Doctors’ surgery unable to deal with on-site medical emergencies, report finds

Dr Mark Spencer says doctor recruitment is an issue in Fleetwood
Dr Mark Spencer says doctor recruitment is an issue in Fleetwood

A doctors’ surgery has been criticised by health watchdogs for not being able to deal properly with medical emergencies, a report has shown.

The Care Quality Commission published its findings this week into the Dr P Oza and Dr R Nam practice at the Health Care Complex in Kirkby, insisting it required improvement.

It was one of two surgeries in the region to show cause for concern, with Dr Wageeh Mikhail’s practice in Edwinstowe also told to improve.

The report into the Kirkby practice, on Low Moor Road, was even deemed ‘inadequate’ - the lowest possible score - over whether its services were safe.

Inspectors found there had been no risk assessment undertaken in relation to the premises, equipment or environment, and no robust arrangements in place for dealing with a medical emergencies, which included no oxygen on site.

The practice could not demonstrate that it had undertaken appropriate recruitment checks on staff or demonstrate that it had a system in place for checking professional registration and competence of clinical staff.

It was also told it required improvements to making sure services were effective, well-led and caring.

The practice, which caters for more than 4,100 patients, was found inadequate for dealing with those with poor mental health, including long-term dementia, while every other patient demographic required improvement - including those with long-term health problems, children and young people and the elderly.

The only ‘good’ rating was for its responsive needs.

The practice team comprises two GP partners, supported by a full-time practice nurse, a part-time healthcare assistant, a part-time practice manager and five reception staff.

In response to the report, Dr Robert Nam said: “I fully accept the findings of CQC report and we have already started to put in place a detailed action plan of improvements in line with the recommendations of the health regulator including improvements in the stocks of oxygen.

“We can assure patients that we have appropriate arrangements in place to make sure patients with emergency needs are given the care necessary, indeed there is an excellent 999 ambulance response time in the area.

“The report recognises that we have done well in providing access to GPs through appointments and telephone consultations and there is an active patient participation group.

“Our aim is to provide a down to earth personal service where patients can see their own GP.

“Staff have been working very hard getting patients to attend their health checks but realise more needs to be done.

“We keep emergency drugs on site and are trained to use our defibrillator, however, we accept the requirement to have our own oxygen instead of relying on paramedics.

“The practice team, led by manager Mel Yorke, are working tirelessly to achieve all the goals that CQC have set us.”

Meanwhile, Dr Wageeh Mikhail’s Major Oak Medical Practice on Edwinstowe’s High Street, inspectors found to be ‘good’ for having effective caring and services and were responsive to patients’ needs.

However, they were told to improve the safety of services, with evidence suggesting they were using equipment that was not designed for medical practice.

They were also told to improve its leadership with ‘gaps in processes and records, exposing patients to potential risk’.

Every patient demographic looked at also required improvements.

Nobody from the practice has been available to speak to the Chad.

However, it was good news for other practices whose inspections were published, which included Roundwood Surgery in Forest Town, which was handed an ‘outstanding’ rating.

Inspectors found it to be providing a safe, caring, effective, responsive and well-led service which meets the needs of 13,450 patients.

They were especially pleased to note it was the only practice in the area to offer dedicated services for homeless people.

They also commended the practice’s care of older patients and its introduction of a minor injuries walk-in clinic to save residents travel and waiting time at hospital A&E departments.