Background to this inspection
Updated
11 September 2018
BHF Lundwood Practice is located at Priory Campus, Pontefract Road, Barnsley, S71 5PN. The practice provides alternative provider medical services (APMS) under a contract with NHS England for 3,558 patients in the NHS Barnsley Clinical Commissioning Group (CCG) area.
The service is provided by Barnsley Healthcare Federation CIC who have four GP practice locations, two extended hours centres and one out of hours service registered with the Care Quality Commission.
The provider's head office is based at Oaks Park Primary Care Centre in Barnsley. Staffing and governance systems are centrally operated from the head office and cascaded to the individual locations. Staff at Lundwood Practice had access and support from the senior management team at the head office.
The practice website is www.lundwoodsurgery.co.uk
Public Health England data shows the practice population is similar to others in the CCG area with a comparable number of patients aged over 50 years old compared to the England average. BHF Lundwood is situated in Lundwood on the outskirts of the Barnsley. The practice catchment area has been identified as one of the most deprived areas nationally.
Allocated to BHF Lundwood Practice are two male salaried GPs, one female advanced nurse practitioner, one female practice nurse, one female healthcare assistant, one male physician associate (support doctors in the diagnosis and management of patients. They are trained to perform a number of roles including: taking medical histories, performing examinations, analysing test results, and diagnosing illnesses under the direct supervision of a doctor) and an experienced team of reception and administration staff.
The practice website is www.lundwoodsurgery.co.uk
The practice is open 7.30am to 6.30pm Monday to Friday. Phone lines open at 8.00am.
When the practice is closed or patients are unable to access an appointment, staff refer patients to the i-heart Barnsley 365. This service is open from 6pm to 10pm Monday to Friday and 9am to 1pm on Saturday, Sunday and bank holidays.
The service offers urgent and routine appointments, telephone and email consultations with a nurse or GP. During the out of hour’s period, the patients' call NHS 111, who direct them to the most appropriate service.
Updated
11 September 2018
Letter from the Chief Inspector of General Practice
This practice is rated as requires improvement overall.
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Requires improvement
Are services caring? – Good
Are services responsive? – Requires improvement
Are services well-led? – Requires improvement
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Requires Improvement
People with long-term conditions – Requires Improvement
Families, children and young people – Requires Improvement
Working age people (including those retired and students – Requires Improvement
People whose circumstances may make them vulnerable – Requires Improvement
People experiencing poor mental health (including people living with dementia) - Requires Improvement
We carried out an announced inspection at Barnsley Healthcare Federation CIC - Lundwood Practice on 13 March 2018 as part of our inspection programme. We also carried out an announced comprehensive inspection at Barnsley Healthcare Federation CIC head office based at Oaks Park Primary Care Centre on 13 and 14 February 2018 to look at governance as part of our inspection programme.
At this inspection we found:
- There was no open and transparent approach to safety and no effective system in place for recording, reporting and learning from significant events.
- The practice did not routinely review the effectiveness and appropriateness of the care it provided. There was limited evidence of audits and quality improvement activities to demonstrate monitoring and assessment of the service was being undertaken since the service registered in July 2016.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients told us through CQC questionnaires, that they felt listened to and supported by staff and had sufficient time during consultations to make an informed decision about the choice of treatment available to them.
- There was a lack of overarching governance arrangements in place that meant patients were not always kept safe from avoidable harm.
- There was a leadership structure but communication between staff and management was limited and some staff felt unsupported by the senior management team.
The areas where the provider must make improvements as they are in breach of regulations are:
The areas where the provider should make improvements are:
- Consider a documented locum induction
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice