Archived: Broadway Medical Centre

Updated 22 December 2017

Care Quality Commission registered Broadway Medical Centre to provide primary care services.

The practice provides services to approximately 2,600 patients from one location, which we visited as part of this inspection:

• Broadway Medical Centre, 164 Great North Road, Gosforth, Newcastle upon Tyne, NE3 5JP.

Broadway Medical Centre is a small sized practice providing care and treatment to patients of all ages, based on a Personal Medical Services (PMS) contract agreement for general practice. The practice is part of the NHS Newcastle Gateshead clinical commissioning group (CCG). There is more information about the practice on their website at www.broadwaygosforth.nhs.uk.

The practice has two GP partners (one male and one female). They employ a practice manager, a business manager, three nurses and staff who undertake reception and administrative duties.

NHS 111 service and Vocare Limited (known locally as Northern Doctors Urgent Care) provide the service for patients requiring urgent medical care out of hours.

Information from Public Health England placed the area in which the practice is located in the fourth least deprived decile. In general, people living in more deprived areas tend to have a greater need for health services. Average male life expectancy at the practice is 80.5 years, compared to the national average of 79.4 years. Average female life expectancy at the practice is 85.1 years, compared to the national average of 83.1 years.

Updated 22 December 2017

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection December 2014 – Good)

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 Broadway Medical Centre on 24 November 2017. This was as part of our on going inspection programme.

At this inspection we found:

• The practice had clear systems to keep patients safe and safeguarded from abuse.
• 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 practice had reliable systems for appropriate and safe handling of medicines.
• 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.
• Quality Outcomes Framework (QOF) for 2016/17 showed the practice had achieved 100% of the points available to them for providing recommended treatments for the most commonly found clinical conditions.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• The practice organised and delivered services to meet patients’ needs. It took account of patient needs and preferences.
• Patients were able to access care and treatment from the practice within an acceptable timescale for their needs. Although the majority of patients were satisfied with access to the service, some patients fed back concerns relating to the process for getting appointments and appointment availability.
• There was a strong focus on continuous learning and improvement at all levels of the organisation. The practice proactively used performance information to drive improvement.

The areas where the provider should make improvements are:

• Ensure that all staff who act as chaperones are subject to a disclosure and barring service (DBS) check.
• Maintain an audit trail for prescription stationery, in line with best practice guidelines.
• Check that quality improvement activity has delivered the expected improvements, by carrying out the full audit cycle.
• Continue with the plan to carry out appraisals for all staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 31 March 2015

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

Nationally reported data showed the practice had achieved good outcomes in relation to those patients with common long-term conditions. The practice had taken steps to reduce unplanned hospital admissions to hospital by improving services for patients with complex healthcare conditions. All patients on the practice’s long-term conditions registers received healthcare reviews that reflected the severity and complexity of their needs. Person-centred care plans had been completed for each patient. Practice nurses had received the training they needed to provide good outcomes for patients with long-term conditions.

Updated 31 March 2015

The practice is rated as good for the care of families, children and young people.

Nationally reported data showed the practice had achieved good outcomes in relation to child health surveillance, and the provision of contraception and maternity services. Systems were in place for identifying and following-up children who were considered to be at risk of harm or neglect. Immunisation rates were high for all standard childhood immunisations. Appointments were available outside of school hours and the premises were suitable for children and babies.

Updated 31 March 2015

The practice is rated as good for the care of older patients.

Nationally reported data showed the practice had achieved good outcomes in relation to the conditions commonly associated with older people. The practice provided proactive, personalised care to meet the needs of older people. They provided a range of enhanced services including, for example, allocating a named GP who was responsible for overseeing the care and treatment received by the practice’s older patients. Clinical staff had received the training they needed to provide good outcomes for older patients. The practice was responsive to the needs of older people, and offered home visits and rapid access appointments for those who needed this.

Updated 31 March 2015

The practice is rated as good for the population group of working-age patients (including those recently retired and students.)

The needs of this group of patients had been identified and steps had been taken to provide accessible and flexible care and treatment. The practice was proactive in offering on-line services to patients. Patients could order repeat prescriptions and book appointments on-line. Extended hours appointments were available until 7:45pm one evening a week. Health promotion information was available in the waiting area and on the practice web site. The practice provided additional services such as smoking cessation, travel vaccinations and minor surgery.

Updated 31 March 2015

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

The practice had achieved good outcomes in relation to meeting the needs of patients with mental health needs. They practice kept a register of these patients and used this to ensure they received relevant checks and tests. Where appropriate, care plans had been completed for patients who were on the register. The practice regularly worked with other community healthcare professionals to help ensure patients’ needs were identified, assessed and monitored.

Updated 31 March 2015

The practice is rated as good for the population group of patients whose circumstances may make them vulnerable.

The practice had achieved good outcomes in relation to meeting the needs of patients with learning disabilities. The practice held a register identifying which patients fell into this group. They used this information to ensure they received an annual healthcare review and other relevant checks and tests. Staff worked with relevant community healthcare professionals to help meet the needs of vulnerable patients registered with the practice. The practice sign-posted vulnerable patients to various support groups and other relevant organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, recording safeguarding concerns and contacting relevant agencies during normal working hours and out-of-hours.