The Practice has adopted a number of measures to ensure the safety of all of our patients:
- Being open
- Whistleblowing policy
- Clinical guidelines
- Infection control
- Discussion of significant events
- Staff appraisal
- Staff training
- Practice Pharmacist
- Drug alerts
We encourage our staff to be open about difficulties and problems within the Practice both with each other and with patients.
We have a ‘whistleblowing’ policy and has asked and encourage all of our staff to raise any concerns about their working conditions or patient safety with their line manager or a senior member of the Practice staff.
The Partners have available to them up-to-date guidance on all areas relevant to the safe, evidence-based care of patients. In particular, the key guidelines produced by theNational Insitute for Clinical Excellence, the Royal Medical Colleges or bodies such as the British Thoracic Society are available on each computer terminal at both surgeries.
During 2013 the Treatment Rooms at each surgery were refurbished to comply with latest guidance on controlling infection. All of our staff receive training in handwashing and the handling of specimens. All members of staff observe the NHS Dress Code with those working in contact with patients also being ‘bare below the elbows’ to minimise risk of spreading. We have a Practice Cleaning Policy with regular spot checks at each surgery to ensure adequate compliance.
The Practice has a regular programme of audit which covers all areas of our activity including the appointments system, record keeping, complaints and clinical care. These results are circulated to the relevant members of staff and discussed at meetings as to how improvements can be made. The results of these audits are available to patients through the Freedom of Information Publication Scheme or they may be publicised in our waiting rooms or via our Patient Participation Group (PPG) or Patient Newsletter.
Each month at our Education and Training meeting our clinical team discusses significant issues we have had regarding an clinical aspects of patient care during the previous month. The purpose of this is to determine how we need to improve our service to you. At least once each year all of our significant events are audited to identify common themes and trends.
The doctors are all appraised externally each year and are all working towards revalidation with the General Medical Council as being fit to practice. All members of staff are appraised annually to review performance during the year and to identify training needs.
Each group of staff meeting regularly and training updates form part of these meetings. All members of staff receive annual resuscitation and basic life support training. All clinical staff receive annual training in anaphylaxis (severe allergic reaction) management. The Practice may close on up to four afternoons each year to allow all the staff to undertake training together. For example, since 2013 we have run an Annual Safeguarding Afternoon to ensure all staff are familiar with how to assist vulnerable patients.
Our Pharmacist, Lorna Smalley, works with the Partners and Management to ensure our prescription of medicines is in line with best practice. Lorna discusses Medicines Management once weekly with the Lead GP for Prescribing, Dr John Frain. Important prescribing issues are discussed each month by the Partners at the Practice meeting.
Members of the Clinical staff and our Practice Manager are registered to receive drug alerts from the MHRA. These alerts are circulated to relevant staff on a daily basis.