Dr Gabriel Hendow

Updated 25 August 2016

Dr Gabriel Hendow is situated in the north of the City of Hull and provides services under a General Medical Services (GMS) contract with NHS England to the practice population of 2,515, covering patients of all ages. The practice is supported by Hull Business Training and employs Apprentices.

The practice has one full time GP partner who is male, a practice nurse, a specialist COPD nurse (part time), a practice manager and a team of secretarial, administration and reception staff.

The practice is open between 8am and 6.30pm Monday to Friday. Appointments are from 8am to 6.30pm daily. Information for patients requiring urgent medical attention out of hours is available in the waiting area, in the practice information leaflet and on the practice website

The proportion of the practice population in the 25-39 years age group is significantly higher than the England average. The practice population in the 55-64 years age group is also significantly higher than the England average. The practice scored one on the deprivation measurement scale, which is the first lowest deprived. People living in more deprived areas tend to have greater need for health services. The overall practice deprivation score is worse than the England average, the practice is 41.5 and the England average is 21.8.

Updated 25 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Gabriel Hendow on 16 June 2016. Overall the practice is rated as outstanding.

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 well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide these 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. Discussions with staff and feedback from patients’ demonstrated staff were highly motivated and were inspired to offer care that was kind, caring and supportive and that met the needs of the population.
• 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 named 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.
• Leadership was reflective at the practice and involved the whole team in a cohesive way, which provided strong and decisive decision making around patient care.
• Although already achieving high outcomes in a number of areas, the practice team wished to improve their services and the experience of patients. They actively explored ways in which to do this.
• The provider was aware of and complied with the requirements of the duty of candour.
• The overall practice deprivation score is worse than the England average, the practice is 41.5 and the England average is 21.8.

We saw several areas of outstanding practice including:

• The practice had promoted positive health checks in teenagers (13, 14 and 15 years old) during 2014/15 and had identified health concerns that would have not normally been detected. As a result of this health check programme the practice extended the teenage health check during 2015/16 to include 16 to 19 year olds. Further health concerns were identified and actioned. Data showed that for 2014/15 six out of 67 patients had abnormalities identified and 2015/16 showed that seven out of 83 had abnormalities identified.

• In January 2014 the practice started a ‘food clinic’ in conjunction with a local healthcare provider and the local authority. The innovative food clinic was designed to encourage patients to promote their own health and well-being by attending cooking sessions on the practice premises. Local chefs were sought and fresh ingredients used to enable patients to be taught ways in which to cook healthy food options that improved their lifestyles and all round general health. We spoke with two PPG members that had attended the four week food clinic session and they told us that it had made a difference to their lives in a positive way by allowing them to improve their own health and choose more health conscious foods in the future using their newly acquired skills.

• The practice also piloted exercise classes for patient in conjunction with a local health centre who also provided a qualified health trainer. A fitness programme of 12 weeks was prescribed to patients with health concerns for example; overweight, high cholesterol levels and poor blood pressure reading. Patients had their health checked at the start of the 12 week programme and at the end when they had completed their exercise programme. All patents identified improvements in their weight, cholesterol levels and blood pressure. This programme is now being rolled out across other practices within the city of Hull.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 25 August 2016

The practice is rated as outstanding for the care of people with long-term conditions (LTCs).

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

• The practice employed a specialist chronic obstructive pulmonary disease (COPD) nurse who was also directly involved with patient’s reviews for other LTCs.

• Nationally reported data for 2014/2015 showed that outcomes for patients with long term conditions were good. For example, performance for diabetes related indicators was 100%, which was better than the local CCG and national average.  

• Longer appointments and home visits were available when needed.

• All patients with complex conditions had a named GP and a structured annual review to check that their health and medicines needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 25 August 2016

The practice is rated as outstanding 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.

• Nationally reported data from 2014/2015 showed patients diagnosed with asthma, on the register, who had had an asthma review in the last 12 months was 76%, which was 1% better than the local CCG average and 1% better than the national average.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• The practice had promoted positive health checks in teenagers (13, 14 and 15 years old) during 2014/15 and had identified health concerns that would not normally have been detected. As a result of this health check programme the practice extended the teenage health check during 2015/16 to include 16 to 19 year olds. Further health concerns were identified and actioned. Data showed that for 2014/15 six out of 67 patients had abnormalities identified and 2015/16 showed that seven out of 83 had abnormalities identified.

• Nationally reported data from 2014/2015 showed the practice’s uptake for the cervical screening programme was 86%, which was 4% better than the local CCG average and 4% better than the national average.  

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

Updated 25 August 2016

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

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

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

• For those patients with the most complex needs, the practice worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 25 August 2016

The practice is rated as outstanding 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 reflected the needs for this age group.

Updated 25 August 2016

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

• Nationally reported data from 2014/2015 showed the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive care plan documented in their record, in the preceding 12 months was 94%. This was 6% better than the local CCG average and 5% better than the national average.

• Nationally reported data from 2014/2015 showed 83% of people diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months. This was similar to the local CCG average and the national average.

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

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

• It had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

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

Updated 25 August 2016

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

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

• 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 informed vulnerable patients about how to access various support groups and voluntary organisations.

• 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.