Market Street Health Group

Updated 21 March 2018

Market Street Health Group is a GP practice located in the town of East Ham, in the east of London. East Ham is in the London Borough of Newham and the practice is a part of Newham Clinical Commissioning Group (CCG). The practice is a teaching practice for medical students and provides GP services to approximately 13,000 patients under a PMS contract with NHS England. The practice is based in a modern purpose built building in a residential area. The practice has good transport links and parking permits for carers and there is limited parking on surrounding streets.

The practice profile shows the practice has a higher number of patients aged from zero to 44 years and a lower than average number of patients aged over 55 years. At 79 years for males and 83 years for female, the average life expectancy of people in the locality lies within the second most deprived deciles (out of ten) on the deprivation scale.

Nearly 900 patients registered at the practice require an interpreter and over 3000 patients have a long term condition requiring an annual review.

The practice staff includes five GP partners (three male and two female), two salaried GPs (females) and two GP registrars carrying out a total of 52 sessions per week. There are also two female practice nurses carrying out 18 sessions per week, a health care assistant and a clinical pharmacist. There was one practice manager, and seventeen non-clinical staff members including reception staff, administrative staff and a care taker.

The practice is open from 8am to 6:30pm Monday to Friday and 9am to 1pm on Saturday (extended hours). Surgery times vary by practitioner but are generally between 8:30am and 6:30pm with a break between 11am and 3:30pm. Out of hours services are commissioned by the CCG and extended hours are provided by a local GP hub which consists of 10 practices including this one. This extended hours service is operated from Market Street Health Group on Saturdays.

Market Street Health Group is registered with the Care Quality Commission to provide the regulated activities of Surgical procedures, Maternity and midwifery services, Treatment of disease, disorder or injury and Diagnostics and screening procedures from one location.

Updated 21 March 2018

We carried out an announced comprehensive inspection at Market Street Health Group on 10 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report published in January 2017 can be found by selecting the ‘all reports’ link for Market Street Health Group on our website at www.cqc.org.uk.

This inspection was an announced focused follow up inspection carried out on 13 February 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection in October 2016.There were breaches in infection control, medicines management and management of patients with long term conditions. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

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Overall the practice is now rated as good.

Our key findings were as follows:

• There was an open and transparent approach to safety and effective systems in place for recording and reporting significant events.

• The practice carried out regular risk assessments, including health and safety and fire safety.

• There was a process to review Quality Outcomes Framework (QOF) exception reporting rates where the practice was now achieving below the CCG and national averages.

• The practice carried out an infection control audit and had completed the actions identified in it. The practice was clean and tidy and had daily and weekly cleaning schedules in place which were regularly monitored.

• Patient Group Directions (PGD) had been adopted by the practice to allow nurses to administer medicines in line with legislation. PGD’s are written instructions for the supply or administration of medicines to groups of patients who may not be individually identified before presentation for treatment.

• The practice had good facilities and was well equipped to meet patients’ needs.

• 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 21 March 2018

Updated 21 March 2018

Updated 21 March 2018

Updated 21 March 2018

Updated 21 March 2018

Updated 21 March 2018