Archived: Market Harborough Minor Injury Unit

Updated 1 March 2017

Market Harborough Minor Injury Unit (MHMIU) is part of The Market Harborough and Bosworth Partnership. It is located in Market Harborough District Hospital.

The unit’s services are commissioned by East Leicestershire and Rutland Clinical Commissioning Group (ELRCCG).

The minor injuries unit provided a service which was available to patients registered with any GP. The minor injury unit have a set criteria of injuries and illnesses which has been agreed with the ELRCCG.

At the Minor Injury Unit the service is provided by one unit manager, one deputy manager (both of whom are independent nurse prescribers, 4 emergency nurse practitioners, one health care assistant and two receptionists.

The Market Harborough and Bosworth Partnership is a General Practice Partnership open to all patients living within the boundaries of Market Harborough Medical Centre and Husbands Bosworth Surgery. It has three locations registered with the Care Quality Commission (CQC).

Market Harborough Medical Centre, 67, Coventry Road, Market Harborough, Leicestershire, LE16 9BX.

Husbands Bosworth Surgery, Kilworth Road, Husbands Bosworth,LE17 6JZ.

Minor Injuries Unit, Market Harborough and District Hospital, 58, Coventry Road, Market Harborough, Leicestershire, LE16 9DD.

The location we inspected on 17 January 2017 was Minor Injuries Unit, Market Harborough and District Hospital, 58, Coventry Road, Market Harborough, Leicestershire, LE16 9DD. This is located within Market Harborough District Hospital.

Market Harborough Minor Injuries Unit was open between 8.30am and 5pm Monday to Friday excluding weekends. It is a walk in service and no appointments are required. We were told by the management team that this service would move to St Luke’s Hospital in March 2017 but would continue to be run by Market Harborough and Bosworth Partnership.

Market Harborough and Bosworth Partnership had a website www.marketharboroughmedicalcentre.co.uk/ which we found had an easy layout for patients to use. It enabled patients to find out a wealth of information about the healthcare services provided by the partnership at all of its registered locations.

The practice has opted out of the requirement to provide GP consultations when the surgery is closed. The out-of-hours service is provided for Leicester City, Leicestershire and Rutland by Vocare Ltd and the 111 service is provided by Derbyshire Health United. There were arrangements in place for services to be provided when the practice is closed and these are displayed on the practice website.

Updated 1 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Market Harborough Minor Injury Unit on 17th January 2017. We inspected the service provided by Market Harborough and Bosworth Partnership, Monday to Friday 8.30am to 5pm.

Overall Market Harborough Minor Injury Unit is rated as good.

Our key findings across all the areas we inspected were as follows:

• Market Harborough and Bosworth partnership had a governance framework in place with systems and processes in place to support the delivery of their strategy.

• There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
• Market Harborough Minor Injury Unit had an effective system in place to safeguard adults and children from abuse.
• Overall risks to patients were assessed and well managed.
• Patients’ care needs were assessed and delivered in a timely way according to need.
• 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 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.
• Market Harborough Minor Injury Unit worked proactively with other organisations and providers to develop services that supported alternatives to hospital admission where appropriate and improved the patient experience.
• The service had facilities which were well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management.
• The service 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.

The areas where the provider should make improvement are:

• Continue to embed the system for significant events and ensure meeting minutes include discussions and decisions made.

• Review the current triage protocol to ensure it provides staff with sufficient guidance when patients attend the minor injury unit.

• Ensure that audits carried out evidence where the improvements were made, implemented and monitored.

• Review the frequency of nurse meetings for clinical supervision to ensure they take place on a regular basis.

• Continue to monitor risk assessments undertaken by NHS Property Services to ensure the actions and remedial work has been carried out.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice