The Care Quality Commission has rated Oxfordshire’s GP Out of Hours Service ‘good’ for its ‘caring’ and ‘responsive’ service and ‘requires improvement’ in ‘safety’, ‘effectiveness’ and ‘leadership’.
31 May 2017 | Uncategorised
Oxfordshire’s GP Out of Hours Service was categorised as ‘good’ in two quality measurements and ‘requires improvement’ in three, in a report by the Care Quality Commission (CQC).
This gives the GP Out of Hours Service an over-all rating of ‘requires improvement’ and the trust has responded to those remarks in the six months since the inspection last November.
As the body that assesses the quality of NHS services in England the CQC found the GP Out of Hours Service was caring and commented that: “Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment”.
Patient response cards showed:
Inspectors also found the service was responsive to people’s needs. The service responded to the needs of the local population and engaged with commissioners to bring improvements where needed. The service had systems in place to ensure patients received care and treatment according to the urgency of need, had good facilities, was well-equipped and patients and staff knew how to raise concerns and there was good learning from incidents and complaints.
Improvements were required in safety with inspectors noting the challenges of GP recruitment but noting the effectiveness of additional assessment and pre-consultation screening tools to ensure patients were kept safe. Another area of work was the trust’s ability to demonstrate the completion of DBS checks and training in safeguarding children for all GPs and inspectors also recommended drivers and receptionists undertake resuscitation and chaperone training.
The effectiveness of the service could be improved with data showing the service was not meeting the National Quality Requirements (performance standards) for GP Out of Hours services. It was recognised this was reflective of recruitment challenges in the region. In the six months prior to inspection 82% of face-to-face consultations took place within two hours of assessment for urgent patients against a national target of 95%. In the same period 97% of face-to-face consultations took place within six hours for less urgent patients, exceeding the target of 95%. Inspectors found staff assessed needs and delivered care in line with current evidence based guidance, had the skills, knowledge and experience to deliver effective care and treatment.
There was an overarching governance framework to support the delivery of the strategy and good quality care within the service however inspectors made recommendations on the way the service was led finding this was inconsistent in monitoring arrangements to improve quality, identify, assess and manage. Staff were able to identify communications relating to safe and effective delivery of services. There were some inconsistencies in how this communication was received and in how the service monitored the effectiveness of the communication.
We have responded by:
We continue to:
Dominic Hardisty, Chief Operating Officer and Deputy Chief Executive, said:
“It always feels disappointing to receive a rating of ‘requires improvement’ but we know that Out-of-Hours is a very challenging service to run well. We have taken on board all of the CQC’s recommendations and acted on them. Everyone involved in the running of the service can be proud of the fact that the service was rated well for ‘caring’ and ‘responsive’. Once our action plan has been completed we are confident that we will be able to score well in other domains as well. I would also like to take this opportunity to thank the staff and GPs who work in the service, all of whom I know work incredibly hard to do the right thing for patients – it is gratifying to see this represented in patients’ feedback.”
Last updated: 31 May, 2017
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