Stanley Health Centre Also known as Stanley Surgery

Updated 29 April 2016

Stanley Health Centre is located in Wakefield and provides services for around 7,600 patients. The practice is based in a purpose built unit, which is of modern design and which opened in 2014 after the redevelopment of the previous practice building. There is parking available on site and additional parking is available on nearby streets. The practice building is accessible to those with a disability and can be accessed via a low gradient ramp leading up to automatic doors. A privately operated commercial pharmacy is attached to the practice building. The practice is a member of the Wakefield Clinical Commissioning Group (CCG).

The practice has a similar population age profile compared to the England average with 17% of patients being aged 65 years or over. Data from Public Health England indicates 63% of the practice population has a long standing health condition compared to 54% nationally. Average life expectancy for the practice population is 80 years for males and 85 years for females compared to a CCG average life expectancy of 77 years for males and 81 years for females (England average is 79 years and 83 years respectively). The area is ranked as being less deprived than most areas and is placed in the fourth least deprived decile. The practice population is predominantly White British, although the practice reports that there is a growth in patients of Eastern European origin.

The practice provides services under the terms of the General Medical Services (GMS) and is registered with the Care Quality Commission (CQC) to provide the following services; treatment of disease, disorder or injury, diagnostic and screening procedures, family planning, surgical procedures and maternity and midwifery services. In addition to this 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

• Minor surgery

• Extended hours

• Dementia diagnosis and support

• Improving patient online access

• Learning disability support

• Risk profiling and care management

• Reducing unplanned admissions

• Patient participation

As well as these enhanced services the practice also offers additional services such as those supporting chronic disease management including asthma, diabetes, joint injections and travel vaccinations.

The practice has five GP partners (four male, one female), one senior nurse prescriber (female), one practice nurse (female) and two health care assistants (both female) and a phlebotomist/receptionist (female). Clinical staff are supported by a practice manager and an administration and reception team.

The practice offers a range of appointments, these include:

• Routine pre-bookable appointments up to three months in advance

• Urgent appointments/on the day

• Nurse triage where patient’s needs are assessed and appropriate care options are offered including urgent/on the day appointments, home visits or signposting to a service such as a pharmacy.

• Telephone consultations

• In addition the practice offers home visits to patients who are too ill to come into the surgery

Appointments could be made in person, via the telephone or on-line.

The practice is open Monday to Friday 8am to 6pm with GP consultation times being Monday to Friday 8.30am to 11.10am and 3.30pm to 5.30pm. Pre-bookable appointments are available from 7am on most Tuesdays and Thursdays, and late evening appointments are also available on certain Tuesday and Wednesday evenings up to 8pm.

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

Updated 29 April 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stanley Health Centre on 23 February 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 well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
• 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 areas of outstanding practice:

• The practice delivered an avoiding unplanned admissions service which provided proactive care management for those patients who had complex needs and were at risk of an unplanned hospital admission. The practice used a risk profiling tool to identify these patients. The practice then carried out advanced care planning and regular patient reviews, which involved multi-disciplinary working across health and social care. As a result the practice could evidence a 46.8% reduction in emergency admissions over the past two years.

• The practice provided two clinical sessions per week at local nursing homes, during which patient health needs were met and care plans were reviewed. As a result of their interventions the practice could evidence that from October 2014 to September 2015 there had been a 12.5% reduction in Accident and Emergency attendances, an 11.3% reduction in admissions and a 10.4% reduction in ambulance calls for patients from this home.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 29 April 2016

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

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

• The practice had delivered an avoiding unplanned admissions service which provided proactive care management for those patients who had complex needs and who could be at risk of unplanned hospital admission. Using 2012/13 data as a baseline the practice had seen a 46.8% reduction in emergency admissions over this period.

  Longer appointments and home visits were available when needed.

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

• The practice worked closely with one of three local integrated care hubs as part of the Connecting Care programme, which supported patients to avoid a hospital admission by providing care in their home. The practice was able to offer jointly delivered care or refer patients onto a range of other health and care professionals such as therapists, palliative care nurses and staff from voluntary organisations.Specialised diabetes appointments were available at the practice delivered by a GP and a diabetes consultant.

• The practice website had a specific long term conditions tab with links to health advice and information resources.   

Updated 29 April 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 issues in relation to safeguarding were identified on the patient record.

• Immunisation rates were high for all standard childhood immunisations.

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

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

• The practice hosted a range of services for families including Wednesday afternoon child health clinic accessed via appointment and ante-natal midwife run clinics.

Updated 29 April 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.

• The practice had participated in the West Riding Nursing and Residential Home Pilot and had continued to be part of the now mainstreamed Wakefield Vanguard Connecting Care programme. As part of the programme the practice provided two clinical sessions per week at local nursing homes.

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

Updated 29 April 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 offered its own extended hours opening, and with other partner practices participated on a rota basis offering appointments from 6.30pm to 8pm Monday to Friday and 9am to 3pm on Saturday operating from a neighbouring surgery.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

• The practice offered a number of on-line services including booking appointments and ordering repeat prescriptions.

Updated 29 April 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 multi-disciplinary teams in the case management of people 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.

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

Updated 29 April 2016

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

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people, this included palliative care meetings and coordinated working as part of the Connecting Care integrated care programme.

• 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.

• The practice was registered under the Wakefield Safer Places Scheme. This is a voluntary scheme which assists vulnerable people to feel safer when travelling independently. If the person felt unwell, lost or in distress they could access the practice, who would then contact a named relative, carer or friend.