Archived: Brookroyd Surgery Also known as Dr David Youd & Partners

Updated 20 July 2016

Brookroyd Surgery is located on the first floor of Heckmondwike Health Centre, 16 Union Street, Heckmondwike, West Yorkshire, WF16 0HH.

• The practice is close to local shops and transport links. The premises hosts two GP practices and a pharmacy. There is a large car park for patients and the premises is accessible for wheelchair users.
• The practice provides primary care services to 9814 patients in Heckmondwike, Cleckheaton, Mirfield, Batley, Dewsbury Moor and parts of Liversedge under a Personal Medical Services (PMS) contract.

• The area is on the fifth decile of the scale of deprivation and 1% of patients are from black minority ethnic populations. Five per cent of patients are on disability living allowance.

• In addition to primary care services the practice hosts counselling, ultrasound, audiology midwifery and nephrology services.
• There are five male GPs, a female advanced nurse practitioner, a minor ailments/injury nurse, four female practice nurses, two female healthcare assistants and a female phlebotomist. There is a practice manager and a team of administrative staff.

• The practice is open from 8am and 6pm Monday to Friday. Appointments are from 8am every morning and 2pm daily. Extended hours appointments are offered until 7.30pm on Mondays. There is a GP is on call each day for urgent requests.

• When the practice is closed services are provided by Local Care Direct and NHS 111.

Updated 20 July 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Brookroyd Surgery on 14 April 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.
• Feedback from patients about their care was consistently positive. Patients said 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 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.
• The practice had strong and visible clinical and managerial leadership and governance arrangements.
• The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs. For example, the practice referred patients to a care co-ordinator who liased with NHS and social care services to ensure patients were supported.
• 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 20 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.
• 95% of patients newly diagnosed with diabetes, on the register, in the preceding 1 April to 31 March had a record of being referred to a structured education programme within 9 months (CCG and national average 90%). Patients had a pre-assessment appointment with a healthcare assistant and a care plan was provided in advance of their review appointment.
• Staff had created bespoke templates following NICE guidelines to undertake reviews of patients with long term conditions and prompt opportunistic offers of screening.
• The practice provided an in-house spirometry service for patients with asthma and Chronic Obstructive Pulmonary Disease (COPD).
• 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.

Updated 20 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 A&E attendances. Immunisation rates were relatively high 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 practice’s uptake for the cervical screening programme was 81%, which was comparable to the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• The practice ensured that children who were unwell were seen the same day and reserved child only urgent access appointments after school hours.
• We saw positive examples of joint working with midwives, health visitors and school nurses.
• The practice held weekly antenatal and childhood immunisation clinics.

Updated 20 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 facilities were good for older people, for example, the practice purchased high backed chairs and had installed a hearing loop.
• Uptake for national screening programmes was high. For example, 61% of people aged 60 to 69 had been screened for bowel cancer in the preceding 30 months compared with the national average of 55%.
• Flu vaccination rates for the over 65s were 72% compared to the national average of 73%.

Updated 20 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 offered extended hours appointments on Monday evenings for working people.
• 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 used text messages to confirm appointment bookings and send reminders.

Updated 20 July 2016

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

• The practice offer a three tier appointment system for dementia screening. Data showed that 82% of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months, which is comparable to the national average of 84%.
• 83% of patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive care plan documented in the record, in the preceding 12 months compared with the national average of 88%.
• Staff had created bespoke templates following NICE guidelines to undertake reviews of patients with dementia which included an assessment of their mobility, social circumstances and carers.
• 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 hosted counselling services and 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 had received additional training to understand the needs of patients with dementia.

Updated 20 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 and encouraged patients to bring a support worker, friend or relative.
• The practice regularly worked with other health care professionals and the learning disability team in the case management of vulnerable patients.
• The practice informed vulnerable patients about how to access various support groups and voluntary organisations. For example, local carers groups and support for domestic violence.
• 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.
• The practice had effective systems to ensure children and vulnerable patients who did not attend reviews were assessed by the safeguarding lead.
• The practice was registered with the Kirklees Safe Places scheme. The scheme helps vulnerable people who become confused, frightened or need help when they go out.