Lofthouse Surgery

Updated 17 January 2019

Lofthouse Surgery is located at 2 Church Farm Close, Lofthouse, Wakefield, West Yorkshire, WF3 3SA, it also operates a branch surgery The Manse Surgery which is located at 4 Marsh Street, Rothwell, Leeds, West Yorkshire LS26 0AE. The practice provides services for around 10,900 patients under the terms of the General Medical Services contract. The practice building is accessible for those with a disability. In addition, both sites have on-site parking, although the Lofthouse Surgery car parking is limited. There are designated spaces for patients with mobility issues, or those patients who use a wheelchair. It is a member of NHS Leeds Clinical Commissioning Group (CCG).

The practice population catchment area is in an area of lower than average deprivation, being classed as within the seventh most deprived decile in England (with the first decile being the most deprived and the tenth decile being the least deprived). The age profile of the practice shows that it services a higher than average number of older people with 19% of the practice being aged over 65 years as opposed to the CCG average of 15% and a national average of 17%. Average life expectancy for the practice population is 79 years for males and 82 years for females (CCG average is 79 years and 83 years respectively, and the England average is 79 years and 83 years respectively). The practice population identifies as predominantly White British (97%).

Lofthouse Surgery is registered with the Care Quality Commission to provide; diagnostic and screening procedures, family planning, maternity and midwifery services and the treatment of disease, disorder or injury.

The practice offers a range of enhanced local services including those in relation to:

• Childhood vaccination and immunisation
• Influenza and Pneumococcal immunisation
• Dementia support
• Learning disability support

As well as these enhanced services the practice also offers additional services such as those supporting long term conditions management including asthma, chronic obstructive pulmonary disease and diabetes.

Attached to the practice or closely working with the practice is a team of community health professionals that includes health visitors, midwives and members of the district nursing team.

The practice supports the training of student nurses.

The clinical team consists of four GP partners and two other GPs in the process of becoming partners (two male and four female), three practices nurses (all female), three health care assistants (all female) and one phlebotomist (female). The clinical team is supported by a practice manager and a team of reception and administrative staff.

The practice appointments include:

• Pre-bookable appointments
• Urgent and on the day appointments
• Telephone consultations when required
• Home visits

Appointments can be made in person, via telephone or online.

Telephone lines are staffed until 6:30pm daily and can access the duty doctor up to this time.

When the practice is closed, urgent healthcare advice that is not a 999 emergency is provided by telephoning the local Out of Hours NHS 111 service.

The previously awarded ratings are displayed as required in the practice and on the practice’s website.

Updated 17 January 2019

This practice is rated as good overall. The practice was previously inspected in October 2014 when it was rated good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection of Lofthouse Surgery on 7 November 2018 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes. Learning from incidents was shared with others to prevent recurrence.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines. The practice had developed action plans to improve performance when this had been identified as being required.
• Staff involved and treated patients with compassion, kindness, dignity and respect. Patient feedback was positive regarding the treatment they had received.
• Patients generally found the appointment system easy to use, and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation. The practice was an early adopter of health improvement programmes, and actively participated in social prescribing.
• Services had been developed to meet the specific needs of their population.
• The practice worked with others at a locality level to plan and develop services.

We saw one area of outstanding practice:

• The practice had developed extensive and dedicated services which supported patients with a learning disability. We saw that these services had delivered effective outcomes for patients and were responsive to their needs. Learning and experiences from their approach to the delivery of these services were openly shared with others to disseminate best practice.

The areas where the provider should make improvements are:

• Continue to review and improve performance in relation to diabetes and other long-term conditions where performance has been below local and national levels.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Updated 17 January 2019

Updated 17 January 2019

Updated 17 January 2019

Updated 17 January 2019

Updated 17 January 2019

Updated 17 January 2019