Archived: Practice 2

Updated 18 October 2017

Practice 2, Medical Centre, Bridlington is located in a Medical Centre on Station Avenue in Bridlington and shares the building with two other GP practices. It is close to the town centre, the train station and local bus routes. Parking is available on the street outside the practice and there is disabled access. It provides services under a General Medical Services (GMS) contract with the NHS North Yorkshire and Humber Area Team to the practice population of 7172, covering patients of all ages.

The proportion of the practice population in the 65 years and over age group is above the England average. The practice population in the under 18 age group is below the England average. The practice scored three on the deprivation measurement scale, the deprivation scale goes from one to ten, with one being the most deprived. The overall practice deprivation score is higher than the England average, the practice is 30 and the England average is 23. People living in more deprived areas tend to have a greater need for health services.

The practice has three GP partners, two male and one female. There is a practice manager, one advanced nurse practitioner, two practice nurses, two health care assistants and one pharmacist. The practice has a team of secretarial, administration and reception staff.

The practice provides placements for student nurses and work experience school pupils. They also support the Bridlington teaching hub for medical students from the Hull York Medical School.

The practice is open between 8.30am to 6.00pm Monday to Friday. Appointments are available from 8.30am to 10.30am and 3.00pm to 5.30pm daily. Telephone lines are open from 8am to 6pm daily and any urgent requests are dealt with. The Practice, along with all other practices in the East Riding of Yorkshire CCG area have a contractual agreement for the Out of Hours provider to provide OOHs services from 6.00pm. This has been agreed with the NHS England area team.

The practice has opted out of providing out of hours services (OOHs) for their patients. When the practice is closed patients use the 111 service to contact the OOHs provider. 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.

Updated 18 October 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Practice 2, Medical Centre, Bridlington on 5 November 2015. The overall rating for the practice was good. The full comprehensive report on the November 2015 inspection can be found by selecting the ‘all reports’ link for Practice 2, Medical Centre, Bridlington on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 29 September 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 5 November 2015. This report covers our findings in relation to those requirements.

Overall the practice is rated as good.

Our key findings were as follows:

Arrangements were in place to assess and manage the risks of and minimise the spread of health care associated infections.

Appropriate recruitment checks had been undertaken prior to staff being employed.

Arrangements were in place to monitor the use of blank prescriptions.

However there were areas of practice where the provider should make improvements:

• Follow recruitment procedures to ensure only fit and proper persons are employed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 18 February 2016

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

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

• 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 7.2%above the local CCG average and 10.8% above the national average.

• Longer appointments and home visits were available when needed.

• All these patients 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 18 February 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 a high number of A&E attendances.

• Immunisation rates were relatively high for all standard childhood immunisations.

• Nationally reported data from 2014/2015 showed the percentage of patients diagnosed with asthma, on the register, who had had an asthma review in the preceding 12 months was 81.8%; this was 5% above the local CCG average and 6.5% above 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.

• Nationally reported data from 2014/2015 showed the practice’s uptake for the cervical screening programme was 77%; this was 7.9% below the local CCG average and 4.8% below the national average.

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

• We saw good examples of joint working with midwives, health visitors and school nurses. The practice monitored any non-attendance of babies and children at vaccination clinics and worked with the health visiting service to follow up any concerns.

Updated 18 February 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. Patients over the age of 75 had a named GP.

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

• Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people.

• In August 2015 the practice commenced the Easy Care project in Bridlington; a needs-based assessment of the town’s over 75 year olds, those in residential or nursing care, and learning disability units. This involved compiling a list of the resident’s needs and patients being signposted to appropriate local resources.

• A member of staff had been identified as the ‘Care Navigator’ to support the Easy Care project. We saw evidence that they had improved patients’ lives, for example by arranging a community assessment for one patient and arranging social care and tai chi classes for another patient who lived alone who wouldn’t go out because of a health issue.

Updated 18 February 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.

• 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.

• A physiotherapy service was available in the practice three days per week.

Updated 18 February 2016

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

• Nationally reported data showed the percentage of patients diagnosed with dementia who had had their care reviewed in a face to face meeting in the preceding 12 months was 94.3%. This was 10.1% above the local CCG average and 10.3% above the national average.

• Nationally reported data from 2014/2015 showed the percentage of patients diagnosed with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive care plan documented in their record in the preceding 12 months was 96.3%. This was 5.5% above the local CCG average and 8% above 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.

• It carried out advanced 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.

• 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 18 February 2016

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

• The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.

• It offered longer appointments for people with a learning disability.

• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.

• It had told 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.