Statement of Purpose

For

Dr. Verghese & Partners

Grove Road Surgery

59 – 63 Grove Road

Eastbourne

East Sussex

BN21 4TX

Tel. No:- 01323 720606 Fax. No:- 01323 744369

Website:- www.groveroadsurgery.co.uk

Checked - 2nd March 2015

Care Quality Commission ( CQC )

Grove Road Surgery like all GP surgery's throughout the UK from 1st April 2013 is registered with the Care Quality Commission ( CQC ).

Grove Road Surgery is registered with CQC to provide the following regulated activities:-

·  Treatment of disease, disorder or injury

·  Diagnostic and screening procedures

·  Surgical procedures

·  Maternity and Midwifery services

Dr's Verghese, Bruuns, Nayak, Al-Jawaheri and Grant are all fully registered with the General Medical Council and fully licensed as fit to practice medicine. Our practice booklet and surgery website carry a more in depth description of each doctor including any special interests.

Practice Profile

Grove Road Surgery serves a wide area in and around Eastbourne. The surgery is classed as a town centre practice and is located towards the top end of Grove Road and next door to the Town Hall. At the bottom end of Grove Road is Eastbourne Railway Station and Library which are approximately 200 yards away, just off the roundabout as you enter into Grove Road.

The surgery registers patients from both within the town centre and the outlying regions. Our catchment area for registration is governed by the postcodes of BN20 / 21 / 22 / 23. However we will consider retaining registered patients who move out into BN24 and BN26 postcodes, Stone Cross / Pevensey and Polegate areas, as these are just over our boundary lines.

Grove Road Surgery established a patient participation group in 2006 with whom the surgery works very closely with to provide appropriate and patient oriented care.

Statement of purpose

Grove Road Surgery
21st December 2012
1. The aims and objectives of our surgery
·  To provide an environment and service whereby the cared for patients feel safe, secure and with good effective care which is responsive and well led
·  Provide a service of diagnosis, and through discussion and agreement provide treatment and management plans including medication and referral to specialist services when appropriate including liaison with other healthcare professionals.
·  To offer advice on disease prevention and thereby promoting health and well being
·  Arrange for hospital admission where clinically appropriate
·  Work together to access the most appropriate health and/or social care.
·  When appropriate arrange for admission to nursing / came homes or arrange for community care if this is deemed appropriate.
·  Learn from our patient experiences and share these with colleagues, especially as a training practice with our doctor, paramedic and medical students.
·  Ensure the surgery is comfortable, clean, warm and welcoming, with a high standard of hygiene and décor.
·  To provide clearly outlined procedures and policies which enable good quality care and treatment for all patients, especially the most vulnerable.
·  To provide all available resources to achieve the quality of care needed.
·  Maintain and service equipment within manufacturers guidelines.
·  Provision of secure, lockable storage areas for items of value
·  Keep up to date and accurate records which is essential to the provision of high quality care. This includes the incorporation of recording from other medical agencies.
·  To foster an atmosphere of openness and respect between staff and patients, including family, friends, carers or guardians.
·  To have the best interests of our patients as a central theme to all the care we provide.
·  To produce written individual treatment and management plans for appropriate patients.
·  Ensure that the health and safety and welfare of staff and patients is protected.
·  To expect a high quality of work and level of professional conduct from members of staff at all times.
·  To ensure proper management and support for all members of staff.
·  To help all members of staff to progress professionally, and to achieve a high level of job satisfaction through staffing and training.
·  To provide effective leadership and management through a qualified, competent and experienced management team, ably supported by a well trained and experienced administrative / secretarial team.
·  Have a robust selection / recruitment / induction and ongoing training programme for all new staff which includes DBS checks and checking of qualifications and references.
·  To maintain an effective and mutually beneficial relationship with our suppliers
·  To fulfil all our legal and statutory obligations
·  To continue to work with our patient participation group and encourage good communications between our patients, the patient group and the practice
·  To surpass our patients expectations in every way.
2. The name and address of the registered provider and of any registered manager
Dr Verghese and Partners,
Grove Road Surgery, 59 – 63 Grove Road, Eastbourne, East Sussex. BN21 4TX
Surgery certificate number:- CRT1 - 562223356.
Service Provider:- ID 1 - 199735979
Provider Location:- ID 1 - 555878695.
The Registered Manager is Dr Luke Verghese, who is also our senior partner.
3. The relevant qualifications and experience of the registered provider and any registered manager
Partners:
Dr Kaliyilil Luke VERGHESE GMC Number 1710281
Qualified through ConJoint Board, London 1974
Dr Joerg BRUUNS GMC Number 3700547
Qualified Hanover Medical School, Germany 1991
Dr Mridula NAYAK GMC Number 4355113
Qualified Mysore Medical School, India 1990
Dr Raya AL-JAWAHERI GMC Number 5207932
Qualified Baghdad Hospital, Iraq 1995
Salaried GP:
Dr David Grant GMC Number
Qualified: University of Nottingham Medical School, United Kingdom 2014.
The practice has professional indemnity insurance through a group practice policy with the Medical Protection Society. Policy Number Q23. Within this policy covers is also provided to the Practice Nurses, Health Care Assistant and the Practice Manager.

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4. The number, relevant qualifications and experience of the nursing staff working in our surgery
Role / Number employed or with practising privileges / Permanent (P)/ Agency (A) / Relevant qualification(s) / Relevant experience
Practice Nurse / 1 / Permanent
Full time / RGN - Adult. Qualified June 1999
RGN - Child. Qualified June 2002. / 15 years at Grove Road Surgery(as of 2016)
2 years at Eastbourne DGH as RGN and RNCB.
Nursing Auxillary from 1975
Practice Nurse / 1 / Permanent
Part Time / RGN - Qualified 1982 / 16 years at Grove Road Surgery (as of 2016)
10 years at Eastbourne DGH as staff nurse in Paediatrics.
7 years as staff nurse at London hospitals working in the intensive care baby unit and cardiac care unit
Practice Nurse / 1 / Permanent
Part Time / RGN - Qualified 1991 / 11 years at Grove Road Surgery (as of 2016)
10 years at Eastbourne DGH as RGN / staff nurse and acting ward sister
Nursing Auxillary for 2 years
Health Care Assistant / 1 / Permanent
Part Time / NVQ level 3 - Qualified 2005 / 9 years at Grove Road Surgery as Level 3 HCA (as of 2016).
HCA level 1 and 2 in a Care home environment for 5 years

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5. The organisational structure of our surgery
See Appendix 1
6. The kinds of treatment and any other services provided by our surgery, the range of needs which those services are intended to meet, and the facilities which are available for the benefit of patients
·  Treatment of disease, disorder or injury
·  Diagnostic and screening procedures
·  Surgical procedures
·  Maternity and Midwifery services
In addition to the above regulated CQC activities, the practice also offer several additional services including:-
Asthma / Dementia/ Rheumatoid Arthritis/ Mental Health / Learning disability / COPD / Diabetes / Heart Disease clinics including annual reviews.
Smear / contraceptive ( including emergency contraception ) as well maternity services.
Vaccination and immunisation programmes including Flu clinics, childhood immunisations and travel clinics.
Minor injuries and minor procedures, wound dressing, dressings in general and suture removal
Anticoagulation ( patients on Warfarin tablets requiring regular INR monitoring – Yellow Book )
Ear syringing / spirometry / ECG / fitting and removal of 24 hour blood pressure monitoring service/NHS Health Checks.
Well man and well woman clinics
Junior doctor training and supervision, GP Registrars, FY2 and Year 4/5 Medical Students.
Paramedics training and supervision.
7. The arrangements made for consultation with patients
The surgery opening hours are Monday to Friday between 8am – 6:30pm
Saturday morning doctor appointments are also available by appointment only from 8 – 11:45am
Out of Hours
Telephone the surgery and listen to the answer phone message. If you cannot wait until the surgery reopens consider:-
·  Telephoning NHS 111 service
·  Attend one of the local Walk in Centres based at Eastbourne and Brighton railway stations, open from 8am – 8pm, 7 days a week.
·  Attend one of the local Minor Injuries Units ( MIU's ) based at Lewes Victoria Hospital, Uckfield Community Hospital and Crowborough Memorial Hospital open from 8am – 8pm, 7 days a week.
·  If the conditions is life threatening then consider telephoning 999 or attending the Accident and Emergency department at Eastbourne District General Hospital
8. The arrangements for dealing with complaints
The aim of our complaints procedure is to examine complaints if received, and to establish what changes may need to be made in our services in order to rectify a possible problem. Staff at every level are involved in helping with suggestions made, and all see the procedure as being a positive and useful means of improving our services.
A copy of the complaints procedure is available upon request.
9. The arrangements for respecting the privacy and dignity of patients
Patient dignity and privacy are extremely important to us. We provide this by ensuring, with consent, the following:-
·  Provision of curtains / screens and the use of locked doors.
·  Any help in intimate situations to be given as discreetly as possible
·  Maintaining confidentiality
Dignity and respect for our patients is sustained by all staff, clinical and non-clinical alike by employing the following means:-
·  The Practice will not stereotype patients based on perceived characteristics
·  Patients will be referred to with respect even in private discussions in the surgery
·  Patients will be addressed by their preferred method and titles ( Mr, Mrs etc. ) will be used as a first preference by staff
·  A sign is available in reception offering the facility of a private discussion with a receptionist if required
·  Guide dogs will be permitted in all parts of the building.
·  A mobile hearing loop is available at reception
·  Under no circumstances will staff enter through a closed consultation room / treatment room door without first knocking, and waiting for permission to enter ( if occupied ), or pausing to determine that the room is empty
Consultations
·  Patients will be allowed free choice of gender of doctor and nurse, where available, and will be able to wait or delay an appointment to see their choice of clinician Where clinically urgent, patients will be advised to see a clinician appropriate for their “best care”, however patient choice is taken into consideration and undue pressure is not exerted
·  Consultations will not be interrupted unless there is an emergency, in which case the room will be telephoned as a first step, before knocking at the door and awaiting specific permission from the clinician to enter
·  A chaperone will be offered where an examination is to take place.
·  Clinical staff will be sensitive to the needs of the individual and will ensure that they are comfortable in complying with any requests with the potential to cause embarrassment
·  Patients will be afforded as much time and privacy as is required to recover from the delivery of "bad news", and the clinical staff will, where possible, anticipate this need and arrange their appointments accordingly
·  Patients will be able to dress and undress privately in the consulting / treatment room, where a screening curtain is provided. Patients using this facility will be requested to advise the clinician when they are ready to be seen, and they will be afforded sufficient time to do this bearing in mind infirmity etc.
·  Paper towel or similar will be available in each examination / treatment room, changed after each patient, and the patient will be advised of its availability
·  Washing facilities will be offered to the patient if required
·  Clinicians and staff will allow “personal space” where possible and respect this
·  Patients will be given adequate opportunity, time and privacy for the provision of samples on the premises without feeling under duress or time limitation
·  The area used for dressing / undressing is equipped with a chair / clothes hangers for clothes.
·  Patients with difficulty in understanding due to language will be offered a CCG approved interpreting service, or may prefer to have a family member or friend to interpret or assist.
·  Communication by staff to patients will be individual according to the needs of the individual patient (e.g. those with speech difficulties, hearing, or learning difficulties may need an individual approach)
·  Areas used by patients for dressing / undressing will be secure from interruption or ingress (i.e. there will be no unlocked door to either a corridor or to any room not occupied by the consulter who is attending that patient
·  Patients who may have difficulty in undressing may be offered the services of a second (same gender) clinician or trained Chaperone to assist
·  Patients will be requested only to remove a minimum of clothing necessary
·  Consultations in the patient’s home will be sensitive to the location and any other persons who may be present or may overhear
Post - Consultation
·  Clinicians and staff will respect the dignity of patients and will not discuss issues arising from the above procedures unless in a confidential clinical setting appropriate to the care of the patient ( respectful of the patient even when not there )

Signed: Date 1st March 2016

Designation: Dr Luke Verghese, Senior Partner and the Practice CQC Registered Manager

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