Dr Chandrakant Patel

Updated 21 March 2018

Dr Chandrakant Patel’s surgery is a family owned and run practice providing primary medical services to approximately 2095 patients through a General Medical Services contract (GMS). (GMS is one of the three contracting routes that have been available to enable commissioning of primary medical services). The practice is part of the Newham Clinical Commissioning Group (CCG). Services are provided from a converted two storey detached house in Forest Gate in Newham on a one way road in a residential area. The practice is served by local buses and paid parking facilities are available on neighbouring streets.

The medical team is made up of two GP partners, one male and one female. The male GP works three clinical sessions weekly and the female GP works six clinical sessions and four management sessions weekly. There is also a female practice nurse working five sessions per week. The clinical team are supported by a reception manager and one administrative staff member.

The practice opening hours are:

Monday 9:00am to 1:00pm and 5:00pm to 6.30pm

Tuesday 2:00pm to 6:30pm (closed in the morning)

Wednesday 9:00am to 1:00pm and 5pm to 6:30pm

Thursday 9:00am to 1:00pm (closed in the afternoon)

Friday 2:00pm to 6:30pm (closed in the morning)

GP pre-bookable appointments are available from:

Monday 9:00am to 11:00am and 5:00pm to 6:30pm

Tuesday 2:00pm to 4:00pm and 5:00pm to 6:30pm

Wednesday 9:00am to 11:00am and 5:00pm to 6:30pm

Thursday 9:00am to 11:00am

Friday 2:00pm to 4:00pm and 5:00pm to 6:30pm

Additional emergency and same day appointments for the GP and nurse are provided as required throughout the surgery opening hours. Patients can also access appointments from 8:00am to 8:00pm, Monday to Sunday, through the Newham GP extended access hub by calling 020 7540 9949. The out of hours service is provided by Newham Out of Hours GP service and can be accessed by ringing the practice’s telephone after 6:30pm and the call is then diverted. Alternatively, patients can telephone Newham Out of Hours GP service directly using the local rate telephone number which is on the practice website and practice leaflet.

The information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. Eighty Percent of people in the practice area are from Black or Minority Ethnic (BME) groups.

Updated 21 March 2018

We carried out an announced comprehensive inspection of Dr Chandrakant Patel on 16 January 2017. The overall rating for the practice was good. However, the rating for the practice providing safe services was requires improvement; this is because we found an area where the practice must improve and three areas where the provider should improve. After the comprehensive inspection, the practice sent us evidence and actions detailing what they would do to meet the legal requirements. The full comprehensive report for our 16 January 2017 inspection can be found by selecting the ‘all reports’ link for Dr Chandrakant Patel on our website at www.cqc.org.uk.

This inspection was an announced focused inspection which we carried out on 22 February 2018 to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations and the areas it should improve identified in our previous inspection. This report covers our findings in relation to those requirements and the improvements made since our last inspection.

The practice is now rated as good for providing safe services and remains rated as good overall.

Our key findings were as follows:

• The practice had completed all outstanding actions from an external infection control audit carried out in 2014, and there were appropriate arrangements to assess, monitor and mitigate risks to patients’ safety concerning infection control.

• The practice had taken steps to avoid the medicines refrigerator being turned off accidentally.

• There was evidence that the practice had discussed and learned from significant events.

• Patients with caring responsibilities were identified and recorded on the clinical system, and information, advice and support was made available to them.

• The practice was aware of the most recent national GP patient survey results and we saw evidence that they had undertaken their own patient survey which demonstrated improvement.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 30 March 2017

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.

• Performance for diabetes related indicators were 100% which was above the CCG average of 85% and national average of 90%. This had been achieved with an exception rate of 1% compared to the CCG average of 7% and national average of 12%.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and structured three monthly reviews 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 30 March 2017

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.

• The practice’s uptake for the cervical screening programme was 91%, which was higher than the CCG average of 78% and the national average of 81%.

• Appointments were available with the GP, 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 30 March 2017

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.

• There were 43 patients aged 75 and they all had a named GP to ensure continuity of care.

• 99% of the practice’s over 65 year old patients had received the influenza vaccination.

Updated 30 March 2017

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 as well as a full range of health promotion and screening that reflects the needs for this age group.

• Patients had access to the new Newham wrap 8-8 bookable appointments service.

• Telephone consultations were available on the day or could be prebooked.

Updated 30 March 2017

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

• Data showed that all four (100%) patients diagnosed with dementia had been reviewed in a face-to-face setting in the preceding 12 months at the practice, which was above the CCG of 81% and national average of 84%. This had been achieved with an exception rate of 0% compared to the CCG average of 6% and national average of 7%.

• 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 carried out dementia screening at regular intervals.

• The practice 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.

Updated 30 March 2017

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, travellers and those with a learning disability.

• The practice offered longer appointments and annual health checks for patients who were carers and those 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.