Drs Evans & Bishop Also known as The New Wokingham Road Surgery

Updated 23 March 2016

Dr Chau and partners are based in converted premises which have been used as a GP surgery since 1963. Changes to the internal layout of the premises have been undertaken as the number of patients registered has increased over the years. The practice currently has approximately 6550 patients registered. Of these there are a higher than average number of patients over the age of 55 and far fewer than average under the age of five.

The practice has a limited number of parking spaces available for patients. However, there is limited room for expansion of the car park. There is a bus route nearby and many patients walk to the practice. The premises have been adapted to provide access for patients who use wheelchairs or have walking difficulties. It is also accessible for parents bringing young children in pushchairs and prams to the practice. Data shows little evidence of income deprivation within the practice population.

There are three GP partners and one salaried GP at the practice. Two are male and two female. The four GPs equate to just under three and a half full time GPs. There is a part time nurse practitioner, three part time practice nurses and two health care assistants. The practice manager is supported by an assistant practice manager and a team of 11 administration and reception staff. The GPs support teaching of doctors.

The practice is a member of Wokingham Clinical Commissioning Group (CCG). (A CCG is a group of general practices that work together to plan and design local health services in England. They do this by 'commissioning' or buying health and care services). Services are delivered via a General Medical Services (GMS) contract. (A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract).

The practice is open between 8am and 6.30pm Monday to Friday. On Monday, Wednesday and Friday a GP is on call between 6pm and 6.30pm whilst reception remains open. Extended hours clinics are held on a Tuesday and Thursday until 7.30pm and on alternate Saturday mornings from 8.30am to 11.30am. Appointments are from 8.30am to 11.30am every morning and 2.30pm to 5.30pm daily. In addition to pre-bookable appointments that can be booked up to six weeks in advance, urgent appointments are also available for patients that need them.

The practice has opted out of providing out of hours services to their patients. Out of hours services are provided by Westcall. The out of hours service is accessed by calling 111. There are arrangements in place for services to be provided when the surgery is closed and these are displayed at the practice and in the practice information leaflet.

All services are provided from; The New Surgery, 18 New Wokingham Road, Crowthorne, Berkshire, RG45 6JL

Updated 23 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Chau and partners on 25 February 2016. Overall the practice is rated as good.

We rated all domains of provision of safe, effective, caring, responsive and well led as good. The rating for all six population groups was also 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.
• Risks to patients were assessed and well managed.
• 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.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvement are:

• To reflect on the national patient survey feedback in regard to involving patients in decisions about their care and in explaining tests and treatments.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 23 March 2016

The practice is rated as good for the care of patients 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 was similar to the CCG and national average. The practice achieved 87% compared to the CCG average of 88% and national average of 89%. The practice also included more patients in these measures because their exclusion rate was 2% lower than the national average.

• Longer appointments and home visits were available when needed.

• 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 23 March 2016

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

• 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 patients who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

• 100% of the national targets for care of patients diagnosed with Asthma had been achieved compared to the national average of 97%.

• Patients told us that children and young patients were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• The practice achieved a rate of 92% of women eligible to take part in cervical screening compared to the national average of 82%.

• Appointments were available 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 23 March 2016

The practice is rated as good for the care of older patients.

• The practice offered proactive, personalised care to meet the needs of the older patients in its population.

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

• Care and treatment of older patients reflected current evidence-based practice. Over 2% of the practice population had agreed care plans to help avoid admission to hospital.

• Nationally reported data showed that outcomes for conditions commonly found in older patients were good. For example, the practice achieved 100% of the targets for patients diagnosed with Osteoporosis and Rheumatoid arthritis.

Updated 23 March 2016

The practice is rated as good for the care of working-age patients (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.

• Evening extended hours clinics were offered on two evenings per week and a Saturday clinic was held on alternate weeks.

Updated 23 March 2016

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

• The practice achieved 100% of the assessment and follow up standards for patients diagnosed with depression.

• The practice achieved 96% of the national indicators for care of patients with mental health problems compared to the CCG average of 99% and national average of 93%.

• 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 had 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 23 March 2016

The practice is rated as good for the care of patients 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 for patients with a learning disability and had completed an annual health check for 85% of these patients.

• The practice regularly worked with multi-disciplinary teams 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.