Dr Meadows and Partners Also known as Priory Surgery

Updated 19 November 2015

Priory Surgery is located in an urban area of Bristol. They have approximately 8484 patients registered.

The practice operates from one location:

326 Wells Road

Knowle

Bristol BS4 2QJ

It is sited in two adjacent houses in a two storey building. The consulting and treatment rooms for the practice are situated on both floors. The practice has eight consulting rooms, one for each GP Partner and one allocated for any trainee GPs on placement. There are two treatment rooms (for use by nurses, health care assistants and phlebotomists); reception and records room; and a waiting room area on both floors. There is limited patient parking immediately outside the practice with spaces reserved for those with disabilities.

The practice is made up of five GP partners, one salaried GPs and the practice manager, working alongside three qualified nurses and one health care assistant and two phlebotomists. The practice is supported by an administrative team made of medical secretaries, receptionists and administrators. The practice is open from 8.30am until 6.30pm Monday to Friday for on the day urgent and pre-booked routine GP and nurse appointments. Extended opening hours are available for pre-bookable appointments, this is rotated so they can offer extended hours on a different day each week.

The practice has a Personal Medical Services contract with NHS England (a locally agreed contract negotiated between NHS England and the practice). The practice is contracted for a number of enhanced services including extended hours access, facilitating timely diagnosis and support for patients with dementia, patient participation, immunisations and unplanned admission avoidance.

The practice is a training practice and also offers placements to medical students and trainee GPs.

The practice does not provide out of hour’s services to its patients, this is provided by BrisDoc. Contact information for this service is available in the practice and on the website.

Patient Age Distribution

% aged 0 to 4 years: 5.5%

% aged 5 to 14 years: 11.5%

% aged under 18 years: 14.1%

% aged 65+ years: 17.9%- higher than the national England average.

% aged 75+ years: 7.9% - higher than the national England average.

85+ years old: 2.2% the national England average.

Updated 19 November 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Priory Surgery on 6 October 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, well led, effective, caring and responsive services. It was also rated as good for providing services for all of the population groups.

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

• Patients’ needs were assessed and care was planned and delivered following best practice guidance.
• 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.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments always available the same day.
• Risks to patients were assessed and well managed.
• Staff worked cohesively as a team and understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• There was a clear leadership structure and staff felt supported by management.
• The practice proactively sought feedback from staff and patients, which it acted upon.

• The practice were proactive in ensuring the facilities were reviewed and fit for purpose and had been successful in accessing the Prime Minister’s Innovation funding for renovation work which will improve the facilities available.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 19 November 2015

The practice is rated as good for the care of people with long-term conditions. Nursing staff had lead roles in chronic disease management. Patients diagnosed with long term conditions were supported through a range of clinics held for specific conditions such as, asthma, chronic obstructive pulmonary disease (COPD) and heart failure. Nurse led clinics and home review visits were available to patients diagnosed with long term conditions such as diabetes. Longer appointments and home visits were available when needed. All of these patients had a structured annual review to check their health and medicines needs were being met. Patients receiving palliative care, those with cancer diagnosis and patients likely to require unplanned admissions to hospital were added to the Out of Hours system to share information and patient choices and decisions with other service providers.

Updated 19 November 2015

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. Appointments were available outside of school hours and the premises were suitable for children and babies. The practice provided GP services to a neighbouring mother and baby unit which demonstrated the joint working with midwives, health visitors and school nurses. The practice worked to provide inclusive services for younger patients, such as hosting the 4YP (for young people) initiative which enabled young patients to access sexual health care.

Updated 19 November 2015

The practice is rated as good for the care of older people. Nationally reported data showed outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older patients in its population and had a range of enhanced services, for example, emergency admission avoidance. We found integrated working arrangements with community teams such as the community lead nurse for older people. The practice worked closely with carers and one staff member acted as the carer’s champion.

Updated 19 November 2015

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 service availability 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 reflected the needs of this age group, such as NHS Health checks for those between 40 and 74 years. The practice offered good access to GPs for telephone consultations and had recently signed up for online patient consultations.

Updated 19 November 2015

The practice is rated as good for the care of people experiencing poor mental health (including patients with dementia). The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those living with dementia. The practice accessed community based support services for patients living with dementia such as the dementia navigator. The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations such as talking therapies.

Updated 19 November 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. They held a register of vulnerable patients such as those with a learning disability. The practice regularly worked with multi-disciplinary teams 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 safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours. Patients could access additional services onsite such as substance misuse services.