Archived: Moorcroft Surgery

Updated 10 September 2015

Moorcroft Surgery is part of North Leeds Clinical Commissioning Group (CCG) and is located in one of the lesser socially deprived areas of Leeds. The practice operates from a two storey property, with all patient services being provided on the ground floor. The practice will be relocating to purpose built premises in 2016.

The practice provides General Medical Services (GMS) for a population of 6014 patients under a contract with NHS England. They are registered to provide the following regulated activities: treatment of disease, disorder or injury; family planning; surgical procedures, maternity and midwifery services; diagnostic and screening procedures.

The practice has two male GPs (one who is newly appointed and on a probationary period until August 2015), three female GPs and one salaried female GP. In addition, there is one female nurse practitioner, two female practice nurses and a female healthcare assistant. The clinical team are supported by a practice manager, a finance manager and a team of experienced administration and reception staff.

The practice opening times are Tuesday to Friday 8.30am to 6pm. Extended evening appointments are available on Monday’s 8.30 to 8pm. Once a month (except August and December) the practice is closed at 12.00 for training. Patients can access the appointment system in person at reception, by telephone or online via the practice website. The practice also offers same day appointment for urgent cases. When the practice is closed, out of hours cover for emergencies is provided by NHS 111. The practice also signposts patients on their website to the local pharmacist who can advise patients whether their symptoms can be treated 'over the counter', or whether they need to see a GP.

The practice provides chronic disease management clinics, such as asthma, chronic obstructive pulmonary disease, coronary heart disease, diabetes, hypertension and stroke. In addition they provide ante natal clinics, cervical smears, childhood health surveillance, childhood immunisations, contraception services, including coil fitting, minor surgery, smoking cessation and travel immunisations.

Updated 10 September 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Moorcroft Surgery on 8 July 2015. Overall the practice is rated as good.

Specifically we rated the practice as good in providing safe, effective, caring, responsive and well-led services. It was also good for providing services for all of the population groups.

Our key findings were as follows:

• Patients said they found it easy to make an appointment with a preferred GP, there was continuity of care and urgent appointments were available the same day.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Patients told us they were treated with kindness, warmth, compassion and respect by staff. Staff ensured there was sufficient time to explain the care and treatment they were providing in a way patients understood.
• The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the Patient Participation Group (PPG).
• Risks to patients were assessed and managed.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients.
• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded and addressed

However, there were areas of practice where the provider needs to make improvements.

Importantly, the provider must:

• Ensure infection prevention and control, recruitment and selection and the incident reporting policies and procedures include and reflect current practice.
• Ensure a record is kept of blank prescriptions held within the practice.
• Ensure all staff have an up to date DBS check.

• Ensure all equipment, such as syringes, sterets and needles are within there expiry date.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 September 2015

The practice is rated as good for the care of people with long term conditions. The practice had a nurse-led approach to long term conditions, supported by the nursing staff. All of the GPs had specialist roles including diabetes. There were structured annual reviews in place to check the health and medications needs of patients were being met. Patients who were due an annual asthma review had access to an online review form. The practice used a chronic pain pathway as part of a pilot locality scheme to assess patients with chronic pain management and develop a care plan. Staff worked with relevant health and social care professionals to deliver a multidisciplinary package of care.

Updated 10 September 2015

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. The practice provided sexual health support and contraception, maternity services and childhood immunisations. Appointments were available outside of school hours and the premises were suitable for children and babies. The practice told us all young children were prioritised, urgent appointments were managed through telephone triage and the under-threes were seen on the same day as requested. Patients we spoke with confirmed this and said it was an excellent service for children.

Updated 10 September 2015

The practice is rated as good for the care of older people. Nationally reported data showed outcomes for patients were good for conditions commonly found in older people. All patients over 75 years of age had a named GP and were offered an annual health check. The practice was responsive to the needs of older people, offering home visits and longer appointments. The practice worked closely with other health care professionals to ensure housebound patients received the care they needed. The practice provided services to 78 patients in nursing homes. The practice had good interactions with the nursing homes and they were involved in a care home project to improve prescribing. Patients in nursing homes and all home visits by the GP were discussed daily by the GPs to share information.

Updated 10 September 2015

The practice is rated as good for the care of working age people (including those recently retired and students). The practice had extended hours on Mondays to 8.00 pm. The practice was proactive in offering online services as well as a full range of health promotion and screening which reflected the needs for this age group.

Updated 10 September 2015

The practice is rated as good for the care of people experiencing poor mental health, including people with dementia. The practice offered annual health reviews, longer appointments and home visits as needed for all patients who had poor mental health or dementia. The GPs provided home visits to three lived in dementia units and one learning disability high dependency unit. The practice had undertaken an anti-psychotic prescribing audit for patients living with dementia. Patients suffering with depression could complete a questionnaire which was used by the GP to monitor the severity of depression and response to treatment. It was also used to make a tentative diagnosis of depression.

Updated 10 September 2015

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 those with a learning disability. It carried out annual health checks and offered longer appointments for people with a learning disability. Patient status alerts were used within the clinical system to make staff aware when they are dealing with a vulnerable patient. The practice used Clinical meetings and daily doctors meetings in the case management of vulnerable people.

Staff knew how to recognise signs of abuse in vulnerable adults and children. They 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.

There was access to translation services for people who were non-English speaking. Additional services were available for patients who had a hearing or visual impairment, for example a receptionist had trained in sign language.