Seven Kings Practice

Updated 29 September 2017

Seven Kings Practice provides GP primary care services to approximately 3,800 people living in Seven Kings, London Borough of Redbridge. The practice has a General Medical Services (GMS) contract for providing general practice services to the local population. General Medical Services (GMS) contract is the contract between general practices and NHS England for delivering primary care services to local communities.

Information published by Public Health England rates the level of deprivation within the practice population group as five on a scale of one to ten. Level one represents the very highest levels of deprivation and level ten the lowest. This information also shows that Income Deprivation Affecting Older People (IDAOPI) is 27% which is above the CCG average of 21% and the national average of 16%. Income Deprivation Affecting Children (IDACI) is 23% (CCG average 19%, national average 20%).

There are currently two GP partners, one male and one female, both of whom are full time. There is one part time salaried GP. The practice provides a total of 18 GP sessions per week.

The clinical team is completed by a practice nurse who works part time. There is also a practice manager, an assistant practice manager and six administrative and reception staff.

The practice is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures and treatment of disease, disorder or injury.

The practice is located in a purpose built health centre. Although consulting rooms are located on the second floor, there is a street level access from the front aspect of the building. .

The practice opening hours for the surgery are:

Monday 8:30am to 6:30pm

Tuesday 8:30am to 6:30pm

Wednesday 8:30am to 6:30pm

Thursday 8:30am to 12:00pm

Friday 8:30am to 6:30pm

Saturday Closed

Sunday Closed

Practice patients also have access to bookable appointments at a local hub service between 6:30pm and 10:00pm every day and between 8:00am and 8:00pm on Saturdays and Sundays. When the practice is closed, the practice has arranged for patients to access an out-of-hours provider.

Patients can book appointments in person, on-line or by telephone. Patients can access a range of appointments with the GPs and nurses. Face to face appointments are available on the day and are also bookable up to four weeks in advance. Telephone consultations are offered where advice and prescriptions, if appropriate, can be issued and a telephone triage system is in operation where a patient’s condition is assessed and clinical advice given. Home visits are offered to patients whose condition means they cannot visit the practice.

The practice has opted not to provide out of hours services (OOH) to patients and these are provided on the practice’s behalf by The Partnership of East London Co-operatives (PELC). The details of the how to access the OOH service are communicated in a recorded message accessed by calling the practice when it is closed and details can also be found on the practice website.

The practice was inspected in September 2013 using our previous inspection methodology and was found to be meeting the required standards in place at the time.

Updated 29 September 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Seven Kings Practice on 6 December 2016. The overall rating for the practice was good. Within that overall rating the practice was rated as requires improvement for providing safe services. This was because we had concerns about systems in place to hold and monitor supplies of emergency medicines. We also asked the practice to review arrangements around repeat prescribing, to develop a quality improvement programme which identified where practice specific improvements could be made and to review the complaints system to ensure that complaints made verbally were effectively recorded and used to improve care.

The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Seven Kings Practice on our website at www.cqc.org.uk/location/1-564529110.

This inspection was an announced focused inspection carried out on 5 September 2017 to confirm that the practice had carried out their plan to bring about improvements in the areas identified in our previous inspection on 6 December 2016. This report covers our findings in relation to improvements made since our last inspection. We found that the practice had taken appropriate action to bring about improvements relating to providing a safe service.

We have revised the rating in safe to good. Overall the practice is still rated as good.

Our key findings were as follows:

• The practice had put systems in place to monitor supplies of emergency medicines and maintained records to demonstrate this was happening. Emergency medicines held at the practice reflected the regulated activities undertaken at the practice.

• The practice had introduced a protocol to manage repeat prescriptions, including steps to undertake earlier reviews of uncollected prescriptions.

• The practice was able to provide evidence of a quality improvement programme, including clinical audits, which identifies where practice specific improvements could be made.

• The practice had reviewed the complaints system and had put a process in place to ensure that all complaints, including those made verbally were effectively recorded and used to improve care.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 29 September 2017

The practice is rated as good for the care of people with long-term conditions. The rating was given following the comprehensive inspection in December 2016. The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Seven Kings Practice on our website at www.cqc.org.uk/location/1-564529110.

Updated 29 September 2017

The practice is rated as good for the care of families, children and young people. The rating was given following the comprehensive inspection in December 2016. The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Seven Kings Practice on our website at www.cqc.org.uk/location/1-564529110.

Updated 29 September 2017

The practice is rated as good for the care of older people. The rating was given following the comprehensive inspection in December 2016. The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Seven Kings Practice on our website at www.cqc.org.uk/location/1-564529110.

Updated 29 September 2017

The practice is rated as good for the care of working age people (including those recently retired and students). The rating was given following the comprehensive inspection in December 2016. The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Seven Kings Practice on our website at www.cqc.org.uk/location/1-564529110.

Updated 29 September 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The rating was given following the comprehensive inspection in December 2016. The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Seven Kings Practice on our website at www.cqc.org.uk/location/1-564529110.

Updated 29 September 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The rating was given following the comprehensive inspection in December 2016. The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Seven Kings Practice on our website at www.cqc.org.uk/location/1-564529110.