Dr F Gupta's Practice

Updated 7 October 2016

Dr F Gupta’s Practice is also known as Drighlington Medical Centre and is a member of the Leeds West Clinical Commissioning Group (CCG). Personal Medical Services (PMS) are provided under a contract with NHS England. The practice is also registered with the Care Quality Commission (CQC). They offer a range of enhanced services, which include:

• extended hours access
• delivering childhood, influenza and pneumococcal vaccinations
• facilitating timely diagnosis and support for people with dementia
• identification of patients with a learning disability and the offer of annual health checks
• identification of patients at a high risk of an unplanned admission and providing additional support as needed.

The practice is located at Station Road, Drighlington BD11 1JU, which is situated between Bradford, Leeds and Wakefield. Drighlington Medical Centre is owned by one of the GP partners. The centre is purpose built with easy access for disabled patients or pushchairs and there are car parking facilities on site.

The patient list size is currently 2,843 and made up of predominantly white British with a small number of patients from mixed ethnic backgrounds. There are some slight variances in patient demographics compared to CCG and national averages. For example:

* 22% of patients are aged 18 or younger (CCG 19%, national 21%)

* 59% of patients are in paid employment or full time education (CCG 66%, national 61%) 

* 2% of patients are unemployed (CCG and national 5%)

* 67% of patients have a long-standing health condition (CCG 51%, national 54%)

There are two female GP partners, who are mother and daughter. There is also a regular male locum GP and one female practice nurse. The clinicians are supported by a practice manager and a team of administration and reception staff who oversee the day to day running of the practice.

The practice is open Monday to Friday 8.30am to 7pm and from 9.45am to 12.45pm on Saturday. Appointments can be pre-booked, made on the same day or a telephone consultation can be arranged. When the practice is closed out-of-hours services are provided by Local Care Direct, which can be accessed via the surgery telephone number or by calling the NHS 111 service.

The practice has good working relationships with local health, social and third sector services to support provision of care for its patients. (The third sector includes a very diverse range of organisations including voluntary, community, tenants’ and residents’ groups.) These include local residential and nursing care homes, where the practice has 32 registered patients who reside there.

Updated 7 October 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr F Gupta’s Practice (known as Drighlington Medical Centre) on 14 September 2016. Overall the practice is rated as good for providing safe, effective, caring, responsive and well-led care for all of the population groups it serves.

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

• The practice complied with the requirements of the duty of candour. (The duty of candour is a set of specific legal requirements that providers of services must follow when things go wrong with care and treatment.)
• There was an open and transparent approach to safety. All staff were encouraged and supported to record any incidents using the electronic reporting system. There was evidence of good investigation, learning and sharing mechanisms in place.
• Risks to patients were assessed and well managed.
• There were safeguarding systems in place to protect patients and staff from abuse.
• There was a clear leadership structure, staff were aware of their roles and responsibilities and told us the GPs and practice manager were accessible and supportive. There was evidence of an inclusive team approach to providing services and care for patients.
• Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients’ needs were assessed and care was planned and delivered following local and national care pathways and National Institute for Health and Care Excellence (NICE) guidance.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• The practice staff had a good understanding of the needs of their practice population and were flexible in their service delivery to meet patient demands; such as providing additional GP appointments or telephone consultations when required.
• Patients said they found it easy to make an appointment. There was continuity of care and if urgent care was needed patients were seen on the same day as requested.
• Information regarding the services provided by the practice and how to make a complaint was readily available for patients.
• The practice sought patient views how improvements could be made to the service, through the use of patient surveys, the NHS Friends and Family Test and engagement with patients.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 7 October 2016

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

• The GPs and practice nurse both supported the management of long term conditions. Annual or six monthly reviews were undertaken to check patients’ health care and treatment needs were being met. There was an effective system for the follow-up of non-compliant patients.
• The practice maintained a register of patients who were a high risk of an unplanned hospital admission. Care plans and support were in place for these patients.
• Clinicians liaised with the community matron regarding care, treatment and support of these patients, particularly those which were housebound.
• There were effective systems in place to support the recall of these patients for influenza and pneumococcal vaccinations.
• Pre-diabetes checks were undertaken with those patients who were deemed most at risk of developing diabetes.
• The practice delivered care and support for some patients using an approach called the House of Care. This approach enabled patients to have a more active part in determining their own needs in partnership with clinicians. It was currently used with patients who had diabetes.
• 100% of newly diagnosed diabetic patients had been referred to a structured education programme in the preceding 12 months (CCG average 88%, national average 90%).
• 80% of patients diagnosed with asthma had received an asthma review in the last 12 months (CCG and national averages of 75%).
• 94% of patients diagnosed with chronic obstructive pulmonary disease (COPD) had received a review in the last 12 months (CCG average 89%, national average 90%).

Updated 7 October 2016

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

• The practice worked with midwives, health visitors and school nurses to support the needs of this population group. For example, the provision of ante-natal, post-natal and child health surveillance clinics.
• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk.
• Patients and staff told us children and young people were treated in an age-appropriate way and were recognised as individuals.
• Appointments were available outside of school hours and the premises were suitable for children and babies. Same day access was available for all children under the age of five.
• At between 91% and 100%, immunisation uptake rates were in line with CCG and national rates for all standard childhood immunisations. There was a dedicated member of staff who followed up those children that did not attend or were late for their immunisations.
• Sexual health, contraceptive and cervical screening services were provided at the practice, which included coil and implant fitting and removal and chlamydia screening.
• The practice promoted cervical screening and 90% of eligible patients had received a test (CCG average 79%, national average 82%).

Updated 7 October 2016

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

• Proactive, responsive care was provided to meet the needs of the older people in its population.
• They offered rapid access appointments to those patients with enhanced needs and those who could not access the surgery due to ill health or frailty.
• Medication reviews were undertaken every six months.
• Registers of patients who were aged 75 and above or frail elderly were in place to ensure timely care and support were provided.
• The practice worked closely with other health and social care professionals, such as the district nursing team, to ensure housebound patients received the care and support they needed.
• The practice had 32 registered patients who resided in local residential care homes. Weekly visits were undertaken by a GP, at each of these homes, to support provision of care and treatment.

Updated 7 October 2016

The practice is rated as good for the care of working age people (including those recently retired and students).

• The needs of these patients 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 provided extended hours appointments on evenings and at the weekend, telephone consultations, online booking of appointments and ordering of prescriptions.
• The practice offered a range of health promotion and screening that reflected the needs for this age group.
• Travel health advice and NHS travel vaccinations were available.
• Measles, mumps and rubella (MMR) and Meningitis ACWY vaccinations were offered to students. Temporary registration was also available for patients who were staying in the area for less than three months.

Updated 7 October 2016

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

• The practice regularly worked with multidisciplinary teams in the case management of people in this population group, for example the local mental health team.
• Patients and/or their carer were given information on how to access various support groups and voluntary organisations.
• 80% of patients diagnosed with dementia and 100% of patients who had a complex mental health problem, such as schizophrenia, bipolar affective disorder and other psychoses, had received a review of their care in the preceding 12 months. These were both in line with CCG and national averages.
• The practice followed up these patients who did not attend their appointments.
• Patients who were at risk of developing dementia were screened and support provided as necessary.
• Staff had a good understanding of how to support patients with mental health needs or dementia.

Updated 7 October 2016

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

• Staff knew how to recognise signs of abuse in children, young people and adults whose circumstances may make them vulnerable. They 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.
• We saw there was information available on how patients could access various local support groups and voluntary organisations.
• An alert was placed on the electronic record of patients who had a learning disability, to raise awareness with staff of any potential vulnerability.
• There was a designated member of staff who managed a register of patients who had a learning disability and ensured they were offered an appointment for an annual health review.