Archived: Jacksdale Medical Centre

Updated 25 April 2018

Jacksdale Medical Centre, Main Road, Jacksdale, Nottingham NG16 5JW is located in the village of Jacksdale, close to the Nottinghamshire / Derbyshire border. The practice provides services to people who live in Jacksdale and the surrounding villages.

• The practice is a single handed GP practice, run by a female GP with support from one regular long term locum GP (male). There are also two nurse practitioners, two health care assistants, a pharmacist, practice manager and reception / administration staff.

• There are 3924 patients registered with the practice. The practice is open from 8am until 6pm on Tuesday, Thursday and Friday, 7am to 6pm on Monday and 7am to 1pm on Wednesday. Patients can also access pre-bookable appointments through an initiative offered by a collaboration with other local practices on weekday evenings 6:30pm to 8:30pm and Saturday morning 9am to 12pm. The practice treats patients of all ages and provides a range of medical services. A second branch practice at 1 Hankin Avenue, Underwood, Nottingham NG16 5FU, is open on Wednesday from 8am to 6pm. Both locations were visited as part of this inspection.

• The practice holds a personal medical services (PMS) contract with NHS England. This is a contract for the practice to deliver enhanced primary care services to the local community over and above the General Medical Services (GMS) contract. Jacksdale Medical Centre has opted out of providing an out-of-hours service to its patients but has alternative arrangements for patients to be seen when the practice is closed. The out of hours service is provided by PC24 via NHS 111.

• We reviewed the most recent data available to us from Public Health England which showed the practice has a smaller number of patients aged 25 to 44 years old compared with the national average. It has a larger number of patients aged 45 to 79 compared to the national average. Income deprivation levels affecting children is 17% lower than the CCG average of 24% and lower than the national average of 20%. Income deprivation affecting older people is 15% which is lower than the CCG average of 17% and lower than the national average of 16%. Life expectancy for patients at the practice is 80 years for males and 82 years for females; this is comparable to the national life expectancy which is 79 years and 83 years respectively.

Updated 25 April 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. The inspection was carried out as part of our inspection programme to rate practices within 12 months of the date of registration.

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

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 – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Jacksdale Medical Centre on 13 and 20 December 2017. We carried out this inspection as part of our inspection programme.

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.

• 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:

• Emergency equipment and drugs check protocols should be clearer and checked more frequently. Fridge items should be stored correctly.

• Ensure planned infection control training for non clinical staff is undertaken.

• Information about how to complain should be clearly displayed

• A more robust system should be introduced to track prescription security

• Gas safety checks should be undertaken yearly

• Infection control management should be improved by adding an action plan.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 25 April 2018

Updated 25 April 2018

Updated 25 April 2018

Updated 25 April 2018

Updated 25 April 2018

Updated 25 April 2018