Archived: Dr Muhammad Adeel Iqbal Also known as Dr Iqbal & Partners

Updated 19 March 2015

Dr Iqbal’s practice is within the Kensington Street Health Centre located near to the centre of Bradford. The building is a purpose built building with good parking facilities and disabled access.

The practice is registered with the CQC to provide primary care services. It provides Primary Medical Services (PMS) for 5255 patients under a PMS contract with NHS England in the Bradford City Commissioning Group (CCG) area. The practice is in Girlington which is in a deprived area of Bradford.

The practice has two GP partners, one salaried GP and a locum GP (three male and one female). They also have an advanced nurse practioner, practice nurse, two healthcare assistants and an experienced administration and reception team. The reception team consists of one practice manager and nine reception and administrative staff.

The practice is open Monday to Friday from 8:30am to 6pm with extended opening hours on a Wednesday morning and late opening on a Monday evening. The practice offers Saturday morning openings as part of the winter pressures between 9 and 11:30am at the Little Horton Lane Medical Centre.

The practice treats patients of all ages and provides a range of medical services. When the practice is closed patients can access the out of hour’s provider service Local Care Direct on 111.

The practice population is made up of a predominately younger and working age population between the ages of 0- 49 years. Sixty three per cent of the patients have a long-standing health condition.

A wide range of practice nurse led clinics are available for patients at the practice. These include vaccinations and immunisations, cervical smears, family planning, spirometry, and chronic disease management such as asthma, chronic obstructive pulmonary disease (COPD), diabetes and heart disease. The practice also holds clinics for smoking cessation and healthy living. Additionally within the same building patients can access health visitors, midwives, podiatry, dentist, and debt and benefits advice.

The practice has commissioned the Pharmacy First Scheme for minor ailments to ease patient access to appointments. They have also employed a pharmacist to support patients with minor ailments and advice.

The CQC intelligent monitoring placed the practice in band 4. The intelligent monitoring tool draws on existing national data sources and includes indicators covering a range of GP practice activity and patient experience including the Quality Outcomes Framework (QOF) and the National Patient Survey. Based on the indicators, each GP practice has been categorised into one of six priority bands, with band six representing the best performance band. This banding is not a judgement on the quality of care being given by the GP practice; this only comes after a CQC inspection has taken place.

Updated 19 March 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Iqbal’s at Kensington Street Health Centre

On 3rd February 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services.

Our key findings were as follows:

• Where incidents had been identified relating to safety, staff had been made aware of the outcome and action was taken where appropriate, to keep people safe.
• All areas of the practice were visibly clean and where issues had been identified relating to infection control, action had been taken.
• Patients received care according to professional best practice clinical guidelines. The practice had regular information updates, which informed staff about new guidance to ensure they were up to date with best practice. The service ensured patients received accessible, individual care, whilst respecting their needs and wishes.
• We found there were positive working relationships between staff and other healthcare professionals involved in the delivery of service.
• Evidence we reviewed demonstrated patients were satisfied with how they were treated and this was with compassion, dignity and respect. It also demonstrated the GPs were good at listening to patients and gave them enough time.
• The service was well led and there were positive working relationships between staff and other healthcare professionals involved in the delivery of service.

We saw several areas of outstanding practice including:

• The practice opened on Saturday mornings during the winter months to help reduce hospital pressures.
• The practice had commissioned the Pharmacy First Scheme for minor ailments to ease patient access to appointments. (Patients who do not pay for their prescriptions can visit the pharmacy with specific symptoms, such as conjunctivitis, and be offered advice and appropriate medicines. This is a free service to these patients).
• The practice had also employed a pharmacist to see patients for minor ailments and give advice; the pharmacist then has access to appointments to refer patients to a GP.
• The practice was working with the local hospital to screen patients for Hepatitis B & C.
• The practice has put into place a patient involvement lead to help engage with patients at the practice.

However, there were also areas of practice where the provider needs to make improvements.

• Staff recruitment processes were not always in accordance with guidance and appropriate pre-employment checks were not always made.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 19 March 2015

The practice is rated as good for the care of people with long-term conditions. Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Longer appointments and home visits were available when needed. All these patients had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 19 March 2015

The practice is rated as good for the care of families, children and young people. There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. Appointments were available outside of school hours and the premises were suitable for children and babies. We saw good examples of joint working with midwives and health visitors.

Updated 19 March 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, in dementia and end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.

Updated 19 March 2015

The practice is rated as good for the care of working-age people (including those recently retired and students). The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 19 March 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). People experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

Updated 19 March 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients with a learning disability. It had carried out annual health checks and offered longer appointments for this group of patients.