Ossett Surgery

Updated 29 September 2016

The practice operates from a main surgery which is located at Ossett Health Village, Kingsway in Ossett, West Yorkshire. The practice serves a patient population of around 12,000 patients and is a member of NHS Wakefield Clinical Commissioning Group.

The surgery is situated in purpose built premises which opened in 2009. The surgery is located over two floors and is accessible for those with a physical disability as floor services are level, doorways are wide and fitted with automatic doors and a passenger lift was available for use. The practice is located on the same site as another GP practice, the local extended hours service, community services and an independent pharmacy. There is parking available on the site for patients.

The practice population age profile shows that it is above both the CCG and England averages for those over 65 years old (21% compared to the CCG average of 18% and England average of 17%). Average life expectancy for the practice population is 79 years for males and 83 years for females (CCG average is 77 years and 81 years and the England average is 79 years and 83 years respectively). The practice population is predominantly White British.

The practice provides services under the terms of the Personal Medical Services (PMS) contract. In addition the practice offers a range of enhanced local services including those in relation to:

• Childhood vaccination and immunisation

• Influenza and Pneumococcal immunisation

• Rotavirus and Shingles immunisation

• Dementia support

• Risk profiling and care management

• Support to reduce unplanned admissions

• Improving patient online access

• Minor surgery

• Patient participation

As well as these enhanced services the practice also offers additional services such as those supporting long term conditions management including asthma, chronic obstructive pulmonary disease, diabetes, heart disease and hypertension, joint injections and physiotherapy.

Attached to the practice or closely working with the practice is a team of community health professionals that includes health visitors, midwives, members of the district nursing team and health trainers.

The practice has five GP partners (three male, two female), two salaried GPs (one male, one female), two regular locums (both male). In addition there is one community paramedic (male), one advanced nurse practitioner (female), four practice nurses (all female), one health care assistant and one apprentice healthcare assistant (both female) and two phlebotomists (both female). Clinical staff are supported by a practice manager and an administration and reception team. In addition the practice also has the services of pharmacists and physiotherapists on site, as well as GP Trainees and Foundation Year Two doctors who are receiving training and experience.

The practice appointments include:

• On the day appointments – these made up the vast majority of appointments within the practice

• Pre-bookable appointments – for evenings and weekend sessions only

• Telephone consultations - where patients could speak to a GP or nurse to ask advice and if identified obtain an appointment

Appointments can be made in person or via the telephone.

The practice is open between 8am and 6.30pm Monday to Friday. Additionally the practice works with other local GPs to offer appointments from 6.30pm to 8.30pm Monday to Friday and from 9am to 3pm on a Saturday and Sunday. These appointments are primarily for patients who are working and unable to attend during normal working hours and appointments can be booked up to 7 days in advance. This service is delivered from within the same building as Church Street Surgery.

The practice is accredited as a training practice and supports GP Trainees, Foundation Year 2 doctors and medical students.

Out of hours care is provided by Local Care Direct Limited and is accessed via the practice telephone number or patients can contact NHS 111.

Updated 29 September 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Church Street Surgery, Ossett Health Village, Kingsway, Ossett on 5 July 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

• Risks to patients were assessed and generally well managed.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.

• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.

• Patients said they found it easy to make an appointment with a GP and there was continuity of care, with urgent appointments available the same day.

• The practice had good facilities and was well equipped to treat patients and meet their needs.

• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

• The provider was aware of and complied with the requirements of the duty of candour.

  We saw two areas of outstanding practice:

• The practice delivered “bite-sized training” within clinical team meetings, subjects covered included female genital mutilation, acute kidney injury and feedback on a recent COPD audit. These training sessions were then stored on the practice shared drive as a resource.

• The practice operated a diabetic clinic delivered in conjunction with a local secondary care provider. The practice also offered specialist care management and enhanced services such as insulin initiation in-house.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 29 September 2016

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

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

• The practice had an effective recall system for patients with long term conditions such as diabetes, asthma, heart disease and COPD. Reviews were combined if a patient had co-morbidities.

• The practice operated a diabetic clinic delivered in conjunction with a local secondary care provider. The practice also offered specialist care management and enhanced services such as insulin initiation in-house.

• Performance for diabetes related indicators was better than the CCG and national averages. For example, 97% of patients on the diabetes register had a record of a risk classification and foot examination recorded in the previous 12 months compared to a CCG average of 89% and a national average of 88%.

• The practice offered e-consultations with secondary care specialist consultants. This meant a reduction in the need for patients to visit secondary care providers, and to them receiving more timely advice and treatment than would be otherwise the case.

• Longer appointments and home visits were available when needed.

Updated 29 September 2016

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

• There were systems in place 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 A&E attendances.

• Immunisation rates were relatively high for all standard childhood immunisations and the practice worked with health visitors to promote immunisations to families that had not brought children in for their required immunisations.

• We were told by the practice that children and young people were treated in an age-appropriate way and were recognised as individuals. The practice was working to achieve Young People Friendly accreditation.

• The practice was a c-card distribution centre which gave improved access to contraceptives for young people, and chlamydia screening was available (chlamydia is a common sexually transmitted disease which may not show obvious symptoms). .

• The practice’s uptake for the cervical screening programme was 82%, which was comparable to the CCG average of 83% and the national average of 82%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

Updated 29 September 2016

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

• The practice offered proactive, personalised care to meet the needs of the older people in its population. For example, the practice had identified those patients with complex needs and risk of admission to hospital. Plans were in place to manage the care for these in order to prevent admission or support people when they were discharged.

• Older people and the vulnerable were offered help to book appointments and record their arrival at the surgery.

• Patients age 70 or over were contacted by the practice and Health Champions if they hadn’t been seen by the surgery for six months to establish if they has any ongoing health or care needs that were not being met.

• Via one of the local Wakefield Vanguard programmes the practice was about to start delivery of clinical sessions to patients in a local residential home.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

Updated 29 September 2016

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. For example, the practice participated in the catch up programme for students aged 17 and over for measles, mumps and rubella and meningitis C vaccinations.

• Telephone and face-to-face appointments were available to patients throughout the day which included the lunchtime period. Extended hours access was also available in the evening and at weekends from within the same building as Church Street Surgery. From 1 April 2016 to 2 July 2016, 171 patients had utilised the extended hour’s service, and feedback from patients indicated that 97% would recommend the service to others.

Updated 29 September 2016

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

• Performance for mental health related indicators was similar to the CCG and national averages. For example, 85% of patients with dementia had had their care reviewed face to face in the preceding 12 months compared to CCG and national averages of 84%.

• The practice held registers of patients who experienced poor mental health and dementia and used these to target services and manage recalls and reviews. The practice also used screen pop-ups to alert staff to the specific needs of these groups.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

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

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health, they also followed up vulnerable patients who did not attend or cancelled appointments.

• Staff had a good understanding of how to support patients with mental health needs and dementia. In addition the practice had achieved "working towards dementia friendly" status.

Updated 29 September 2016

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

• The practice held a register of patients living in vulnerable circumstances such as those with a learning disability.

• The practice offered longer appointments for patients with a learning disability or the frail elderly with complex needs.

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

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff 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 had developed protocols to help identify and manage patients at risk of abusing medication.

• The practice was registered under the Wakefield Safer Places Scheme. This was a voluntary scheme which assists vulnerable people to feel safer and more confident when travelling independently away from home and direct support.