Background to this inspection
Updated
5 July 2018
Egton Surgery is situated at Egton, Whitby situated in the national park six miles from Whitby. They are a member practice of the Hambleton, Richmondshire and Whitby, Clinical Commissioning Group (CCG). Egton Surgery provides services under a general medical services (GMS) contract with NHS England to approximately 2366 patients.
The surgery is housed in a two-storey purpose-built accommodation with all patient services on the ground floor offering access and facilities for wheelchair users. The practice website can be found at http: www.egtonsurgery.nhs.uk.
The practice population includes a higher number of patients aged 65 plus which was 40% this was above the 27% nationally.
Information published by Public Health England, rates the level of deprivation within the practice population group as six on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. Male and female life expectancy in the practice geographical
area is higher the national average at 80 years for males, compared to 79 years nationally and 84 years for females, compared to 83 years nationally.
The practice is able to offer dispensing services to those patients on the practice list who live more than one mile (1.6km) from their nearest pharmacy. Practice opening hours are from 8am to 6.30pm Monday, Tuesday, Thursday and Friday and on Wednesday the practice is open 8am to12 pm. Extended hours appointments are offered on Tuesday between 7am and 8 am and on a Saturday morning between 8.30am and 12 pm (these appointments are held at the Better Access clinic at Churchfield Surgery (Sleights). Appointments with GPs at the practice are from 8.30am -12.00pm and 3.30pm to 6pm, the exception is on a Wednesday which is between 8.30am and 11am. When the practice is closed, patients are able to access out of hour’s services by telephoning NHS 111. On a Wednesday after 12pm calls were transferred to Danby Practice they responded to any patient requests they were also able to book appointments for patients.
There are two GPs, one male GP partner and one female salaried GP, one practice nurse, one community practice nurse, three health care assistants and staff who dispense prescriptions including a dispensary supervisor. These are supported by a practice manager, office manager and an experienced team of reception/administration staff. The practice uses when possible locums well known to them. For example the recently retired ex- partner. There is a practice policy in place to ensure that the two GPs are never away from the practice at the same time. This provides continuity of care for patients. The practice is a training practice for both medical students and GP trainees. They also host nurses undertaking training.
The practice provides family planning, surgical procedures, maternity and midwifery services, treatment of disease, disorder or injury and diagnostic and screening procedures as their regulated activities.
Updated
5 July 2018
This practice is rated as Good overall.
(Egton Surgery is a new registered single handed practice and this is the first inspection of this service under this provider.)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Outstanding
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Egton Surgery on 25 April 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
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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.
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The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured care and treatment was delivered according to evidence- based guidelines.
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Clinicians had access to appropriate information to deliver safe care and treatment.
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Patients said they were treated with compassion dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients to understand the care available to them.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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Patients found the appointment system easy to use and reported they were able to access care when they needed it. Patient feedback on the care and treatment delivered by all staff was overwhelmingly positive.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw areas of outstanding practice:
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We were provided with many examples of feedback from patients to say how they valued the care delivered by all members of staff and the support they provided. The staff provided lifts to take patients to appointments and the nurse worked during her lunch time to accommodate patients struggling with transport issues.
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The practice, in collaboration with a neighbouring practice developed processes to share some management responsibilities, improve learning and share best practice. These arrangements included the development of a practice nursing team with specific skills that can be used across the practices.
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Patients and their families at the end of life were given the GPs personal mobile phone to contact 24hours seven days of week to contact them if they were needed.
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Patients were also able to access the skills of GPs with specialist skills at this practice or one of the nearby practices There is formal agreement with the neighbouring practices to access these skills. This reduced the need to refer patients to secondary care which means a considerable journey for some patients.
Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice