Survey Results

Patient Participation Group Report 2014-2015

Click here to download out Patient Participation Report

COMMENTS FROM 2014-15 QUESTIONNAIRE
PATIENT COMMENTS

  • Friendly receptionists
  • The receptionists are NOT friendly even on the phone by the tone of their voice.
  • Exceptional care given to me
  • I am quite happy with the surgery
  • Reception staff are always polite and happy to help All services are great, need evening surgery for emergency
  • Very much satisfied. Never want to change the surgery
  • Saturday morning surgery would be useful
  • Would suggest more flexability to book appointments
  • On occasions have had to wait a few days for an appointment
  • Appointments on the same day please
  • I think that doctors and staff are under pressure
  • Courteous, helpful, efficient
  • This is an excellent practice in all areas
  • More opening hours & don't close at lunch/stagger lunch breaks
  • Very satisfied
  • Very happy with my surgery
  • Very good receptionist
  • The surgery is so effective I've not had to go in years and can't remember my last visit
  • Charging patients 50p for a copy of laboratory test at the "reception desk" seems unfair
  • Excellent staff & doctors
  • I find the surgery very helpful & run efficiently
  • To solve the problem on the phone at night - open Thursday

PRACTICE ANALYSIS



Questions, responses and results
2014-15
 
No of patient responses 161
Poor Fair Good Very Good No Answer Good / Very Good %
1 How do you rate service given by the receptionists at the 4 6 38 111 2

surgery? 3% 4% 25% 72% 1% 93%
2 How do you rate telephoning through to surgery 10 35 62 47 7

  6% 23% 40% 31% 5% 68%
3 How do you rate phoning through to speak to your doctor for 0 17 52 54 38

advice 0% 11% 34% 35% 25% 66%
4 How do you rate the availability of a particular doctor 0 16 56 77 12

  0% 10% 36% 50% 8% 83%
5 How do you rate continuity of care 1 6 51 96 7

(being able to see the same doctor) 1% 4% 33% 62% 5% 91%
6 How do you rate being able to see a doctor on the same day? 12 27 57 59 6

  8% 18% 37% 38% 4% 72%
7 How do you rate being able to book ahead 2-4 weeks ahead? 9 19 40 62 31

  6% 12% 26% 40% 20% 63%
8 How do you rate surgery opening hours (a list of opening 3 20 72 63 3

hours is shown at the surgery 2% 13% 47% 41% 2% 84%
9 How do you rate the waiting time to see the doctor at the 3 24 78 47 9

practice? 2% 16% 51% 31% 6% 78%
10 How do you rate how well the doctor listens to what you say 0 6 50 102 3

  0% 4% 32% 66% 2% 94%
11 How do you rate the doctor's explanation of my 0 8 54 94 5

problem/treatment 0% 5% 35% 61% 3% 92%
12 How do you rate your confidence and trust in the doctor 1 11 45 100 4

you saw? 1% 7% 29% 65% 3% 90%
13 How do you rate the opportunity the doctor gave yo to express 0 12 51 92 6

your concerns/fears 0% 8% 33% 60% 4% 89%
14 How do you rate the respect shown to me by this doctor 0 6 48 102 7

  0% 4% 31% 66% 5% 93%
15 How do you rate the how the doctor involved you in decisions 0 4 60 90 7

about your care 0% 3% 39% 58% 5% 93%
16 How do you rate your overall satisfaction with the surgery 1 3 62 88 7
    1% 2% 40% 57% 5% 93%
 

SUMMARY OF PATIENT FEEDBACK
No of Surveys randomly selected and posted 37 (17 TK; 15 JJ & 5 IA-T)
No of Surveys randomly selected & received back> 6 (TK 2; JJ 4)
No of Surveys given to patients  
No of Surveys given to patients & received back  

Patient Age:

Patients within age group
  16-39 51          
  40-59 31          
  60-79 56          
  Over 80 10          
  Age not specified 9          

Patient Gender
           
  Male 61          
  Female 94          
  Not answered 10          

Was this visit with your usual doctor
           
  Yes 141          
  No 8          
  Not answered 10          

Do you have a long standing illness
           
  Yes 76          
  No 75          
  Not answered 8          

Ethnicity
           
  White/White British 51          
  Asian/Asian British 53   Mixed     03
  Black/Black British 6   Not answered     46

Do you know you can book appointments on line?
           
  Yes 59          
  No 65          
  Not answered 35          

Do you know you can order prescriptions on line?
           
  Yes 58          
  No 66          
  Not answered 35          
               
  Male 62          
  Female 95          
  Not answered 4          
               
  Did you see your usual GP            
  Yes 143          
  No 8          
  Not answered 10          
               
  Do you have a long standing health condition            
  Yes 78          
  No 75          
  Not answered 8          

Patient Survey Results 2013-2014

APPENDIX 1

UXENDON CRESCENT SURGERY – Drs Kaleem, Joseph & Al-Tamimi

Template for information to be included in the Patient Participation Report 2013/14

VALIDATE THAT THE PATIENT GROUP IS REPRESENTATIVE

Practice population profile
Show how the practice demonstrates that the PRG is representative by providing information on the practice profile:

Age

Under 19: 20.72%
20-49: 41.16%
50-69: 23.25%
70-89: 13.42%
90+: 1.45%

Sex

Male: 49.08%
Female 50.92%

Ethnicity

21% British White
27% Other White
1% British Black
4% Other Black
26% British Asian
16% Other Asian
1% Mixed Ethnic Groups
5% Unknown

Working patterns of patients

12% employed

Levels of unemployment

40% unknown
17% retired
20% school age
11% unemployed

Carers

102

Care groups, e.g. Nursing Homes, Learning Disability Community, Mental Health Groups 

Birchwood Nursing Home,
Brook House Nursing Home
Silverholme Warden Controlled
Edinburgh House
Preston Lodge
Roseland Residential Home

Other  
PRG profile
Show how the practice demonstrates that the PRG being is representative by providing information on the PRG profile

Age

Under 19: 0 0%
20-49: 2 – 7.4%
50-69: 10 – 37%
70-89: 14 – 51.9%
90+ 1 – 3.7%

Sex

Male: 9 - 33%
Female 18 - 67%

Ethnicity

66% British White
14% Other White
0% British Black
7.5% Other Black
11% British Asian
0% Other Asian
0% Mixed Ethnic Groups
0% Unknown

Working patterns of patients Levels of unemployment Carers
Care groups, e.g. Nursing Homes, Learning Disability Community, and Mental Health Groups. Other  
Differences between the practice population and members of the PRG
Please describe variations between the group and what efforts the practice has made to reach any groups not represented.

We are under-represented within the Asian population and also the male/female ratio is also low.We have a notice up in the waiting room stating that these are the areas where we are under-represented and invite patients to join our Group. It also gives the date and time of the next PPG meeting.We advertise on our website where patients can download a membership form. We also have membership forms available in reception

Membership Form (.doc)

VALIDATE THE SURVEY AND ACTION PLAN THROUGH THE PATIENT PARTICIPATION REPORT

Survey

Please describe how the priorities for the survey were agreed with your PRG

The survey was emailed to PPG or handed out to patients prior to the meeting for any comments and or suggestions.

The survey was discussed at the meeting held on 15th October 2014 where it was agreed to keep to the main emphasis around patient experience and clinical care.It was agreed to give out 60 questionnaires instead of 50 to patients.

Patient Questionnaire 2013-14 (.xls)

Having established the priorities, please describe how the questions were developed, e.g. Survey Monkey, NAPP website, etc.

At the meeting on 15th October 2013 we discussed the survey and it was decided to make the following changes:-

The questions were discussed and the following changes to be made:-

  1. The prefix of “How do you rate” followed by the question
  2. Question 6 to be changed as this only requires a yes/no answer
  3. Question 8 to have the proviso “a list is available in the surgery”
  4. Question 16 to be removed as none of the patients felt this appropriate
  5. “Please Circle your answer” to be moved next to “ethnicity” so that it is plain that this is where you need to circle the answer.

The rest of the from was to remain the same except the Group wished for the options of “poor”, “fair”, “good”, “very good” & “does not apply” for patient responses to the questions. This was to replace “poor”, “good” & “excellent”

Please describe how you carried out the survey?

The Uxendon Crescent surgery ran 2 surveys this year. Each GP had an official BMA survey and this was given out prior to the practice survey.

The practice survey for Dr Kaleem was given out during W/c 16th December 2013 and this was followed on for Dr Joseph & Dr Al-Tamimi during W/commencing 13th January 2014.

As requested at the 15th October PPG Meeting 60 questionnaires were run off instead of the usual 50 (which is the minimum required for a personal analysis.) A number was allocated to each questionnaire which was put in the top right hand corner with the GP initial (eg TK1, TK2 until TK60). This was to ensure that when these were returned we knew which GP they related to.

Each patient who arrived for an appointment was asked if they would complete a survey and most patients agreed and returned the questionnaire to the surgery on the same day. However, some patient’s requested they take the survey home and not returned. By Friday 10th January 2014 the surgery had received 50 questionnaires back for Dr Kaleem.

During Week commencing 6th January 2014 Dr Joseph’s BMA survey was handed out to her patients to complete. These were completed on 13th January 2013 with the last questionnaire being given out at her commuter clinic. Starting from her 9.00am surgery the 60 questionnaires were commenced for the Uxendon Crescent Surgery Survey. The same process was followed with JJ1, JJ2 etc until JJ60.

A total of 154 questionnaires were returned and the survey was based on this number.

Please specify the dates the survey was carried out.

Dr Tariq Kaleem – W/commencing 16.12.13

Dr Jasmine Joseph W/commencing 13.01.14

Dr Ibtihal Al-Tamimi W/commencing 13.01.14

What were the survey results?

We received very good patient feedback in the clinical areas as did the service given by the receptionist. The continuity of care and availability of a particular doctor was also rated highly.

Waiting times to see doctor did not score as well (4 patients rated this as “poor” 3%) but we felt this was due to a new doctor starting at the surgery and they took slightly longer with each patient.

There were 3 areas which received “poor” comments which were in telephoning through to the surgery 14 patients (9%); how do you rate being able to see a doctor on the same day 13 patients (8%) and how do you rate being able to book 2-4 week ahead 15 patients (10%)

Action plan

Please describe how you agreed the action plan with the PRG?

At the meetings held on 14th January & 26th March 2014, the results of the practice survey were discussed.

It was felt that the telephone were still a problem despite recent changes to the system. This to be looked at again to see if further improvements can be made.

It was also felt that we needed to look at the appointments again. On-line appointments had recently become available and 4 appointments per GP per week were available to book on line and this is to be monitored to see if this needed to be reduced/extended. 12 appointments per week are available at present.

A patient book in system to be looked at to stop long queues in the morning. This will be looked at when funds become available.

A notice to be put on the website giving details of what type of appointments available.

Please include a full copy of the agreed action plan. The main actions were:

This is an ongoing Action Plan. However this year the time scales were delayed due to the implementation of new IT systems such as Emisweb, Docman. We have also implemented Electronic Prescription Service and Summary Care Records.

Practice Action Plan (.doc)

Action Plan 2013-14 (.doc)

Please describe the areas that you could not achieve what the PRG wanted.

3 patients suggested opening the surgery either on a Saturday morning or late evenings.

At present the surgery has now plans to extend their opening hours further. However, we do offer an early morning commuter clinic. We also have an out of hours GP service.

Are there any contractual considerations to the agreed actions?

No.

Please provide a summary of the progress made with your 2013/14 action plan

You said ...

We did …

The result is …

Insert survey findings

Insert actions or agreements

Insert achievements to date

If possible book appointment in advance a day or two

You can book 2-4 weeks ahead.

On line booking also available up to 1 week ahead

Brilliant doctors, not too happy with surgery booking rules ie calling at only 9am for app

You can book 2-4 weeks ahead.

On line booking is also available up to 1 week ahead

On arrival often have to wait in a long queue to check in so could end up late. Computer check in as in other surgeries/hospitals is much more efficient

We will look into this thank you for your suggestion

To look into this as soon as funds become available.

 LOCAL PATIENT PARTICIPATION REPORT 2013/14

Local patient participation report

Please describe how the 2013/14 local Patient Participation Report was advertised and circulated

A copy was given to each of the PPG members.

A copy of the report was put on the Uxendon Crescent Surgery Website.

www.uxendoncrescentsurgery.co.uk

Please include a copy of the report and link to your report on the practice website.

Patient Participation DES Appendix 1Patient Participation DES Appendix 1 (.doc)

Confirmation of your Opening times

Please include opening hours and out of hours arrangements in the report

Commuter clinic Monday 7.00-8.00am
9.00am -1.00pm & 2.00pm-6.00pm – Monday & Friday
8.30am -1.00pm & 2.00pm-6.00pm – Tuesday & Wednesday
9.00am- 1.00pm – Thursday
Reception telephones are manned from 9.00am-6.00pm and during the lunch hour.

GP’s see patients for consultations between 9.00am-11.00am & 3.30pm-5.30pm. Telephone appointments are from 11.30am-12.30pm. If home visits are required visits are arranged between 1.00pm-2.00pm.

Out of Hours arrangements

Harmoni offers a message handling service between 8.00 & 8.59 & 18.00-18.29 on Monday, Tuesday, Wednesday & Friday & 08.00-08.59 on Thursday.
Harmoni offer full cover between 18.30pm -08. 00am Monday, Tuesday, Wednesday & Friday & 13.00 – 08.00 on Thursday.

24 hour cover over Weekends and Bank Holidays

Downloads

Analysis 2013-2014 (.xls)

Patient Comments 2013-2014 (.xls)

Patient Survey Results 2012-2013 

APPENDIX 1
UXENDON CRESCENT SURGERY – DRS PATEL, KALEEM & JOSEPH
TEMPLATE FOR INFORMATION TO BE INCLUDED IN THE PATIENT PARTICIPATION REPORT 2012/13

VALIDATE THAT THE PATIENT GROUP IS REPRESENTATIVE

PRACTICE POPULATION PROFILE
Show how the practice demonstrates that the PRG is representative by providing information on the practice profile:
Age
Under 65: 4168 (78.5%)
Over 65: 1143 (21.5%)
Sex
Male: 2585 (48.7%)
Female: 2726 (51.3%)
Ethnicity
41% white
5% Black
31% Asian
23% unknown
Working patterns of patients Levels of unemployment
43% unknown
23% retired
20% school age
2% unemployed
2% employed
Carers
93
Care groups, e.g. Nursing Homes, Learning Disability Community, Mental Health Groups
Birchwood Grange
Brook House
Preston Lodge
Silverholme
Other  
PRG PROFILE
Show how the practice demonstrates that the PRG being is representative by providing information on the PRG profile
Age
Under 65 4 20%
Over 65 16 80%
Sex
Male 7 35%
Female 13 65%
Ethnicity
White 16 80%
Black 2 10%
Asian 1 5%
Working patterns of patients Levels of unemployment
15 Retired
2 Unemployed
3 Employed
Carers
3

Care groups, e.g. Nursing Homes, Learning Disability Community, and Mental Health Groups.

Other  
DIFFERENCES BETWEEN THE PRACTICE POPULATION AND MEMBERS OF THE PRG
Please describe variations between the group and what efforts the practice has made to reach any groups not represented.

On our website
On the notice board in the waiting room
There is also an advert on the Life Channel which informs patients about the Group and where they can download a membership form.

Membership form.doc

VALIDATE THE SURVEY AND ACTION PLAN THROUGH THE PATIENT PARTICIPATION REPORT

SURVEY

Please describe how the priorities for the survey were agreed with your PRG

This was discussed at the PPG meeting of 27/06/12. It was agreed to have the addition of a statement at the top of the form highlighting that this was an anonymous questionnaire.

The PPG requested that we ask whether the patient had ever attended the surgery’s out of hours provider and if so did they have any comment on their experiences.
The question on Mjog (text messaging service) was to be removed from the survey as the surgery no longer used this application.

The rest of the questions were to remain the same with the emphasis being on Clinical care and the patient experience as a whole. It was also agreed to make the survey available to a wider number of patients and it was agreed that 60 patients instead of 50 were to receive the survey.

Patient questionnaire 2012-13.xls

Having established the priorities, please describe how the questions were developed, e.g. Survey Monkey, NAPP website, etc.

We chose to continue with our own in house questionnaire and to keep this to one page. As the questionnaire last year had only 3 options of “poor”, “good” and “excellent” it was decided to keep to this formula.

It was also decided that the questions should remain the same in order for the comparison to be made between the 2 surveys more meaningful.

The inclusion of the out of hours question was agreed as was the removal of the Mjog service.

Each of the PPG members were given a copy of last years questionnaire and were asked to take this home with them and to make any further additions/removals as they saw fit and to return the questionnaire to the practice manager.

The survey was to be distributed to patients during last two weeks of August 2012 or until 60 patient questionnaires had been received back.

Please describe how you carried out the survey?

During the last two weeks of August 60 questionnaires per GP (3 X GP =180) was photocopied. The plan was for every patient who attended for an appointment during these two weeks to be given a questionnaire to complete. As each questionnaire was given to the patient the GP’s initial was put on the top of the questionnaire so that a personal survey could also be carried out. When the survey was returned it was then allocated a number to ensure that at least 60 per GP were received back.

Once 60 had been reached for that GP we ceased to give out any more questionnaires for that particular GP

As some patients took the survey home to complete we actually received back 203.

Please specify the dates the survey was carried out.The survey was carried out during 19th – 31st August 2012

What were the survey results?

There were 6 areas which received a lower percentage than from the 11-12 patient survey. These were based around satisfaction with the receptionists, phoning through to the practice, availability of a particular doctor, can you normally be seen the same day for urgent appointments and overall satisfaction with the surgery.

There were 8 areas which received a higher percentage than in the 11-12 survey and these were based around phoning though to the practice for advice, waiting times had improved and the rest were around the patient’s clinical care.

3 areas remained the same with continuity of care, booking ahead and the recommendation of the doctor/practice to friends.

Of the three areas we wanted to improve on from 11-12 one showed no improvement (telephone through to the practice), one area improved (telephoning through to the GP for advice), and one remained the same (how easy is it to book ahead).

ACTION PLAN

Please describe how you agreed the action plan with the PRG?

During the meeting held on 15th January 2013.
The PPG members asked that the appointment system was looked at including the book ahead which had remained the same as the previous survey. Also to be looked at would be phoning through to the practice and urgent GP same day appointments.

During March discussions were also held with the GP’s and it was suggested that on line booking could help free up the telephone lines. This was put to the PPG where it was received with mixed views, some felt it would be a good idea whilst other felt it could disadvantage those without the technology to make online bookings.

Assurances were given that not all appointments would be offered online and that once this had been set up it would be monitored very carefully.

Please include a full copy of the agreed action plan. The main actions were:

Practice Action Plan.doc

Uxendon Crescent Surgery

To implement online booking for appointment to alleviate the reception and give patients an alternative to booking appointment by telephone and face to face.

Please describe the areas that you could not achieve what the PRG wanted.

There were 3 more areas where we received a lower percentage than 11-12 survey. These were satisfaction with reception, opening hours and overall satisfaction with surgery. It is hoped that with the above changes that it will alleviate the pressure on reception to allow more time per patient.

Are there any contractual considerations to the agreed actions?

No

Please provide a summary of the progress made with your 2011/12 action plan

You said ……. We did …. The result is ….
Insert survey findings Insert actions or agreements Insert achievements to date
telephone through to the practice To have 3 phones manned during the busy morning and afternoon periods. No improvement
telephoning through to the GP for advice Once busy period over to have 2 receptionists man the phones Improvement
how easy is it to book ahead Explained the appointment system by way of a notice in the waiting room and queuing area Remained the same

LOCAL PATIENT PARTICIPATION REPORT 2012/13

LOCAL PATIENT PARTICIPATION REPORT
Please describe how the 2012/13 local Patient Participation Report was advertised and circulated
Via the surgery’s website www.uxendoncrescentsurgery.co.uk

Please include a copy of the report and link to your report on the practice website.

Uxenden Crescent Surgery

www.uxendoncrescentsurgery.co.uk

CONFIRMATION OF YOUR OPENING TIMES

Please include opening hours and out of hours arrangements in the report

Commuter clinic Monday 7.00-8.00am
9.00am -1.00pm & 2.00pm-6.00pm – Monday & Friday
8.30am -1.00pm & 2.00pm-6.00pm – Tuesday & Wednesday
9.00am- 1.00pm – Thursday
Reception telephones are manned during the lunch hour.

Out of Hours arrangements

Harmoni offers a message handling service between 8.00 & 8.59 & 18.00-18.29 on Monday, Tuesday, Wednesday & Friday & 08.00-08.59 on Thursday.
Harmoni offer full cover between 18.30 -08. 00 Monday, Tuesday, Wednesday & Friday & 13.00 – 08.00 on Thursday. Weekends and Bank Holidays

    No of patient responses: 203      
    Poor Good Excellent Unanswered %   %
1 Satisfaction with receptionists 8 89 103 3 74   77
2 Satisfaction with phoning through to practice 17 114 66 6 62   66
3 Satisfaction with phoning through to doctor for advice 7 96 83 17 70   68
4 Satsfaction with availability of particular doctor 4 93 101 5 74   77
5 Satisfaction with continuity of care 3 91 101 8 75   75
6 If you need to see a GP urgently, can you normally be seen the same day? 23 79 91 10 68   70
7 How easy is it to book ahead in your practice? 28 96 73 6 61   61
8 Satisfaction with opening hours 10 118 74 1 66   68
9 Satisfaction with waiting times at the practice 10 127 64 2 63   60
10 Satisfaction with how well the doctor listens to what I say 2 59 141 1 84   82
11 Satisfaction with the doctor's explanation of my problem/treatment 1 65 137 0 83   81
12 My confidence in this doctor's ability 2 64 137 0 83   82
13 The opportunity the doctor gave me to express my concerns/fears 1 68 133 1 83   79
14 The respect shown to me by this doctor 0 49 153 1 88   85
15 The doctor has involved me in decisions about my care 3 72 127 1 81   79
16 The recommendation I would give to my friends about this doctor 3 73 127 0 81   81
17 My overall satisfaction with the surgery 3 90 107 3 76   79

Patient Survey Results 2011-2012

 

 PATIENT COMMENTS

1. Its very difficult to phone in the morning and when waiting to speak to a receptionist it takes a long time

2. Best surgery

3. I would like to have Dr Patel like my doctor (family dr) No ofence for other dr

4. Keep on the good work

5. My doctor JS Patel. Ability to have a glass of water while waiting

6. I would like the surgery to open in weekend and calling any time for appt

7. Excellent staff & my GP Dr Kaleem recommended

8. We as a family are very pleased with this surgery, reception as well as GP's

9. Would be good to have a few more early appointments

10. Everying is fine, so helpful & support & good service

11. My GP & the reception staff are always very professional and helpful

12. I DON'T OFTEN VISIT BUT WHEN I DO I LIKE TO SEE MY DOCTOR, not the others in the practice. As a result I am well satisfied because we have build up a rapport. Access however to the practice on the phone is abysmal

13. Big thank you

14. This practice is excellent and would do even better if it was not overwhelmed by NHS bureaucratic demands

15. Open Sat am & all day Thursday.dotmatrix board in waiting room instead of buzzer

16. I do not have any complaints I am very happy with this clinic. Receptionists very helpful

17. The hours/days when one can first register at this surgery is unsuitable as one has to take time off work.  Should be more flexy.  Otherwise "Excellent"

18. Overall excellent but luckily not been to see a doctor for a long time

19. The practice works well as a team-both the medical and admin staff shows perception, patience and are constructive and have a sense of humour

20. Have been attending the practice for 43 years cannot find fault with anything

21. Would prefer first available appointment everybody can't get through at 9.00am

22. Always had satisfactory treatment - reception and doctors

23. My GP is excellent

24. We are lucky indeed to have such an accommodating practice

25. It would be mice to have drinking water facility in the waiting room

26. If the surgery could be open for more longer hours then it would be more beneficial for working people

27. Dr should be more like a friend to patients that will make the patient feel wanted

28. Some receptions are very nice & polite whils one that I know of was not at all. Please ensure that all receptionists treat all callers nicely & be equally helpful.

29. Dr Kaleem is excellent

30. This surgery is excellent becase they give you the sam day appt

31. Could do with extra phone line to book appointmets

32. Overall good services. Well done

33. There should be some weekend openings pls. Nearest walk-in centre is 3km away without direct public transport

34. Receptionists are bullish in nature on the phone, in person they are ok. To make an appt must call at 9. Not good We should be able to call anytime for appt.

35. Keep on the good work

36. There must be a better way of making appointments

37. Surgery decoration & furniture upgrade needed. Extend early bird or afterwork availability

38. Train the receptions to realise the practice is not only for their benefit

39. All I can say is everyone at the surgery is king & excellent

40. More time for each individual visit-present slot seems a bit short

41. Maybe to save queue at reception someone could come and ask who are waiting to confrim attendance for appt et.

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