Harborough Field Surgery Also known as Harborough Field Surgery

Updated 22 December 2016

Dr Wingfield and Partners provides a range of primary medical services from its premises at Harborough Field Surgery, 160 Newton Road, Rushden, Northamptonshire, NN10 0GP.

It is a teaching practice. The practice serves a population of approximately 12,277. The area served is less deprived compared to England as a whole. The practice population is predominantly white British. The practice serves an above average population of those aged from 0 to 9 and a slightly above average population of those aged 40 to 49 and 60 to 69. There is a lower than average population of those aged between 15 and 29 and a slightly lower than average population of those aged 70 to 84.

The clinical team includes four male and two female GP partners, one female nurse manager, two female nurse practitioners, two female practice (treatment room) nurses and one female healthcare assistant. The team is supported by a practice manager and 12 other administration, reception and secretarial staff. The practice is on a PMS contract.

The practice is staffed with the phones lines and doors open from 8am to 6.30pm Monday to Friday. Appointments are approximately from 8.30am to 11am and 2.40pm to 5pm daily, with slight variations depending on the doctor. An out of hours service for when the practice is closed is provided by Integrated Care 24 Limited.

Updated 22 December 2016

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection of Dr Wingfield & Partners on 18 November 2015. A breach of legal requirements was found. After the comprehensive inspection, the practice wrote to us and submitted an action plan outlining the actions they would take to meet legal requirements in relation to;

• Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – safe care and treatment.

From the inspection on 18 November 2015, the practice were told they must:

• Ensure an appropriate system is in place for the safe use and management of medicines and prescriptions, including those used in an emergency.

We undertook a focused inspection at Dr Wingfield & Partners on 31 August 2016 to check that they had followed their plan and to confirm that they now met legal standards and requirements. This report only covers our findings in relation to those areas found to be requiring improvement. You can read the report from our last comprehensive inspection, by selecting 'all reports' link for Dr Wingfield & Partners on our website at www.cqc.org.uk

We found that on the 31 August 2016 the practice now had improved systems in place and we found the following key findings:

• Practice specific protocols and procedures had been developed to ensure the safe management of medicines and prescriptions.
• Access to emergency medicines and equipment had been improved to improve patient safety and reduce risk.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 3 March 2016

The practice is rated as good for the care of people with long-term conditions. The practice provided patients with long-term conditions with an annual review to check their health and medication needs were being met. All newly diagnosed patients with diabetes were managed in line with an agreed pathway. Patients with long-term conditions had access to a named GP and targeted immunisations such as the flu vaccine. There were nurse leads for a range of long-term conditions and two nurses were trained in the management of patients with diabetes.

Updated 3 March 2016

The practice is rated as good for the care of families, children and young people. Systems were in place for identifying and protecting patients at risk of abuse. There were six week post-natal checks for mothers and their children. Programmes of cervical screening for women over the age of 25 and childhood immunisations were available to respond to the needs of these patients. Appointments were available outside of school hours. A range of contraceptive and family planning services were available. The premises was suitable for children and babies.

Updated 3 March 2016

The practice is rated as good for the care of older people. The practice offered personalised care to meet their needs. Older patients had access to a named GP, a multi-disciplinary team approach to their care, home visits when needed and targeted immunisations such as the flu vaccine. A range of enhanced services were provided such as those for end of life care.

Updated 3 March 2016

The practice is rated as good for the care of working age people (including those recently retired and students). The practice offered online services such as appointment booking and repeat prescriptions. The practice encouraged feedback and participation from patients of working age through the virtual patient participation group (an online community of patients who work with the practice to discuss and develop the services provided).

Updated 3 March 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice worked with multi-disciplinary teams in the case management of patients experiencing poor mental health including those with dementia. Patients experiencing dementia also received a care plan specific to their needs and an annual health review. Mental health trust well-being workers and primary care liaison workers were available at the practice twice each week and patients could be referred to them by the GPs. Two GPs and the nurse manager had attended mental health training in 2015. However, available data for this practice showed it was performing below local and national standards for the care of patients with mental health issues.

Updated 3 March 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable. Patients with a learning disability received an annual health review through a nurse led clinic. The practice worked with multi-disciplinary teams in the case management of vulnerable people. The practice maintained a register of patients who were identified as carers and additional information was available for those patients. Staff knew how to recognise signs of abuse in vulnerable people and were aware of their responsibilities in raising safeguarding concerns. The practice tackled inequity by identifying and addressing the specific needs of patients and enabling their full access to services.