.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• The percentage of patients aged 60-69 who had been screened for bowel cancer in the last 2.5 years was 67%. This was better than the local average of 55%.

Updated 26 April 2016

The practice is rated as good for the care of people with long-term conditions.

• The practice was proactive in offering online services. Appointments could be made or cancelled in person, on-line or over the telephone and text reminders advised patients of their appointment time.

• The percentage of women aged 25-64 whose notes record that a cervical screening test had been performed in the preceding five years was comparable to other practices.

• 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.

• There was a full range of health promotion and screening that reflected the needs for this age group.

Updated 26 April 2016

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

• 96% of patients with schizophrenia, bipolar affective disorder and other psychoses had a care plan documented in their record, in the last 12 months. This was better than the national average of 89%.

• 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 advised patients experiencing poor mental health about how to access various support groups and voluntary organisations.

Updated 26 April 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice offered longer appointments for patients with a learning disability.

• There were 29 adult patients on the register who had a learning disability. Of these, 25 reviews had been carried out and four patients had declined.

• 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. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies.