The Care Quality Commission
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  • GP practice

Sherburn Group Practice

Overall: Good read more about inspection ratings

The Medical Centre, Beech Grove, Sherburn-in-Elmet, Leeds, West Yorkshire, LS25 6ED (01977) 682208

Provided and run by:
Sherburn Group Practice

All Inspections

During an assessment under our new approach

Date of Assessment: 09 July 2026.

Sherburn Group Practice is a GP practice in the town of Sherburn in Elmet, North Yorkshire. It delivers services to approximately 11,237 people under a contract held with NHS England and provides a dispensary service to those patients who are eligible.

The practice is a teaching practice and supports medical students, nursing students and a GP Registrar.

According to the latest available data, the ethnic make-up of the service area is approximately 97.7% White, 0.6% Asian, 1.1% Mixed, 0.3% Black and 0.3% Other.

Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 10th decile (10 of 10). The lower the decile, the more deprived the service population is relative to others.

This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements from across all 5 key questions. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.

SAFE:

Staff kept facilities clean and maintained equipment appropriately to ensure people were kept safe. They assessed and managed the risk of infection well and took steps to control the risk of it spreading. The provider did not however consistently follow its recruitment policy regarding obtaining Disclosure and Barring Service checks pre-employment and did not maintain complete records of staff immunisation status in line with national guidelines. Some staff were also not up to date with required training.

EFFECTIVE:

Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes.

CARING:

Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity.

RESPONSIVE:

People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers.

WELL-LED:

Sherburn Group Practice had a clear vision and strategy, which considered the needs of the people who used their service and the wider community. Staff understood their individual roles and responsibilities. Leaders accounted for the actions, behaviours and performance of staff through clear and effective governance processes.

12 June 2019

During an inspection looking at part of the service

We carried out an announced new style focused inspection at Sherburn Group Practice on 12 June 2019 as part of our inspection programme, following our annual regulatory review process.

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected

• information from our ongoing monitoring of data about

services and

• information from the provider, patients, the public and

other organisations.

We have rated this practice as good overall and good for all population groups.

We found that:

  • Patients received effective care and treatment that met

their needs.

  • The way the practice was led and managed promoted

the delivery of high-quality, person-centre care.

  • The practice had done significant work on the management of patients with non-visible haematuria. They had collaborated with the microbiologist to ensure that cases presumed to be caused by a urinary tract infection were followed up. This initiative had identified two bladder cancer cases and a patient with renal stones.
  • The practice had collaborated with Leeds hospital so that practices in their area could access the Yorkshire and Humber Healthcare record. Access to the records and passwords were now available to all staff. This meant that any periods of care at Leeds hospital could now be accessed by the practice to improve safe and effective care,
  • The nursing team had made improvements to the management of patients with asthma, high-risk asthma. This included an ‘at-risk’ alert on patient records which could be seen by out of hours services to prioritise care.
  • The practice participated in a scheme to try to improve care for patients in care homes. This scheme involved a proactive approach with an annual review with the consultant for older people, a GP and care home staff to provide a holistic and preventative approach. The review included falls assessment and planning and education to avoid unnecessary hospital admissions.
  • The practice had been involved in a frailty pilot where care home staff had been trained to make direct referrals to dietetics, speech and language therapy, physios and occupational therapists. Staff were required to follow protocols and the aim was to reduce the need for GP intervention.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated

Care

1 July 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an inspection of Sherburn Medical Group on 1 July 2015, as part of our comprehensive programme of inspection of primary medical services. The inspection team found, after analysing all of the evidence, that the practice was safe, effective, caring, responsive and well led. It was rated as good for all of the population groups.

Our key findings were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Patients received care according to professional best practice clinical guidelines. The practice had regular information updates, which informed staff about new guidance to ensure they were up to date with best practice. According to the data from Quality and Outcomes Framework (QOF), an annual reward and incentive programme showing GP practice achievement results, outcomes for patients registered with this practice were above average.
  • Patients reported the positive view they had of the doctors and staff at the surgery. Practice staff knew their patients well. We received many examples of how their GPs acted ‘over and above’ their expectations from them; these included contacting patients over the weekend and home visiting after accidental deaths. The practice ensured patients received accessible, individual care, whilst respecting their needs and wishes. The QOF indicators showed that patients felt listened to and involved in decisions about their care and this was similar to other practices in the area.
  • The appointment system was guided by internal audit and evaluation of the needs and views of the patients. Urgent needs were addressed on the day and the patients in general were able to see the GP of their choice. The service had embedded and positive working relationships between staff and other healthcare professionals involved in the delivery of services.
  • The management team reflected upon the services they provided and actively explored ways of improving health and care outcomes. Quality and performance was monitored and risks were identified and managed.

We saw several areas of outstanding practice including:

  • The practice, as part of SHIELD (The Selby Area Federation of GP Practices), had won an innovation fund to develop social prescribing. This fund was used initially to support the local voluntary service to produce an up to date data base of available voluntary social care organisations. Patients were then referred to the most appropriate services.
  • The named GP undertook visits with a geriatrician each month to the local care and nursing homes to assess and meet the needs of their patients. This also prevented long journeys to hospitals for these patients who were mainly frail and elderly. In conjunction with the community matron, they had implemented anticipatory care plans with admission avoidance planning incorporated. In addition using the community response team had reduced unplanned admissions by 27% in 2015 compared with 2014.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice