Idle Medical Centre

Updated 27 May 2016

• Dr AM Roberts & Partners / Idle Medical Centre is located in the Idle area of Bradford under a Personal Medical Services (PMS) contract. The practice has on-site parking and disabled access. It is located near a bus stop for access to the city centre.

• The practice has:-

  • Four GP partners, one salaried GP, four nurses, one HCA, one phlebotomist and 24 other staff.

  • One female and four male GPs.

  • The practice is a teaching practice and hosts (GP Trainees and fourth year medical students).

• Opening time and appointment times:

  • The practice is open between 8:30am and 6pm Monday to Friday. Appointments are from 8:30 to 6pm every day. Extended hours appointments are offered on Thursday mornings from 7am and also offered on a Monday and Tuesday evening between 18.30 and 20.00.

  • During out of hours patients contact 111 for urgent services.

• The practice serves 11,500 patients who are mainly working age population.

Updated 27 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr AM Roberts & Partners, Idle Medical Centre on 5 April 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.
• The practice was an active member of ‘Health On The Streets’ (HOTS) with help from a well-being worker which enabled the practice to actively engage in the management of patient care.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff were trained to provide them with 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 decisions about their care and treatment.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and 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.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 27 May 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.

• The percentage of patients with diabetes, on the register, in whom the last blood sugar reading was 64 mmol/mol or less in the preceding 12 months (01/04/2014 to 31/03/2015) was 80% compared to a 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 their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

• Recent action was taken as a result included Gestational Diabetes audit. The practice showed evidence of screening for Pre-diabetes and diabetes which was effective with the Bradford Beating Diabetes programme which the practice are actively participating in.

• A GP and nurse led level two diabetes care ensuring patients that required intervention were targeted appropriately.

Updated 27 May 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 average 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 25-64 whose notes record that a cervical screening test has been performed in the preceding 5 years (01/04/2014 to 31/03/2015) was 81% with a national average of 82%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We were told about positive examples of joint working with midwives, health visitors and school nurses.

• All new mums were contacted by the practice to offer them support and advice.

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 27 May 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 integrated care team meet quarterly to discuss complex patients.

• Flu vaccination rates for the over 65s were 74% in line with the national average of 74%.

• The percentage of older people attending for screening programmes was comparable to national averages. For example, 55% of patients aged 60-69, were screened for bowel cancer within 6 months of invitation compared to the national average of 58%.

Updated 27 May 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 reflects the needs for this age group.

• There was an on call duty doctor who was supported by nurses and other staff at busy times.

Updated 27 May 2016

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

• The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive, agreed care plan documented in the record, in the preceding 12 months (01/04/2014 to 31/03/2015) was 100% compared to the national average of 88%.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those 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.

Updated 27 May 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.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed vulnerable patients about 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.

• The practice was also an active member of ‘Health On The Streets (HOTS)’ with a well-being worker helping the practice identify at risk patients.