Middlestown Medical Centre Also known as Dr Swan and Partners

Updated 28 May 2025

Date of Assessment: 28 October 2025 to 5 November 2025. Middlestown Medical Centre is a GP practice and delivers service to around 9,800 patients under a contract held with NHS England. The service operates from a main site at Middlestown Medical Centre located at 129 New Road, Middlestown, Wakefield, WF4 9PA. There are 2 branch sites located at Emley Clinic, The Crofts, Emley, Huddersfield, HD8 9RU, and Flockton Surgery, 101 Barnsley Road, Flockton, WF4 4DH. The main site operates a dispensary, and the branch sites offer dispensary collections. There is also a dispensary delivery service.

The National General Practice Profiles shows that the practice serves a population whose ethnicity is predominantly White (96%), with other ethnicities being Asian (1.5%), Black (0.5%), Mixed (1.5%) and Other (0.5%). The age profile of the patients at the practice shows that 78% of patients are aged under 65 years, 12% are aged between 65 and 74 years, and 10% of patients are aged 75 years or over.

Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 8th decile (8 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of their patient population, the context the service was working within, and how this impacted service delivery.

The practice had a strong learning culture and people could raise concerns. Managers investigated incidents thoroughly and used finding to improve services. People were protected and kept safe. Staff understood and managed risks. The facilities and equipment met the needs of people, were clean and well-maintained and any risks were mitigated. The provider used past demand data to ensure that there were enough staff with the right skills, qualifications, and experience available to deliver care. Managers made sure staff received training and regular appraisals to maintain high-quality care. Staff managed medicines well and involved people in planning any changes. Dispensary services within the practice were well managed.

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent.

People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People using the practice had a high level of choice regarding the services they received in relation to their care and treatment including appointment access and type of appointment received. Patients were also not limited to discussing only a single condition or concern per appointment, with the practice taking a holistic, whole person approach to care. Staff were valued by the provider and measures were in place to support their individual wellbeing and emerging needs.

People were involved in decisions about their care. The practice provided information people could understand. People knew how to give feedback and were confident the practice took it seriously and acted on it. The practice utilised detailed historical patient demand to effectively plan and drive capacity. This coupled with their open access appointments system gave patients good access to care. People received fair and equal care and treatment and the practice worked to eliminate discrimination and the impact of social differences across it’s patient population. People were involved in planning their care and understood options around choosing to withdraw or not receive care.

Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable, and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities well. Managers worked with the local partners and the community to deliver the best possible care and were receptive to new ideas. There was a strong culture of continuous improvement with staff given time and resources to try new ideas.

Updated 28 May 2025

Overall, we found that patients were positive about the quality of their care and treatment. Recent survey results, including from the National GP Patient Survey and the NHS Friends and Family Test, showed patients were generally satisfied with services. For example, 85% of patients who responded to the National GP Patient Survey in 2025 described their overall experience of the GP practice as very good or good compared to 77% for the local average and 75% for the national average. A high number of respondents to the survey, 78%, reported that they found it easy to contact the practice via the telephone compared to a local average of 51% and a national average of 53%. Over the previous 12 months the practice received 325 NHS Friends and Family feedback responses. Of these 289 rated the practice as very good or good, 17 neither good nor bad, 13 very poor or poor, and 6 who didn’t state an opinion.

As part of our assessment of the service we received 38 responses directly from patients via Give Feedback on Care. Of these 30 were positive and cited timely treatment and good access, care, and skilled and empathetic staff. The remaining 8 were less positive, discussing general treatment concerns, and booking and access issues.

There was an active Patient Participation Group (PPG) which represented the views of people using the service. We spoke with a representative from the PPG who told us that they felt that the practice leadership team listened to them and respected their views. They described how the service made positive changes based on their feedback and recommendations.