Outstanding leadership, along with outstanding caring, have earned the Caldbeck Surgery in Wigton, Cumbria, an outstanding rating overall.
Inspectors were particularly impressed with the practice’s staff structure model, which showed all clinicians, administration, reception and dispensary staff as equals, with the management team below these staff groups in the model in order to support them. They felt this gave staff a sense of empowerment to drive improvements themselves, examples of which include the Continuity Counts programme, the patient information leaflets and the improvements to safety in the dispensary.
Inspectors also noted the delivery service, which delivered to approximately 10 per cent of the patient list, including those living in the same villages as practice staff, and during heavy snow. Arrangements for dispensing medicines at the practice were said to keep patients safe.
Dunster Surgery, in Minehead, Somerset, has also received outstanding ratings for its care and leadership.
Inspectors commended the practice as the CCG’s top-performing practice for antibiotic prescribing in 2018/19 and noted that the practice used an analytical prescribing solution system to optimise medicine prescribing and increase cost effectiveness.
They also highlighted the practice’s delivery service to local collection points, use of large print labels, and referral of MDS requests to a local pharmacy.
Dunster and Porlock Surgeries provide primary medical services to approximately 6100 patients living in Dunster, Porlock and the surrounding rural area of Exmoor national park which encompasses Devon and Somerset, and which brings its own challenges of divided healthcare services over two counties and 100 square miles.
Arrangements for dispensing medicines at the practice were said to keep patients safe. Processes for managing hospital discharge were also applauded: GPs contacted patients to reconcile medicine changes and to explore holistically the experience and concerns of both patient and carer; discharge summaries were reviewed by dispensing staff and a GP, so medication changes were not missed.
Receiving outstanding ratings for its caring and responsiveness, the Tideswell Surgery in Buxton, Derbyshire was commended for its medicines delivery service for patients living in isolated situations, eg, local farmers. In the practice of 3,322 registered patients, seven of the administrative team are qualified to dispense medicines, there is a part-time dispensing technician and the dispensary manager is also a pharmacist a full-time pharmacist.
Arrangements for dispensing medicines at the practice were safe, although inspectors noted that fridge temperature monitoring should be completed daily in line with the practice’s own standard operating procedure.
Inspectors saw good multidisciplinary working and patient involvement to support medicines compliance.