The Bradford Moor Practice

Updated 28 January 2019

The Bradford Moor Practice is situated within a purpose-built surgery located at The Daffodil Building, Barkerend Health Centre, Bradford, West Yorkshire, BD3 8QH. The practice provides services for approximately 3,700 patients and is part of the NHS Bradford District Clinical Commissioning Group (CCG).

The practice is a single storey building and fully accessible for those with a physical disability. There is parking available on the site for patients, and a privately operated pharmacy is located adjacent to the practice building.

The practice population age profile shows that it is above the CCG and England averages for those under 18 years old (30% compared to the CCG average of 24% and England average of 21%). Average life expectancy for the practice population is 74 years for males and 80 years for females (England average is 79 years for males and 83 years for females). Information published by Public Health England rates the level of deprivation within the practice population group as one, on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The practice population is mainly South Asian in composition.

The practice provides services under the terms of the Personal Medical Services (PMS) contract. The provider is registered to provide the following regulated activities; Treatment of disease, disorder or injury, Surgical procedures, Diagnostic and screening procedures and Maternity and midwifery services.

Services offered include those in relation to:

• Childhood vaccination and immunisation including Meningitis C
• Antenatal/Postnatal care
• Influenza, Pneumococcal, Rotavirus and Shingles immunisation
• Travel vaccinations
• Extended hours access
• Dementia support including nursing home visits
• Learning disability support
• Minor surgery
• Ear syringing
• Phlebotomy service
• Chronic disease management including spirometry and blood glucose monitoring
• Patient participation
• Palliative (End of Life) care

Close links are maintained with a team of community health professionals that includes health visitors, midwives and members of the district nursing team.

There is one full-time GP partner (male). He is supported by two long-term locums who each work part time (one male, one female). Together, the locums work the equivalent of one full-time GP. There is a practice nurse, a health care assistant (both female) and a practice pharmacist (male). Supporting these clinicians is a reception and administration team led by a practice manager who is also a non-clinical partner.

The practice reception is open for enquiries daily from 8am to 6.30pm with consultations available during morning and afternoon sessions. Pre-booked appointments for late surgeries are available on Monday and Tuesday evening until 7.30pm. The practice also provided access to appointments from 7.30am, on request, for patients who could not access the surgery during the usual working day. The reception is staffed during late surgeries. The practice website also offers online appointment booking and the ordering of repeat prescriptions.

Out of hours services are provided by Local Care Direct and patients can access the provider via the practice telephone number. Patients also have access to additional evening and weekend appointments through locally arranged hub arrangements.

The inspection rating relating to the previous inspection was on display within the building and was posted on the practice website.

Updated 28 January 2019

This practice is rated as Good overall. (Previous rating February 2018 – Requires improvement)

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

We carried out an announced comprehensive inspection at The Bradford Moor Practice on 21 November 2018. We undertook this inspection because our previous inspection in December 2017 rated the provider as requires improvement. At the 2017 inspection, we rated the service as providing good services under safe, effective and well-led. However, we rated the provider as providing services that required improvement under caring and responsive. We rated all of the population groups as also requiring improvement.

There were not any breaches of regulation at our previous inspection, but we identified areas where they should make improvements:

• Continue to improve the identification rates of carers from amongst the practice population.
• Continue to review, act on and improve patient satisfaction in accessing services at the provider and in their interactions with clinical staff. Patient satisfaction in these areas was significantly below local and national averages.

Our most recent inspection found that significant improvements had been made in addressing previously identified issues:

• 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 provider had devised a targeted campaign to improve the uptake of cervical screening across the practice population. The percentage of eligible women screened had increased from 50% in 2016 to 97% in November 2018 . However, the most recent data had not been published or verified.
• The number of identified carers had increased to 3% of the patient population and a range of resources were on offer to support them.
• An independently commissioned patient satisfaction survey had assured the provider that the majority of patients were satisfied with their care and treatment.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Most patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Continue to take action to increase the uptake of breast and bowel screening programmes across the practice population.
• Continue to explore and address lower than average levels of satisfaction reported in the annual national GP patient survey across the patient population.

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 28 January 2019

Updated 28 January 2019

Updated 28 January 2019

Updated 28 January 2019

Updated 28 January 2019

Updated 28 January 2019