Archived: Dr Haridas Upendra Pai Also known as Dr Pai Hari

Updated 21 January 2016

Dr Haridas Upendra Pai’s practice is a small single handed practice. The practice is located within the Cottingley estate of Leeds and is part of Leeds South and East Clinical Commissioning Group (CCG). The premise is a single storey building and is leased from the local church. There is one male GP and at the time of our inspection there was a female locum practice nurse supporting them. They are supported by a practice manager and two reception/admin staff.

The practice opening hours are between 7.50am and 6pm Monday, Tuesday, Thursday and Friday. On Wednesday they open between 6.45am to12 midday and are closed in the afternoon.

The appointment times are 8am to 10.30am and 3.30pm to 5.30pm Monday, Tuesday, Thursday and Friday. On Wednesdays appointments are between 6.45am to 10.30am. Out of hours care is provided by local care direct and is accessed by telephoning the practice or NHS 111.

The practice provides services for 1889 patients under the terms of the locally agreed NHS General Medical Services (GMS) contract. They are registered with the Care Quality Commission (CQC) to provide the following regulated activities; diagnostic and screening procedures and treatment of disease, disorder or injury. They also offer a range of enhanced services such as extended hours, influenza, pneumococcal, shingles and childhood immunisations.

Thirty seven per cent of their patients are in paid work or full time employment, compared to 60% nationally. They have higher than national averages for the following factors:

• Patients who are aged 45 years or below.

• Patients who have a long standing health condition (67% compared to 54% nationally).

• Patients who have a health related problem which affects their daily life (63% compared to 49% nationally).

• Patients who claim disability allowance (76% compared to 50% nationally).

• Patients who are unemployed (26% compared to 6% nationally).

Updated 21 January 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Haridas Upendra Pai on 26 November 2015. 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 there were systems in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff had the skills, knowledge and experience to assess patients’ needs and 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.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• Patients said they found it easy to make an appointment. Urgent appointments were available for the same day as requested. Extended hours were available on Wednesday mornings from 6.45am.
• The practice worked closely with other organisations, such as Leeds South and East Clinical Commissioning Group, in planning how services were provided to ensure that they meet people’s needs.
• There was a clear leadership structure and staff felt supported.
• 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 21 January 2016

The practice is rated as good for the care of people with long term conditions.

• All the patients had a named GP and an annual review to check that their health needs were being met. The GP and practice nurse had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• The House of Care model was used with all patients who had diabetes and chronic obstructive pulmonary disease (a disease of the lungs). (The House of Care model provides proactive, holistic and patient centred care for people with long term conditions.) This approach enabled patients, in partnership with clinicians, to have a more active role in determining how their care and support needs were met.
• Longer appointments and home visits were available when needed.

Updated 21 January 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.
• Staff told us children and young people were treated in an age-appropriate way and were recognised as individuals.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• Childhood immunisation and cervical screening uptake rates were comparable to other practices in the locality.
• Any identified child development concerns were acted on and referrals made to relevant services as needed.

Updated 21 January 2016

The practice is rated as good for the care of older people.

• The practice provided proactive, responsive and personalised care to meet the needs of the older people in its population. Home visits, longer appointment and urgent care were available for those patients in need.

• The practice worked closely with other health and social care professionals, such as the district nursing team, to ensure housebound patients received the care they needed.

Updated 21 January 2016

The practice is rated as good for the care of working age people (including those recently retired and students).

• The needs of these patients 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 reflected the needs for this age group.

• Extended hours were available on Wednesday mornings from 6.45am.

Updated 21 January 2016

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

• Annual health checks and individualised care plans were offered for these patients and data showed 100% had received one in the last twelve months; which was above the CCG average of 82%.

• The practice regularly worked with multidisciplinary teams in the case management of people in this population group, for example the local mental health team. Patients and/or their carer were given information on how to access various support groups and voluntary organisations.

• There was 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 people with mental health needs and dementia.

Updated 21 January 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 those with a learning disability.

• Longer appointments were available for patients as needed.

• The practice regularly worked with multidisciplinary teams in the case management of vulnerable people. Information was provided on how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in children, young people and adults whose circumstances may make them vulnerable. They 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.