Leeds City Medical Practice

Updated 29 May 2018

Leeds City Medical Practice is the provider of the practice which has three sites: 123 Cemetery Road, Leeds LS11 8LH; Parkside Health Centre, 1st Floor, 311 Dewsbury Road, Leeds LS11 5LQ; Crossland Surgery, 218a Dewsbury Road, Leeds LS11 6ER. These are all based within the South East area of Leeds. As part of the inspection we visited all three sites. The premises at Leeds City Medical Practice and Parkside Health Centre are leased. However, the building at Crossland Surgery is owned by some of the GP partners.

The provider is contracted to provide General Medical Services to a registered population of approximately 16,800 patients. During the period January 2016 to January 2017, the practice had seen an increase of 2,367 patients, mainly as a result of a nearby practice closing.

Patients can access services at any of the three sites. There are some variables to the practice patient profile compared to national figures. For example, the percentage of patients aged 0 to 18 years is 47% (38% nationally); 16% of patients are aged 65 years and over (27% nationally); 11% of patients are unemployed (5% nationally) and 59% have a long-standing health condition (54% nationally).

The ethnicity of the practice patient population is approximately 70% white British, 18% Asian with the remaining 12% from other ethnic groups. The National General Practice Profile shows the level of deprivation within the practice demographics being rated as one. (This is based on a scale of one to ten, with one representing the highest level of deprivation and ten the lowest.)

The provider is registered with Care Quality Commission to provide the following regulated activities: diagnostic and screening procedures; surgical procedures; treatment of disease, disorder or injury. At the time of our inspection they were not registered to provide family planning and maternity and midwifery services. The practice has suspended services relating to those activities until the registration had been completed.

The practice clinical team is made up of nine GP partners (six male, three female), one female salaried GP, one advanced nurse practitioner, one practice matron, six practice nurses (one of whom is the nurse manager) and two healthcare assistants. Clinical staff rotate across all the sites. The administration team consist of a practice manager, an assistant practice manager, a senior reception supervisor, two secretaries and a large team of reception/administrative staff.

Opening times for Leeds City Medical Practice and Parkside Health Centre are 8am to 6pm Monday to Friday. However, Leeds City Medical Practice is open until 8.30pm on Mondays and Parkside Health Centre opens at 7.30am on Thursdays.

Opening times for Crossland Surgery are Tuesday and Wednesday 8am to 10.45am and 2pm to 4.45pm; Wednesday is 8am to 10.45am; Friday is 8am to 10.45am and 2.30pm to 5.15pm. They are closed on Mondays.

Appointments are available with a range of clinical staff. When the practice is closed out-of-hours serviced are provided by Local Care Direct, which can be accessed by calling the NHS 111 service.

The practice is a training practice and accommodates GP Registrars and medical students. GP Registrars are fully qualified doctors who are completing their specialist training to become a GP.

We saw that the ratings from the previous inspection were displayed both in the practice and on the website.

Updated 29 May 2018

This practice is rated as Good overall. (A previous inspection undertaken on 30 October 2014 had rated the practice as Good overall.)

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

We carried out an announced comprehensive inspection at Leeds City Medical Practice on 19 April 2018, as part of our inspection programme.

At this inspection we found:

• The practice had clearly structured 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.
• Since the previous inspection the practice had introduced a clear and effective system to ensure staff who acted in the capacity of a chaperone were appropriately trained.
• There were a range of recorded checks relating to cleaning, equipment and emergency medicines. However, these were not always kept up to date at the Crossland Surgery site.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. They ensured that care and treatment was delivered according to evidence- based guidelines and best practice.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients were positive about the service, care and treatment they received at the practice.
• There was evidence of a cohesive team with a strong focus on continuous learning and improvement at all levels of the organisation. Staff were positive and enthusiastic regarding their work at the practice.
• There was a good use of skill mix and the practice were engaged with innovative schemes to support quality patient care and service delivery.

We saw an area of outstanding practice:

• There was a good use of skill mix and a comprehensive, co-ordinated approach to support care and treatment provided to those patients who were elderly, frail or had mental health needs.

The areas where the provider should make improvements are:

• Maintain clear written records of checks made at Crossland Surgery. For example, those relating to cleaning schedules and equipment checks.
• Complete the registration processes relating to the regulated activities provided, before they are recommenced.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Updated 29 May 2018

Updated 29 May 2018

Updated 29 May 2018

Updated 29 May 2018

Updated 29 May 2018

Updated 29 May 2018