Derby Family Medical Centre

Updated 19 February 2018

Derby Family Medical Practice provides primary medical services to 7,200 patients from a single location. The registered address with the Care Quality Commission (CQC) is 1 Hastings Street, Derby, Derbyshire, DE23 6QQ. The practice serves the local areas of Normanton, Peartree, Sunnyhill, Littleover and Sinfin.

The practice provides primary care medical services via a General Medical Services (GMS) contract commissioned by NHS England and Southern Derbyshire Clinical Commissioning Group (CCG).

Public Health England data shows the area served by the practice has high unemployment and deprivation levels, which are above the practice average across England. In addition, there is a high rate in respect of the prevalence of chronic diseases such as type 2 diabetes.

The practice population is multicultural with 90% of the practice patients having a black or minority ethnic background, and mainly from the Indian sub-continent. Patients have access to translation and interpreting services, including an Urdu and Punjabi interpreter based at the practice.

The practice comprises two male GP partners, a female salaried GP and two male sessional GPs. One of the partners is the Registered Manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The nursing staff includes one advance nurse practitioner, two practice nurses and a health care assistant. The clinical staff are supported by a pharmacist, practice manager, an assistant practice manager and a team of reception / administrative staff. This is a teaching practice for fifth year medical students and nursing students.

The practice is open from 8am to 6:30pm weekdays with the exception of a Tuesday evening when the surgery provides extended opening hours until 8:00pm. GP consultation times start at 8.30am until 5.50pm. The practice has opted out of providing out-of-hours services to their own patients. When the practice is closed, patients are advised to dial NHS 111 and they will be put through to the out of hours service which is provided by Derbyshire Health United.

Updated 19 February 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection 02/12/2014 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Requires improvement

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced inspection at Derby Family Medical Centre on 15 December 2017 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

• The practice used information about care and treatment to make improvements. For example, they initiated a management plan where patients with diabetes whose condition was poorly controlled were invited for monthly reviews, resulting in improved engagement and outcomes for the patients.

• Staff involved and treated patients with compassion, kindness, dignity and respect. Most of the staff were bi-lingual and spoke the same languages as the majority of the patient population. An interpreter was available on site five days a week to provide translation services for Urdu and Punjabi speaking patients.

• The practice understood the needs of its population and tailored services in response to those needs. They worked closely with other practices in their area to provide a local hub pilot scheme providing pre-bookable appointments in the evenings and at weekends seven days a week.

• However, since our last inspection, patient survey results showed a continued reduction in patient satisfaction in relation to access to appointments. Plans to improve telephone access and changes made were yet to be embedded and patient satisfaction had not yet improved.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Consider security arrangements for prescription stationery to ensure it is securely stored.

• Continue to monitor and ensure improvement to national GP patient survey results particularly in relation to access to appointments , telephone access and patient experience.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 19 February 2018

Updated 19 February 2018

Updated 19 February 2018

Updated 19 February 2018

Updated 19 February 2018

Updated 19 February 2018