IG Medical

Updated 30 June 2016

Ilkley Moor Group Practice serves a registered population of 13,500 people. It covers the town lof Ilkley and a rural population surrounding the villages of Nesfield, Beamsley, Askwith, Denton and Burley in Wharfedale in Yorkshire. It is an area in the 10% least deprived decile in the country.

The practice has seven GP partners and four salaried GPs (four male and eight female),. The nursing team consists of five registered nurses, three health care assistants and a phlebotomist.

The practice is a training practice both for doctors in the second year following qualification and GP registrars (doctors specialising in becoming a GP).

When the practice is closed services are provided by Local Care Direct (LCD) which are contacted either by using the practice number or 111.

Updated 30 June 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Ilkley Moor Medical Practice on 17 February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• 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 said they found it easy to make an appointment with a named GP after a first consultation, therefore there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the Duty of Candour.

We saw three areas of outstanding practice:

• The practice had an exemplary relationship with the Patient Participation Group and proactively undertook health promotion activity in the town through annual health awareness events that took place.

• The care home support work demonstrated excellent results in keeping patients in their own home as a result of support and training from the practice and reducing attendance at A & E.

• Staff told us that interpreter services were available for patients who did not have English as a first language. Patients were identified on the practice system and for some patients interpreters were automatically booked by administrative staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 June 2016

The practice is rated as good for the care of people with long-term conditions.

• Several of the GPs had areas of specialist expertise which enabled patients to be directed to the professional most able to manage their condition, for example diabetes or athsma specialists..
• The practice recently held a Health Awareness Event in conjunction with the Patient Participation Council to promote the care of the patient population.
• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• The percentage of patients who had a blood pressure reading within the normal range in the preceding 12 months was 86%, higher than the national average of 78%.
• 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 medicines 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 30 June 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 accident and emergency (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.
• The percentage of women aged 25 to 64 who had a cervical screening recorded in the preceding five years was 90%, higher than the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• The practice could evidence good examples of joint working with midwives, health visitors and school nurses.
• The practice worked closely with local schools in health promotion and had a local pupil as a member of the Patient Council (an organised group of representative patients working with the practice to improve patients services). .
• The practice worked in partnership with local schools on health promotion and had artwork by a local primary school to be displayed in the practice..
• The practice recently held a Health Awareness Event in conjunction with the Patient Participation Council to promote the care of the patient population.

Updated 30 June 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.
• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• The practice recently held a Health Awareness Event in conjunction with the Patient Participation Council to promote the care of the patient population.
• The practice clinical staff ensured that Care Home staff were fully trained on how to set up syring drivers for palliative care patients.

Updated 30 June 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 was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.
• The practice, in partnership with the Patient Council, organised annual health awareness events in the town offering help and advice on a number of health care issues with input from a range of contributors in the public and private sector.
• The practice offered appointments from 7.30am to 7.30pm every Monday Tuesday and Wednesday.

Updated 30 June 2016

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

• 95% of people diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months.
• The percentage of patients with a psychosis whose alcohol consumption had been recorded in the preceding 12 months was 99% which was higher than the national average of 90%.
• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.
• It 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.
• It 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 people with mental health needs and dementia.
• A counselling service was delivered from the practice.

Updated 30 June 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.
• It offered longer appointments for people with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• It informed vulnerable patients how to access various support groups and voluntary organisations.
• Staff knew how to recognise signs of abuse in vulnerable 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.