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A Practical Guide to Paraguay: Part 1 – Ciudad del Este, Encarnacion & San Rafael

Dr Encarnacion Ruiz-Gutierrez also known as St. Restoration of the building began in , led by a charity formed by local people. The building is fully accessible, and parking is available on surrounding streets. The practice is well served by public transport links.

The clinical staff team are two lead GPs one female and one male collectively providing seventeen sessions weekly, one male regular locum GP providing one session, two regular part-time locum female practice nurse working three sessions, and a female healthcare working four full days per week. Non-clinical staff are a full time practice manager working and a team of reception and administrative staff working a variety of full and part time hours. The practice has a website that contains information about what they do to support their patient population and the in house and online services offered:.

The practice's opening hours are 8am to 6. Appointments include walk in, home visits, telephone consultations and online pre-bookable appointments. Urgent appointments are available for patients who need them. Out of hours services are provided by Newham GP Coop 6. In addition, the local Federation provides GP appointments available between 8am and 8pm Monday to Sunday. The area has a lower percentage of people over 65 years of age 4. Information taken from Public Health England placed the area in which the practice is located in the second most deprived decile from a possible range of between 1 and In general, people living in more deprived areas tend to have greater need for health services.

The announced inspection was part of our inspection programme. Following a Care Quality Commission annual regulatory review to check for changes in quality we inspected the key questions effective and well-led. We used information from our previous inspection findings for the key questions safe, caring and responsive. The practice was previously inspected on 1 February and was rated good overall.

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