Archived: Dr Shiv Sharma

Updated 30 March 2016

Dr Shiv Sharma is located in Manor Top Medical Centre which is a converted house in the inner city area of Sheffield and accepts patients from Manor and Castle, Richmond, Arbourthorne, part of Darnall and Gleadless Valley. The practice catchment area is classed as within the group of the first most deprived areas in England.

The practice provides Primary Medical Services (PMS) under a contract with NHS England for 1370 patients in the NHS Sheffield Clinical Comissioning Group (CCG) area. It also offers a range of enhanced services such as childhood vaccination and immunisations.

Dr Shiv Sharma at Manor Top Medical Centre has one female and four male GPs, two part time practice nurses, business partner, practice manager and an experienced team of reception and administration staff. The practice is a training practice for medical students.

The practice is open 8am to 6pm Monday to Friday with the exception of Thursdays when the practice closes at 12 noon. Appointments are offered between 9am and 11am and 3.20pm to 5.30pm daily, with the exception of Thursdays when there is no afternoon surgery. Extended hours are offered through the Sheffield satellite scheme.

When the practice is closed between 6.30pm and 8am patients are directed to contact the NHS 111 service. The Sheffield GP Collaborative provides cover when the practice is closed between 8am-8.30am and 6pm-6.30pm. Patients are informed of this when they telephone the practice number.

The practice is registered to provide the following regulated activities; treatment of disease, disorder or injury, diagnostic and screening procedures, maternity and midwifery services and family planning.

The practice was previously inspected by The Care Quality Commission in November 2013 and found to be compliant.

Updated 30 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Shiv Sharma, also known as Manor Top Medical Centre on 2 February 2016. Overall the practice is rated as good.

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Patients told us they found it easy to make an appointment.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and the practice sought feedback from staff and patients, which it acted on.
• The GPs and management team were aware of and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvement are:

• Maintain a complete record of the immunity status of all clinical staff.

• Maintain a recording schedule of carpet deep cleaning.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 30 March 2016

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 required

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 30 March 2016

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 comparable to other practices in the locality for all standard childhood immunisations.

• Data showed 84% of women eligible for a cervical screening test had received one in the previous five years compared to the national average of 81%.

• Appointments were available outside of school hours and staff told us same day appointments were offered to children.

• We noted positive examples of joint working with midwives and health visitors.

Updated 30 March 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• The percentage of people aged 65 or over who received a seasonal flu vaccination was 74%, higher than the national average of 73%.

Updated 30 March 2016

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 offered evening and weekend appointments at a local practice through the Sheffield satellite clinic scheme.

• The practice was able to offer appointments with an occupational health adviser at a local practice. They were proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 30 March 2016

The practice is rated as good for the care of people experiencing poor mental health (including people living with dementia).

• The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health, including those living with dementia.

• The practice carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support patients with mental health needs and dementia. Reception staff had also received training in dementia awareness.

• The practice hosted Improving Access to Psychological Therapies Programme (IAPT) to support patients’ needs.

Updated 30 March 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• Staff told us they would be flexible and book appointments to suit the needs of individual patients.

• The practice regularly worked with multidisciplinary teams in the case management of vulnerable people.

• The practice supported local community initatives to improve the lives of its patients. For example, they assisted with a local foodbank scheme.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations. For example, they would refer to an advocacy worker who would assist and give extra support to patients who needed it.

• Staff knew how to recognise signs of abuse in adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.