Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Fordingbridge Surgery on 25 July 2016. Overall the practice is rated as 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 been trained to provide them with 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. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and 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.

We saw areas of outstanding practice:

The practice supported a GP to perform in-house vasectomies (male sterilisation). Annual audits of practice were conducted and the GP received regular review by a specialist. In 2014-2015, 170 procedures were performed with a complication rate of less than 2%. The practice received consistently excellent patient feedback about the service. For example, 99% felt that the GP’s communication during the procedure was excellent and 91% felt that the procedure was better or much better than they had anticipated.

The patient participation group reviewed anonymised complaints from patients to deliver a patient perspective and enhance any learning from complaints.

The areas where the practice should make improvement are:

Review the processes for meeting the needs of all patients with long term conditions; specifically for conditions such as asthma and diabetes. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice