Redbank Group Practice Also known as Inspire for Health

Updated 28 June 2016

Redbank Medical Practice is based in Radcliffe, Manchester M26 2SP. Redbank Medical Practice is located in Radcliffe, Bury, Greater Manchester. The practice is part of the Redbank Medical

Group which includes The RLC Medical Practice and Mile Lane Surgery. The practice is located in the same building and adjacent to The RLC Medical Practice and they share the same medical, nursing and administrative / reception staff. The practice is located in a modern, purpose built health centre. There is easy access to the building and disabled facilities are provided. There is a car park at the side of the building with four disabled parking bays. The practice is located on a bus route which runs from Bury town centre.

There are six GPs working at the practice. Two of the GPs are partners, both male, and four are salaried GPs, all female. The GPs work between four and ten sessions per week.

The nursing team comprises of:

A group lead nurse (full time)

An assistant nurse practitioner (full time)

Two nurse practitioners (full time),

Two practice nurses (one full time and one part time),

A practice nurse (part time)

A health care assistant (part time)

A phlebotomist (part time).

There is a practice manager (who is also a practice director) and a large team of administrative / reception staff.

The practice has established an enhanced training practice hub for pre-registration nurses, paramedics and advanced practitioners in conjunction with Health Education North West. This is a group initiative with students that commenced in March 2016. The practice had worked hard and enthusiastically to become a good learning environment.

The practice is open between 8am and 6.30pm Monday to Friday. Appointment times are between 8am and 12 noon and 3pm and 6pm Monday to Friday, excluding Wednesday afternoon when only emergency appointments are available.

The practice is part of the Bury extended working hours scheme which means patients can access a designated GP service in the Bury area from 6.30pm to 8.00pm Monday to Friday and from 8am to 6pm on Saturdays, Sundays and bank holidays. Patients requiring a GP outside of normal working hours are advised to call Bury and Rochdale Doctors On Call (BARDOC) using the surgery number and the call will be re-directed to the out-of-hours service.

The practice has a Personal Medical Services (PMS) contract. The PMS contract is the contract between general practices and NHS England for delivering primary care services to local communities.

There are 10,114 patients registered at the practice. 9% of patients are aged 75 years and above, 18% of patients are aged 15 years and under and 91% of patients are aged 75 years and under.

Updated 28 June 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Redbank Medical 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 reported they were treated with compassion, dignity and respect and they were involved in their care and decisions about their 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 reported 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.
• We did not speak with any patients during the inspection as none were available. We looked at the Friends and Family test results for January, February and March of 2016. The results indicated that patients were overwhelmingly ‘extremely likely’ to recommend the practice to their friends and family.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 28 June 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.
• 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 management and monitoring of long term conditions was up to date
• Patients with long term conditions which may leave them at increased risk of hospital admission were covered by the unplanned admission scheme.
• Housebound patients had their health care needs reviewed at home. 

Updated 28 June 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 high for all standard childhood immunisations.
• 85% of women aged 25-64 have received a cervical screening test in the preceding 5 years. This is compared to the CCG average of 82% and the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw positive examples of joint working with midwives, health visitors and school nurses.
• A full range of family planning services were available on site including implants and coil fitting and removal
• All staff were up to date with safeguarding training.
• Emergency on the day appointments were available for children.
• An onsite midwife led antenatal clinic provided shared care services closely linked with the health visitors and safeguarding team.
• Staff worked closely with local children’s centres and Sure Start.

Updated 28 June 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.
• All patients over 75 years old have a named GP.
• The building was accessible for patients who may have mobility problems.
• Influenza, pneumococcal and shingles vaccination clinics were available to those patients over 65 years of age.
• All patients registered with the practice and residing in the nursing homes supported by the practice have a care plan in place and have weekly visits by a nominated clinician.

Updated 28 June 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.
• Practice nurse and health care assistant appointments were available from 8am.
• Routine GP appointments were available to pre-book in advance from 8am.
• NHS health checks were actively promoted.
• New patients, aged 40-74 years, were routinely offered an NHS health checks.

Updated 28 June 2016

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

• 84% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months. This is compared to the CCG average of 89% and the national average of 84%.
• 87% of patients with schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive, agreed care plan documented in the record, in the preceding 12 months. This is compared to the CCG average of 91% and 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.
• Longer appointment were provided as needed
• Annual reviews were available for patients with complex mental health needs with care plans.
• Annual reviews were carried out with patients with dementia.
• Carers were fully involved in planning and decision making where appropriate and were well supported.

Updated 28 June 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice offered longer appointments to 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.
• Reception staff were alerted via the IT system to patients who did not collect their prescriptions.
• GPs worked with and refer patients to local drug and alcohol services.
• Patients who do not attend for secondary and primary care were monitored and provided with follow-up appointments.
• Home visits and telephone consultation were available as necessary.