Castleford Medical Practice

Updated 18 May 2018

The Castleford Medical Practice is located in the Health Centre on Welbeck Street Castleford, West Yorkshire, WF10 1HB. It currently provides services for around 5,900 patients. The practice is a member of the NHS Wakefield Clinical Commissioning Group (CCG.)

The practice is located in the town centre of Castleford and is located close to public transport being adjacent to the bus and railways stations. The practice shares a 1960s build health centre with another GP practice, a number of other community health services including school nurses and podiatry, and an independent pharmacy. General premises maintenance and upkeep is via NHS Property Services. Limited parking spaces are available outside the surgery, although a public car park is also located close to the health centre. The main reception and consultation rooms are located on the ground floor and are accessible to those with a physical disability.

The practice population age profile shows that it is slightly above that of the CCG and England averages for those over 65 years old (19% of the practice population is aged over 65 as compared to the CCG average of 18% and the England average of 17%) and 68% of the practice population report having a long standing health condition compared to a CCG average of 57% and an England average of 54%. The practice is located in an area of relative deprivation being ranked in the third most deprived decile. The practice population is predominantly White British (98%).

The practice provides services under the terms of the Personal Medical Services (PMS) contract. In addition to this the practice offers a range of enhanced local services including those in relation to:

• Childhood vaccination and immunisation
• Influenza and Pneumococcal immunisation
• Rotavirus and Shingles immunisation
• Learning disability support
• Dementia support
• Minor surgery

As well as these enhanced services the practice also offers or hosts additional services including:

• Chronic illness management clinics for conditions such as asthma and diabetes.
• Joint injections
• Health checks
• Weight management
• Smoking cessation
• Audiology
• Ultrasound scanning
• Abdominal aortic aneurysm (AAA) screening
• Diabetic retinal screening

The practice has two GP partners (both male), one salaried GP (female), one specialist practitioner (female), one practice nurse manager (female), one practice nurse (female) and two health care assistants (both female). Clinical staff are supported by a practice manager and an administration/reception team which includes an apprentice.

The practice offers a variety of appointment options, these being:

• Pre-bookable appointments with a GP or nurse available up to four weeks in advance
• Open access appointments on a Monday 8am to 10am when patients can call the surgery and receive an appointment that day
• Other on the day/urgent/emergency appointments
• Home visits and consultations
• Telephone appointments when the clinician will call back the patient and carry out a consultation over the telephone

Appointments could be made in person, via the telephone or online.

The Castleford Medical Practice is open:

Monday 8am to 6.30pm

Tuesday 8am to 6.30pm

Wednesday 8am to 8pm

Thursday 8am to 6.30pm

Friday 8am to 6.30pm

Out of hours care is provided by GP Care Wakefield and is accessed via the practice telephone number or patients can contact NHS 111.

The last inspection rating was clearly displayed in the practice waiting room and on the practice website.

Updated 18 May 2018

This practice is rated as Good overall. The practice was previously inspected on 27 June 2016 and was rated as 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 at Castleford Medical Practice on 5 April 2018 as part of our inspection programme.

At this inspection we found:

• The practice had 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. We did however identify that processes in relation to the receipt and actioning of medicines safety alerts did not give assurance that all alerts had been identified or actioned.
• 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 a systematic approach to service improvement and had introduced new processes and working practices when they identified areas of below average performance or when patient satisfaction was low. For example, they offered open access appointments on a Monday 8am to 10am when patients who called the surgery received an appointment that day.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients 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 areas where the provider should make improvements are:

• Review and improve the practice’s processes in relation to the receipt and actioning of medicines safety alerts to ensure that all relevant alerts are received and necessary actions taken.
• Review and improve portable appliance electrical testing procedures to ensure that all equipment is tested at required intervals.
• Review and improve the level and detail of information contained in staff personnel files to include information with regard to staff immunity status.
• Keep under review the ongoing structural issues regarding the fabric of the practice building.

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

Updated 18 May 2018

Updated 18 May 2018

Updated 18 May 2018

Updated 18 May 2018

Updated 18 May 2018

Updated 18 May 2018