Gibson Lane Practice

Updated 12 September 2016

The practice is a member of the Leeds South and East Clinical Commissioning Group (CCG). Personal Medical Services (PMS) are provided under a contract with NHS England. They also 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 and review of patients at high risk of an unplanned hospital admission
• obtain the views of patients through a patient participation group

The practice is classed as being in one of the lesser deprived areas within Leeds and currently has a patient list size of 11,285, which is predominantly white British. They have a higher than national average number of patients aged 55 years and over with life expectancy being high for the CCG area; 80 years for male (76 years CCG) and 84 years for females (80 years CCG). Additionally:

• 61% of patients have a long standing health condition (56% CCG)
• 64% are in paid work or full time education (59% CCG)
• 1% are unemployed (8% CCG)

Gibson Lane Practice main site is located at Kippax Health Centre, Gibson Lane, Kippax, Leeds LS25 7JN, which is a suburb on the outskirts of Leeds. It is based within a purpose built health centre, which also houses several community services, such as the district nursing team, physiotherapy, podiatry, ultrasound and an onsite pharmacy. There is disabled access and a large car park with some designated disabled parking spaces. Opening hours are Monday 8am to 8pm, Tuesday to Friday 8am to 6pm and alternate Saturdays 8am to 11am. Appointment times after 6pm and on Saturday mornings are for pre-booked appointments only.

They are two branch surgeries:

1. Garforth Surgery, 3/5 Hazelwood Avenue, Garforth, Leeds LS25 2AW. This is located in a converted bungalow in a residential area situated less than two miles from the main branch. Parking is limited and disabled access is difficult for wheelchair users. Opening hours are Monday to Friday 8am to 6pm, with the practice closing at 12 midday on Wednesday.

1. Monk Fryston Surgery, 37 Main Street, Monk Fryston, Leeds LS25 5DU. This is located in a converted and extended bungalow in a small village approximately seven miles from the main branch. There is a car park at the back of the building and disabled access is available. This surgery also has a small dispensary. Opening hours are Tuesday and Friday 8am to 12pm, closed Wednesday and 2pm to 6pm on Thursday. Monday opening hours on weeks one, two and five are 4pm to 8pm and on weeks two and four they are 2pm to 6pm.

Patients can access any of the locations. When the main 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.

There are five GP partners (four female, one male) and four salaried GPs (three female, one male). Nursing staff consist of an advanced nurse practitioner, six practice nurses, two health care assistants and three phlebotomists; all of whom are female. The practice also employs a male pharmacist. Clinical staff are supported by a team of administration staff and a practice manager who oversees the day to day running of the practice. At the Monk Fryston site there is also a team of four dispensers and administration staff.

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.)

Gibson Lane Practice is a teaching and training practice. They are accredited to train qualified doctors to become GPs (registrars) and to support undergraduate medical students with clinical practice and theory teaching sessions. They are also an accredited research practice. One of the GP partners acts in the capacity of prescribing lead for the CCG.

Updated 12 September 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Gibson Lane Practice on 2 August 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:

• There was a clear leadership structure, staff were aware of their roles and responsibilities and told us the GPs were accessible and supportive. There was evidence of an all-inclusive team approach for 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 had good access to appointments over three locations, which included extended hours early morning, in an evening and on Saturdays. 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 views on how improvements could be made to the service, through the use of patient surveys, the NHS Friends and Family Test and engagement with patients and their local community. They were leading on a locality wide patient participation group with regard to the delivery of enhanced services such as patient liaison, extended access and healthy lifestyle support.
• There were safe and effective systems in place, which included the management of medicines, patient care and safeguarding.
• The practice had an organised and effective approach to infection prevention and control which was in line with recommended guidance. This was evidenced in their policies, audits and training of staff.
• The practice promoted a culture of openness and honesty. There was a nominated lead for dealing with significant events. 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.
• 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.)

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 12 September 2016

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

• The practice maintained a register of those patients who were a high risk of an unplanned hospital admission. Each identified patient had a care coordinator and a care plan in place.
• The practice had a same day access policy for those patients who experienced a deterioration in their condition. Longer appointments were also available as needed.

• The practice delivered care and support for some patients using an NHS approach called the Year of Care (YoC). YoC supports and enables patients to be involved in their own care, by providing a more personalised approach and supporting self-management. It was currently used with patients who had chronic obstructive pulmonary disease (COPD), cardiovascular disease and diabetes.
• In line with best practice, six monthly or annual reviews were undertaken to check patients’ health care and treatment needs were being met:
• 94% of patients diagnosed with COPD had received a review in the last 12 months (CCG average 88%, national average 90%)
• 73% of patients diagnosed with asthma had received a review in the last 12 months (CCG and national average 75%)
• 100% of newly diagnosed diabetic patients had been referred to a structured education programme in the preceding 12 months (CCG average 87%, national average 90%)

Updated 12 September 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.
• Childhood immunisations were offered in line with the public health programme. Uptake rates for all children aged eight weeks to 5 years were between 97% and 100%.
• Sexual health, contraceptive and cervical screening services were provided at the practice. In the preceding five years 84% of eligible patients had received cervical screening (CCG and national average 82%).

Updated 12 September 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.
• Registers of patients who were aged 75 and above and also the frail elderly were in place to ensure timely care and support were provided. Health checks were offered for all these patients and all had a named GP.
• 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 patients who resided in a nearby care home. The GP attended regularly one day a week to support the care and treatment of those patients. Ad hoc visits were also undertaken as needed.

Updated 12 September 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. Patients had access to appointments and services over three locations.
• The practice offered pre-bookable, same day and online appointments. They also provided extended hours appointments early morning, evening and on Saturdays, telephone consultations and text message reminders. Prescriptions could be ordered online and collection arranged from a nominated pharmacy.

• The practice offered a range of health promotion and screening that reflected the needs of this age group. This included screening for early detection of COPD (a disease of the lungs) for patients aged 35 and above who were known to be smokers or ex-smokers.
• NHS health checks were offered to patients aged between 40 and 74 who did not have a pre-existing condition.
• Travel health advice and vaccinations were available. The practice was also a designated Yellow Fever vaccination centre.

Updated 12 September 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.
• Data showed that 98% of patients diagnosed with dementia and 98% 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 higher than the CCG and national averages of 88%.
• All staff had received dementia friendly training and could demonstrate a good understanding of how to support patients.

Updated 12 September 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.
• Patients were signposted to other agencies for additional care and support as needed.
• The practice had developed a user friendly pre-health check questionnaire booklet for use with patients who had a learning disability, which included pictures to aid understanding. The booklet also been shared with local learning difficulties and disabilities services.