Archived: Dr WSG Passant's Practice Also known as Haigh Hall Medical Centre

Updated 1 July 2016

• Dr WSG Passant's Practice is located in the Greengates area of Bradford under a Personal Medical Services (PMS) contract. The practice has on-site parking and disabled access. It is located next to Haigh Hall.

• The practice has:-

  • Three GP partners, all of whom are female. Additional medical cover is provided by a male locum GP. There are two advanced nurse practitioners, a practice nurse, one health care assistant (HCA), phlebotomist, and pharmacist. The pharmacist was supplied through Prescribing Support Services. Attached staff include district nurses and a case manager. The clinical team is supported by a practice manager and 14 other staff members, including reception and administrative staff.

• Opening time and appointment times:

  • The practice is open between 8am and 6pm Monday, Wednesday and Thursday and Friday from 7:30am. It is open until 7pm on Tuesday. Appointments are from 3pm to 5pm every day. Open surgery is available from 8am to 9:30am Monday to Thursday, 7:30am to 9.30am on a Friday. Extended hours appointments are offered on Tuesday until 7pm and Fridays from 7.30am.

  • During out of hours Local Care Direct 111 for urgent services.

• The practice serves 5,070 patients mainly working age population.

• The practice is in a socially deprived area where ‘Education and Skills’ deprivation is 65% compared to 24% England average.

Updated 1 July 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr WSG Passant's Practice on 10 May 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 been 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.

• The practice has identified that the working population needed to have access to the services the practice provided on a daily basis. Late evening surgeries were held once a week on Tuesdays along with an early surgery on Fridays. The practice also had a’ walk in’ clinic daily in the morning.

• 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 1 July 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 in the preceding 12 months (01/04/2014 to 31/03/2015) was within normal limits was 83% 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.

• The practice had individualised care plans in place for 54% of the patients with long term conditions (LTCs), CCG average 56%, national average 54% and those with dementia. In addition tailored care plans for 2% of the population at risk of unplanned admissions were in place.

• The percentage of patients with diabetes, on the register, who had received influenza immunisation in the preceding 1 August to 31 March (01/04/2014 to 31/03/2015) was 99% compared to a national average of 94%.

Updated 1 July 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 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 recorded that a cervical screening test had been performed in the preceding 5 years (01/04/2014 to 31/03/2015) was 85% compared to the 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.

• The practice had been designated as a ‘Breast Feeding’ friendly practice.

• The practice offered child health surveillance with weekly baby clinics providing a one stop eight week immunisation appointment.

Updated 1 July 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.

• The practice had scheduled a twice weekly visit to a nursing home that had residents registered at the practice.

• The practice ran an ‘Elderly at Home Medication’ scheme in which a pharmacist managed this population group. The pharmacist was employed by the Prescribing Support Services. They visit people at home who are elderly and on multiple medications to assess suitability, usage, side effects and administration. They communicates the findings to the practice.

• The practice had appointed a case manager via Bradford District Care Trust to provide oversight to house bound patients, elderly patients and patients with complex care needs. They worked, closely with clinicians, district nurses and, social services to provide continuity of care. The case manager dealt with physical, mental and social aspects of patients who were high service users and currently had 20 patients on the caseload and 20 patients on the waiting list. The waiting list were patients who had been on the caseload in the past but may be in hospital or no longer require regular intervention.

Updated 1 July 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.

• The practice offered extended hours and open surgery sessions to accommodate this group of patients. The practice is open between 8am and 6pm Monday, Wednesday and Thursday and Friday from 7:30am. It is open until 7pm on Tuesday. Appointments are from 3pm to 5pm every day. Open surgery is available from 8am to 9:30am Monday to Thursday, 7:30am to 9.30am on a Friday. Extended hours appointments are offered on Tuesday to 7pm.

Updated 1 July 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 91% 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. The practice had developed individualised care plans for patients suffering from dementia.

Updated 1 July 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.