Dr Shabir Ahmad Malik

Updated 1 November 2018

Dr Shabir Ahmad Malik situated at Kent Elms Health Centre in Leigh on Sea is a GP practice which provides primary medical care for approximately 3,198 patients living in Eastwood and the surrounding areas.

Dr Shabir Ahmad Malik provides primary care services to local communities under a Personal Medical Services (PMS) contract, which is a locally agreed contract between general practices and NHS England. The practice population is predominantly white British along with a small ethnic population of Asian and Eastern European origin.

There is a principal GP (male) who is supported by three locum GPs (female) and a practice nurse. There is a practice manager who is supported by a team of administrative and reception staff.

The practice operates out of a single storey building which is shared with two other practices. There is a car park outside with adequate disabled parking available.

The practice is open Monday to Friday from 8am until 6.30pm. Extended opening is available on Monday and Thursday until 7.30pm. When the practice is closed services are provided by Integrated Care 24 Limited via the 111.

Updated 1 November 2018

This practice is rated as Good overall. (Previous rating 12 October 2017 – Good)

We carried out an announced comprehensive inspection at Dr Shabir Ahmad Malik on 12 October 2017. The overall rating for the practice was good, with requires improvement for safe. The full comprehensive report on the October 2017 inspection can be found by selecting the ‘all reports’ link for Dr Shabir Ahmad Malik on our website at www.cqc.org.uk.

Updated 17 November 2017

The practice is rated as good for the care of people with long-term conditions.

• GPs supported by nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Performance for diabetes related indicators was comparable to the local and national averages. For example the practice achieved 92% compared to the CCG average of 80% and the national average of 90%.

• The practice provided specialist clinics for diabetes, and asthma.

• There was a system to identify patients at risk of hospital admission that had attended A&E or the out of hours service and these patients were regularly reviewed to help them manage their condition at home.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met.

• For patients with more complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 17 November 2017

The practice is rated as good for the care of families, children and young people.

• There were systems to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of accident and emergency (A&E) attendances.

• Immunisation rates were relatively high for all standard childhood immunisations.

• Patients told us, on the day of inspection, that children and young people were treated in an age-appropriate way and were recognised as individuals.

• The practice’s uptake for the cervical screening programme was 79%, compared to the CCG and the national average of 81%.

• Appointments were available outside of school hours.

• The practice worked with midwives, health visitors and school nurses to support this population group. For example, in the provision of ante-natal, post-natal and child health surveillance clinics.

• The practice had emergency processes for acutely ill children and young people and for acute pregnancy complications.

Updated 17 November 2017

The practice is rated as good for the care of older people.

• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns.

• The practice offered proactive, personalised care to meet the needs of the older patients in its population.
• Patients over 75 had a named accountable GP.
• The practice was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.
• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life. It involved older patients in planning and making decisions about their care, including their end of life care.
• Patients living in care homes and registered with the practice were supported by the GPs.
• The practice followed up on older patients discharged from hospital and ensured that their care plans were updated to reflect any extra needs.
• Older patients were provided with health promotional advice and support to help them to maintain their health and independence for as long as possible. For example eligible older people were offered flu and shingles vaccines.

Updated 17 November 2017

The practice is rated as good for the care of working age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.
• Telephone consultations and late evening appointments were available which supported patients who were unable to attend the practice during normal hours.
• The practice had enrolled in the Electronic Prescribing Service (EPS). This service enabled GPs to send prescriptions electronically to a pharmacy of the patient’s choice.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 17 November 2017

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The practice carried out advance care planning for patients living with dementia.

• The percentage of patients diagnosed with dementia whose care plan has been reviewed in a face-to-face review in the preceding 12 months was 100% where the CCG average was 81% and the national average was 84%.

• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs.

• The percentage of patients with diagnosed psychoses who had a comprehensive, agreed care plan documented in the record, in the preceding 12 months was 94% where the CCG average was 83% and the national average was 89%.

• Patients at risk of dementia were identified and offered an assessment.

• The practice had information available for patients experiencing poor mental health about how they could access a number of support groups and voluntary organisations.

• The practice had a system to follow up patients who had attended A&E where they may have been experiencing poor mental health.

• Staff interviewed had a good understanding of how to support patients with mental health needs and dementia.

Updated 17 November 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• End of life care was delivered in a coordinated way which took into account the needs of those whose circumstances may make them vulnerable.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice had information available for vulnerable patients about how to access support groups and voluntary organisations.

• Staff interviewed knew how to recognise signs of abuse in children, young people and adults whose circumstances may make them vulnerable. They were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.

• The practice identified patients who were also carers and signposted them to appropriate support. The practice had identified 25 patients as carers which equated to less than 0.75% of the practice list. The GPs and the practice nurse helped ensure that the various services supporting carers were coordinated and effective.

• The practice offered carers health checks and flu vaccinations.