• Doctor
  • GP practice

Trinity Medical Centre

Overall: Good read more about inspection ratings

Thornhill Street, Wakefield, West Yorkshire, WF1 1PG (01924) 784104

Provided and run by:
Trinity Medical Centre

Latest inspection summary

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Background to this inspection

Updated 26 September 2018

Trinity Medical Centre is located on Thornhill Street, Wakefield, West Yorkshire, WF1 1PG. The practice also operates a branch surgery which is located at Sandal Castle Medical Centre, Asdale Road, Sandal, Wakefield WF2 7JE. It currently provides services for around 23,000 patients. The practice is a member of the NHS Wakefield Clinical Commissioning Group (CCG).

The main medical centre operates from a purpose designed building within Wakefield town centre. The building is accessible for those with a physical disability or other mobility issues. The practice has controlled on-site parking available for patients. The branch surgery is located in a purpose designed building, is in good overall condition and is accessible for those with a disability or mobility issues.

The practice serves a large urban population within Wakefield. The practice has a relatively low prevalence of patients with long-term conditions with 42% of patients reporting that they had a long-standing health condition compared to the CCG average of 57% and the England average of 54%. The population age profile shows that it is comparable to the CCG and England averages for those over 65 years old (16% compared to the CCG average of 18% and England average of 17%). Average life expectancy for the practice population is 78 years for males and 82 years for females (CCG average is 78 years and 82 years respectively and the England average is 79 years and 83 years respectively). The practice serves some areas of higher than average deprivation being ranked in the fourth most deprived decile (with the first decile being the most deprived and the tenth decile being the least deprived). The practice serves a predominantly White British population; however, the patient profile shows around 12% of patients as being of black and minority ethnic origin.

The practice provides services under the terms of the Personal Medical Services (PMS) contract. In addition, 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
  • Dementia support
  • Minor surgery
  • 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, diabetes, heart disease and hypertension.

The practice is registered with the Care Quality Commission to provide:

  • Diagnostic and screening procedures
  • Transport services, triage and medical advice provided remotely
  • Maternity and midwifery services
  • Surgical procedures
  • Family planning
  • Treatment of disease, disorder or injury

The practice is accredited as a teaching and training practice.

The practice is part of Trinity Care, an in-hours triage, advice and appointment booking service for same day appointments and home visit requests. The triage service runs from Trinity Medical Centre and covers patients registered its own and four other local GP practices. During the day anyone asking for a same day appointment or home visit at any of the participating practices is placed on a triage list and is called back by an experienced triage nurse who makes an assessment of their symptoms and determines the most appropriate care. This may involve a same day GP or nurse appointment, an appointment with another associated health professional such as a physiotherapist, or advice on self-treatment. Appointments are made for patients at their own GP practice. There are approximately 3,800 calls to Trinity Care per month (around 2,700 of these calls are for Trinity Medical Centre). The main resultant outcomes from these calls across the five sites are:

  • Same day GP appointment
  • Same day nurse practitioner appointment
  • Self-care advice
  • Home visit
  • GP routine appointment

In addition, Trinity Medical Centre provides call handling, triage and booking services for GP Care Wakefield the local extended and weekend hours service operating a confederation level across the NHS Wakefield CCG area. This service operates from Monday to Friday 6pm to 10pm and on Saturday, Sunday and Bank Holidays from 9am to 3pm. Appointments made with clinicians as part of this service are held in accommodation within Trinity Medical Centre and at another site within the locality. Services delivered by Trinity Medical Centre for GP Care Wakefield fall outside the scope of the 8 August 2018 inspection.

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 has ten GP partners (five male and five female) and five salaried GPs (all female). In addition, permanent staff include two advanced nurse practitioners (both female), eight practice nurses (one male and seven female), 16 triage nurses (all female) and five health care assistants (all female). Finally, a pharmacist (post currently vacant) and a pharmacy assistant (female) makes up the clinical team. Clinicians are supported by one practice manager, three junior managers and an extensive reception and administration team which includes apprentice posts.

The practice appointments include:

  • Pre-bookable appointments
  • Urgent and on the day appointments
  • Telephone consultations and telephone triage
  • Home visits

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

Practice opening times are:

Trinity Medical Centre

  • Monday to Friday 8am to 6.30pm.
  • Saturday 9am to 1pm for pre-booked appointments

Sandal Castle Medical Centre

  • Monday to Friday 8am to 6pm.

Extended hours care and weekend appointments are provided by GP Care Wakefield and out of hours services by Local Care Direct Limited and NHS111.

Overall inspection

Good

Updated 26 September 2018

This practice is rated as Good overall. The current practice had formed in 2017 after the merger of two previously individual services The Almshouse Surgery and The Grove Surgery. These had been inspected on 8 September 2015 and 15 September 2015 respectively and had been both rated as Good overall. There was continuity of staffing between the previous providers and the current provider.

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 Trinity Medical Centre on 8 August 2018 as part of our inspection programme for newly registered providers.

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.
  • 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.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw one area of outstanding practice:

  • The practice had worked at both Federation and Confederation level to develop a telephone triage service. This was used to assess requests for same day appointments and home visits. We saw evidence that these developments had made significant workforce efficiency savings and prioritised services according to assessed need.

The areas where the provider should make improvements are:

  • Review and improve assurance that medication reviews were being undertaken in line with the practice service policy.
  • Review and improve assurance in respect to confirming the immunity status of appropriate staff in relation to measles, mumps and rubella, and chickenpox.
  • Review and improve the fixing cords to window blinds securely to prevent entanglement.
  • Review and improve patient confidentiality at the reception desk at the main Trinity Medical Centre site.
  • Review and improve the identification and recording of patients who acted as carers for others.
  • Review and improve the appraisal process to ensure staff receive these on a regular basis.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice