Horden Group Practice

Updated 27 September 2018

Horden Group Practice is registered with the Care Quality Commission to provide primary care services. The practice provides services to around 7,300 patients from two locations.

• Seaview Health Centre, Fourth Street, Horden, Co. Durham, SR8 4LD
• Peterlee Health Centre, Bede Way, Peterlee, Co. Durham, SR8 1AD

We visited the practice at Horden as part of this inspection.

Seaview Health Centre is situated in purpose-built premises in Horden; the health centre is shared with one other GP practice. All reception and consultation rooms are fully accessible for patients with mobility issues and are on the ground floor. There is car parking available at the front of the building with one dedicated disabled parking bay.

Peterlee Health Centre is a purpose-built premises, the health centre is shared with other primary medical services. The practice have their own dedicated consulting rooms. There are disabled parking spaces in the patient car park, with wheelchair and step free access.

The practice has three GP partners (two female and one male) whole time equivalent (WTE) 2.6. There is a female salaried GP (WTE 0.4). The practice is a training practice who have GP registrars allocated to the practice (fully qualified doctors allocated to the practice as part of a three-year postgraduate general medical training programme). There are two advanced nurse practitioners (WTE 1.6), two practice nurses (WTE 1.8), and two healthcare assistants (WTE 1.7). There is a practice manager and assistant practice manager. There are 13 (WTE 9) staff who undertake administration duties.

The opening times at Seaview Health Centre at Horden are 8am until 6pm Monday to Friday and at Peterlee Health Centre from 8am Monday to Friday and until 5pm Tuesday to Friday and to 8pm on Monday.

GP appointments are available at both sites from 9am until 12noon, 2pm until 5pm and on a Monday at Peterlee Health Centre until 7:40pm.

The practice is part of NHS Durham Dales and Sedgefield clinical commission group (CCG). The practice provides services based on a General Medical Services (GMS) contract agreement for general practice.

The practice provides late evening, weekend and bank holiday appointments; they are part of the local GP federation of GP practices who work together to provide appointments with GPs, nurses or health care assistants outside of their normal working hours. Patients can contact the practice reception team to arrange appointments. When this service is not provided patients requiring urgent medical care can contact the out-of-hours provided by the NHS 111 service.

Updated 27 September 2018

This practice is rated as Good overall. (Previous rating November 2017 – Requires improvement)

We carried out an announced comprehensive inspection at Horden Group Practice 23 November 2017. The overall rating for the practice was requires improvement with requires improvement for the domains of safe and well-led and good for effective, caring and responsive.

We carried out an announced comprehensive inspection at the practice on 30 August 2018 to confirm that the practice had carried out their plans to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection in November 2017. This report covers our findings in relation to those requirements.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

The report on the November 2017 inspection can be found by selecting the ‘all reports’ link for Horden Group Practice on our website at .

At this inspection we found:

• The practice had systems to keep patients safe and safeguarded from abuse.
• 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 they provided. They ensured that care and treatment was delivered according to evidence- based guidelines.
• The practice scored higher than the local clinical commissioning group (CCG) average in every question in the National GP Patient Survey.
• Feedback from patients was consistently and strongly positive.
• The practice organised and delivered services to meet patients’ needs. They took account of patient needs and preferences.
• Access to appointments at the practice was good. Patients were able to access care and treatment from the practice within an acceptable timescale for their needs.
• There was a focus on continuous learning and improvement at all levels of the organisation. The practice proactively used performance information to drive improvement.

The areas where the provider should make improvements are:

• Review the process for the repeat prescribing and monitoring of high risk medicines.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 27 September 2018

Updated 27 September 2018

Updated 27 September 2018

Updated 27 September 2018

Updated 27 September 2018

Updated 27 September 2018