Dr Syed Shahbazi Also known as Family Medical Practice

Updated 3 August 2016

Dr Syed Shahbazi, also known as “The Family Medical Practice”, provides primary care services to its registered list of 3154 patients. The practice is situated and the inspection was conducted at Kidglove House, Golborne.

This is a purpose built GP Surgery with disabled access and a hearing loop. There are parking facilities on site, including disabled spaces, and it is accessible by local transport links.

There are two male GPs, and they are supported by a female practice nurse, who is also a nurse practitioner/prescriber. There is also a practice manager and administration staff. External organisations deliver services to the patients in this practice that includes counselling and phlebotomy.

The male life expectancy for the area is 78 years compared with the CCG averages of 77 years and the national average of 79 years. The female life expectancy for the area is 81 years compared with the CCG averages of 81 years and the national average of 83 years.

The practice delivers commissioned services under the Personal Medical Services (PMS) contract with NHS England and is part of Wigan Clinical Commissioning Group. It offers direct enhanced services for the childhood vaccination and immunisation scheme, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal immunisations, improving patient online access, learning disabilities, minor surgery, rotavirus and shingles immunisation and unplanned admissions.

The practice is open between 8.30am and 6pm Monday to Friday except Wednesday afternoons when the practice closes at 1pm. The practice provides extended hours appointments with the doctors for those who cannot attend during the usual hours on Tuesday 6.30pm to 7pm, Wednesday 7.30am to 8am and Thursday 7.30 to 8am.

Patients requiring a GP outside of normal working hours are advised to contact the surgery and they will be directed to the local out of hours service which is provided by Bridgewater NHS Foundation Trust –through NHS 111. Additionally patients can access GP services in the evening and on Saturdays and Sundays through the Wigan GP access alliance at locations across Wigan Borough.

Updated 3 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Syed Shahbazi on 14 July 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 been trained to provide them with 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. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and 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 one area of outstanding practice:

• The practice had a high number of learning disability patients registered. This was because the local adult learning disability service advised new patients who were new to the area, to register with this practice. We were told this was because they considered the practice provided high quality advice and support and had the necessary clinical expertise to look after this vulnerable patient group. We saw letters to the practice from the learning disability service to support this.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 3 August 2016

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

• The practice nurse staff had a lead role in chronic disease management supported by the GPs and patients at risk of hospital admission were identified as a priority.
• 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.

Updated 3 August 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.
• 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.
• 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 and health visitors.

Updated 3 August 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.
• All patients in this population group had a named accountable GP.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

Updated 3 August 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.

Updated 3 August 2016

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

• 100% of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months, which was above to the CCG average of 84% and national average of 84%.
• The practice had registers for mental health, depression and dementia, and actively encourages these patients to attend an annual review, with a follow up process in place for those who do not attend.
• The practice regularly worked with multi-disciplinary teams in the case management of patients 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.
• 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.

Updated 3 August 2016

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

• The practice had a high number of learning disability patients registered. This was because the local adult learning disability service advised new patients who were new to the area, to register with this practice. We were told this was because they considered the practice provided high quality advice and support and had the necessary clinical expertise to look after this vulnerable patient group. We saw letters to the practice from the learning disability service to support this.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• 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.