• Doctor
  • GP practice

Dr RW Harrison & Partners Also known as Howden Medical Centre

Overall: Good read more about inspection ratings

The Medical Centre, Pinfold Street, Howden, Goole, Humberside, DN14 7DD (01430) 430318

Provided and run by:
Dr RW Harrison & Partners

Latest inspection summary

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Background to this inspection

Updated 7 February 2018

Dr RW Harrison & Mrs CM Harrison-Bevan (also known as Howden Medical Centre), Pinfold Street, Howden, Goole Humberside DN14 7DD is located in a purpose built health centre in Howden, East Yorkshire. Parking is available at the practice and there are accessible facilities. Consulting and treatment rooms are all on the ground floor. The practice provides services under a Personal Medical Services (PMS) contract with the NHS North Yorkshire and Humber Area Team to the practice population of 7191, covering patients of all ages. The practice website can be found by following the link http://www.howdenmedicalcentre.nhs.uk/index.html

The proportion of the practice population in the 65 to 74 age group is slightly below the local CCG average and slightly above the England average. The proportion of the practice population in the 75 plus age group is similar to the local CCG and England average. The practice population in the under 18 years age group is similar to the local CCG and England average. The practice scored nine on the deprivation measurement scale, the deprivation scale goes from one to ten, with one being the most deprived. People living in more deprived areas tend to have greater need for health services.

The practice has one full time male GP Partner, one non-clinical management partner and four female salaried GPs, all part time. There is one nurse practitioner and four practice nurses, all female and all work part time. There are two health care assistants, both female, one works full time and one part time. There is a practice manager, a finance manager and a team of administration, reception and secretarial staff.

The practice is open between 8.30am to 6pm Monday to Friday. On Monday and Tuesday face to face appointments with the GPs are available from 8.50am to 12pm, then GP telephone appointments from 12pm until 12:35pm and eConsult appointments from 12:35pm to 12:45pm. Wednesday to Friday face to face appointments are available from 9am until 12pm, then GP telephone appointments from 12pm until 12:35pm and eConsult appointments from 12:35pm to 12:45pm. Afternoon appointments are available from 3pm to 5.40pm Monday, Tuesday, Wednesday and Friday and 3.30pm to 5.40pm on Thursday. Extended hours are available on Wednesdays until 8.15pm.

The practice, along with all other practices in the East Riding of Yorkshire CCG area have a contractual agreement for the Out of Hours provider to provide OOHs services from 6.00pm on weeknights. This has been agreed with the NHS England area team.

When the practice is closed patients use the NHS 111 service to contact the OOHs provider. Information for patients requiring urgent medical attention out of hours is available in the waiting area, on the practice website and on the telephone system patient message.

Overall inspection

Good

Updated 7 February 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection May 2015 – Rated Good Overall)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Dr RW Harrison & Mrs CM Harrison-Bevan (also known as Howden Medical Centre) on 15 December 2017 as part of our inspection programme.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

  • Staff involved and treated patients with compassion, kindness, dignity and respect.

  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

Review the systems in place for reviewing changes introduced following significant events and complaints to assess whether the changes have been effective and embedded into practice.

Review the process for regular monitoring of prescriptions that have not been collected.

Implement a planned clinical audit/quality assurance programme to ensure audit cycles are completed and relevant staff are involved in the process.

Review the system that identifies patients who are also carers to help ensure that all patients on the practice list who are carers are offered relevant support if appropriate.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice