Archived: Dr Mushkoor Sheikh Also known as Dr Sheikh's Surgery

Updated 14 March 2016

Dr Mushkoor Sheikh is located in Bentley on the outskirts of Doncaster. The practice provides services for 1,978 patients under the terms of the NHS General Medical Services contract. The practice catchment area is classed as within the group of the second more deprived areas in England. The age profile of the practice population is similiar to other GP practices in the Doncaster Clinical Commissioning Group (CCG) area.

The practice has one full time male GP. They are supported by a male locum GP, a female foundation year two doctor and a female medical student, two practice nurses, one healthcare assistant and a practice manager, assistant practice manager and administrative staff.

The practice is open between 8am to 6pm Monday to Friday. Appointments are available from 8.30am to 12 noon and 3pm to 6pm daily. Extended hours surgeries are offered on Tuesday mornings from 7am. In addition to pre-bookable appointments that could be booked up to six weeks in advance, urgent appointments are also available for people that need them. When the practice is closed calls are answered by the out-of-hours service which is accessed via the surgery telephone number or by calling the NHS 111 service.

Dr Mushkoor Sheikh is registered to surgical procedures; treatment of disease, disorder or injury; family planning and diagnostic and screening procedures from Bentley Health Centre, Askern Lane, Doncaster, DN5 0JX.

Updated 14 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Mushkoor Sheikh  on 19 January 2016. Overall the practice is rated as outstanding.

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.  They thought staff were approachable, very committed and exceptionally caring. They described the practice as a ‘first class’ GP surgery.
• Staff were motivated and inspired to offer kind compassionate care. We found positive examples of staff going that extra mile to provide a caring service. For example, staff would contact patient's to check everything was alright if they did not see them pass the surgery or exercise their pets as part of their normal daily routine.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• 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 three areas area of outstanding practice:

• The practice had developed self certification notes which contained self care advice and information for minor illnesses. It detailed the expected duration of symptoms, how best to treat them and what to look for if the symptoms worsened. Information was provided about where to get help if the symptoms worsened. It contained information for the patient which told them most minor illnesses get better without antibiotics and the side effects antibiotics, if used, can cause.
• Following review of all test results the GP would document the advice to be given to the patient, what to look out for and time frame for follow up tests in the patient record. This was then shared with patient’s by reception staff. Patients’ reported this was a very informative service and negated the need to make further appointments with the GP.
• The practice championed and participated in the social prescribing project in Doncaster. The GPs and practice nurses had the option to prescribe non-medical support to patients. This included for loneliness and social isolation , housing or advice on debt. Dr Sheikh’s practice was the first practice in Doncaster to refer patients to the scheme and had referred 140 patients’ since August 2014. Those patients’ had in turn been referred to 332 outward support organisations and had achieved many self reported positive outcomes

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 14 March 2016

The practice is rated as outstanding 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.
• Performance for diabetes related indicators was 2% below the CCG and 5% 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 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.
• Following review of all test results the GP would document the advice to be given to the patient, what to look out for and time frame for follow up tests in the patient record. This was then shared with patient’s by reception staff. Patients’ reported this was a very informative service and negated the need to make further appointments with the GP.

Updated 14 March 2016

The practice is rated as outstanding 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 accident and emergency attendances. Immunisation rates were relatively high for all standard childhood immunisations.
• 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.
• The practice’s uptake for the cervical screening programme was 80%, which was comparable to the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 14 March 2016

The practice is rated as outstanding 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 was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• The GP performed a weekly ward round at the local care homes with patients registered at the practice.

Updated 14 March 2016

The practice is rated as outstanding 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.
• The practice had developed self certification notes which contained self care advice and information for minor illnesses. It detailed the expected duration of symptoms, how best to treat them and what to look for if the symptoms worsened. Information was provided about where to get help if the symptoms worsened. It contained information for the patient which told them most minor illnesses get better without antibiotics and the side effects antibiotics, if used, can cause.

Updated 14 March 2016

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

• All patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which is above the national average of 88%.
• All patients with poor mental health had a comprehensive care plan in place, which is above the national average of 89%.
• The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health, including those living with dementia.
• The practice carried out advance care planning for patients living with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• The practice 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 patients with mental health needs and dementia. Staff had completed dementia friendly awareness training.

Updated 14 March 2016

The practice is rated as outstanding 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.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with multidisciplinary teams in the case management of vulnerable people.
• The practice informed 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 championed and participated in the social prescribing project in Doncaster. The GPs and practice nurses had the option to prescribe non-medical support to patients. This included for loneliness and social isolation , housing or advice on debt. Dr Sheikh’s practice was the first practice in Doncaster to refer patients to the scheme and had referred 140 patients’ since August 2014. Those patients’ had in turn been referred to 332 outward support organisations and had achieved many self reported positive outcomes.