9 March 2018
Mirfield Health Centre is situated at Doctor Lane, Mirfield WF14 8DU. There are currently 17,210 patients registered on the practice list. The practice provides General Medical Services (GMS) under a locally agreed contract with NHS England.
The Public Health National General Practice Profile shows that around 2% of the patient population are of Asian origin, and approximately 2% are of mixed ethnicity, with the remainder being of predominantly white British origin.The level of deprivation within the practice population group is rated as eight, on a scale of one to ten. Level one represents the highest level of deprivation, and level ten the lowest.
The age/sex profile of the practice shows the practice has slightly fewer patients in the 20 to 39 year age group compared to the national average; and slightly more patients in the 60 to 85 year age group than the national average. The average life expectancy for patients at the practice is 80 years for men and 82 years for women, compared to the national average of 79 years and 83 years respectively.
The practice offers a range of enhanced services which include childhood vaccination and immunisation, facilitating timely diagnosis and support for people living with dementia and minor surgery.
The clinical team comprises three GP partners; all male and four salaried GPs, two male and two female. There are five advanced nurse practitioners, four female and one male; three female practice nurses and four health care assistants, all of whom are female. The clinical team is supported by a practice manager and a range of administrative, secretarial and reception staff.
The practice is open between 8am and 6pm Monday to Friday. Appointments are staggered throughout the day to optimise patient access. Extended hours are available on Monday and Wednesday evening between 6.30pm and 8pm; and on Tuesday and Thursday morning between 7am and 8am. The surgery is located in 1970s purpose built premises. Staff from the local community health trust share the building. All clinical rooms for the practice are located on the ground floor. Car parking is available on site, and the building is accessible to patients with mobility difficulties, or those who use a wheelchair.
Out of hours care is provided by Local Care Direct which is accessed by calling the surgery telephone number, or by calling the NHS 111 service.
When we returned for this inspection, we checked and saw that the previously awarded ratings were displayed as required in the premises and on the practice website.
9 March 2018
Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (The practice was previously inspected on 7 July 2016. On that occasion the practice received a rating of Good overall, with a rating of Outstanding for providing effective services).
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 Mirfield Health Centre on 14 February 2018 as part of our inspection programme.
At this inspection we found:
- The practice had clear governance policies and protocols which were accessible to all staff.
- There were well developed systems to identify and manage risk within the practice. Processes for recognising, reporting and learning from incidents were embedded.
- The practice routinely reviewed the effectiveness and appropriateness of the care provided. Care and treatment was delivered in line with current evidence based guidance. The practice benchmarked performance against other practices in the locality.
- The practice had responded to patient survey results relating to delays in accessing appointments. They had made improvements and changes to their systems; and provided evidence which showed that abandoned calls and call wait times had been significantly reduced; the number of available appointments had significantly increased and waiting times to be seen had reduced in the period between January 2017 and January 2018.
- We observed staff treating patients with kindness, compassion and good humour. Patients we spoke with confirmed this impression.
- Staff were encouraged and supported to develop within their role. Staff at all levels were able to access role development opportunities.
- The practice engaged in a positive way with the local community. Sponsorship was provided for a local girls’ football team, there was reciprocal engagement with the local primary school, and outreach support was provided to a nearby hostel for homeless people.
The areas where the provider should make improvements are:
- Improve systems for collating and recording informal verbal complaints and compliments.
- Improve record keeping associated with the cleaning of equipment.
- Continue to monitor, review and take steps to improve patient satisfaction in accessing appointments and receiving care.
- Review their arrangements for the identification of carers to assure themselves that they are identifying them effectively, and are able to offer them the appropriate support.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice