Wilsden Medical Centre

Updated 7 August 2018

Wilsden Medical Centre, is located at 2 Lingbob Court, Wilsden, Bradford, West Yorkshire, BD15 0NJ. There is also a branch surgery located at Cullingworth Practice, 12 Mill Street, Cullingworth, BD13 5HA. We visited both sites during our inspection. The practice provides services for 10,153 patients under the terms of the Personal Medical Services contract. The practice buildings are accessible for those with a physical disability or mobility issues. In addition, the practice has on-site parking available for patients, with designated spaces for disabled patients who require them.

The practice population catchment area is classed as within the ninth least deprived areas in England, with a rating of one being the most deprived and ten the least deprived. The age profile shows that the practice has a higher number of patients aged 65 years and over. This is 24% for the practice compared to 15% as a local average and 17% as a national average. Life expectancy of the practice population is higher than other GP practices in the NHS Bradford Districts Clinical Commissioning Group (CCG) and in line with the national average.

The National General Practice Profile states that 95% of the practice population is from a White British background.

Wilsden Medical Centre is registered with the Care Quality Commission to provide; surgical procedures, diagnostic and screening procedures, family planning, maternity and midwifery services and the treatment of disease, disorder or injury.

The practice offers a range of enhanced local services including those in relation to:

• childhood vaccination and immunisation
• travel vaccinations
• Influenza and Pneumococcal immunisation
• Anti-coagulation clinics
• A GP specialising in Care of the Elderly
• Minor surgery including biopsy and minor eye surgery.
• Family planning including the fitting of coils and implants

As well as these enhanced services the practice also offers additional services such as those supporting long term conditions management including spirometry for lung conditions, ECG and blood pressure monitoring, advice and support for alcohol misuse, weight loss and social prescribing including help in accessing welfare benefits.

Allied with the practice is a team of community health professionals that includes health visitors, podiatrists, a mental health worker, midwives and members of the district nursing team.

The practice is accredited as a training practice and supports GPs in training as well as medical undergraduates.

The clinical team consists of five GP partners (one male, four female), two salaried GPs (both female), two GP registrars (both female), one advanced nurse practitioners (female) and four practice nurses (female). The provider also employs a prescribing pharmacist, two health care assistants and a phlebotomist. They are supported by a practice manager and their assistant, along with a team of administrative and management support staff.

The practice appointments include:

• Pre-bookable appointments
• Extended hours available three mornings a week
• Urgent and on the day appointments
• Telephone consultations
• Home visits

Appointments can be made in person, via telephone or online.

Practice opening times are:

Monday - 8am to 6pm

Tuesday – 7.30am to 6pm

Wednesday – 7.30am to 6pm

Thursday – 7.30am to 6pm

Friday – 8am to 6pm

Out of hours care is provided by Local Care Direct, reached by dialling 111.

The previously awarded ratings are displayed as required in the practice and on the practice’s website.

Updated 7 August 2018

This practice is rated as good overall. The practice had previously been inspected in May 2015 when it was rated good overall.

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 Wilsden Medical Centre on 28 June 2018 as part of our inspection programme.

At this inspection we found:

• The practice had a number of systems to manage risk so that safety incidents were less likely to happen. The management of significant events had recently been improved and we saw that when incidents did happen, the practice learned from them and improved their processes.
• 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.
• The practice had carried out several full two cycle clinical audits to drive improvement and a practice pharmacist undertook regular medicine reviews.
• Staff involved and treated patients with compassion, kindness, dignity and respect. All of patient comment cards we collected during the inspection were very positive about the care and services offered.
• Patients did not always find the appointment system convenient to use. However, they told us they were always able to access urgent care when they needed it.
• There was an active patient group that worked closely with the staff team. The group undertook surveys and engaged with all members of the practice population. This included health promotion activity at local galas and encouraging patient participation amongst local high school pupils.
• The whole staff team were collaborative and supportive. We saw example of kindness and compassion being displayed to team members when their personal circumstances and needs required a flexible approach.
• Rates of patient screening for cervical, bowel and breast cancer were higher than local and national averages. The provider also had high rates of childhood immunisations.
• There was a strong focus on continuous learning and improvement at all levels of the organisation. For example, in partnership with other health professionals, the practice had delivered an innovative six week course around planning and care towards the end of life.

The areas where the provider should make improvements are:

• The provider should take action to develop a comprehensive and systematic risk assessment across the operation of the practice. This would include building safety and potential risks posed to staff and members of the public; to be assured that health and safety matters are appropriately identified and acted upon.
• The provider should improve their approach to the management of complaints and take action to ensure that all matters of complaint are appropriately investigated, acted upon and learning implemented across the practice team.
• The provider should review their approach to clinical audit and ensure that services offered through minor surgery are regularly reviewed; to be assured that treatment and outcomes are safe and appropriate.

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 7 August 2018

Updated 7 August 2018

Updated 7 August 2018

Updated 7 August 2018

Updated 7 August 2018

Updated 7 August 2018