Peel House Medical Practice

Background to this inspection

Updated 6 January 2017

Peel House Medical Centre, Accrington PALS, Primary Health Care Centre, Paradise Street, Accrington, Lancashire, BB5 2EJ provides primary care services to 14,717 patients within the town of Accrington, East Lancashire under a personal medical services contract (PMS) with NHS England. Peel House is part of East Lancashire Clinical Commissioning Group (CCG).

The practice has a main surgery based in Accrington PALS Primary Health Medical Centre and a smaller branch surgery based in Baxenden, 2 miles from the main site.

Accrington PALS Primary Health Care Centre is maintained by NHS Property Services Ltd. The practice owns and is responsible for the branch site in Baxenden, which had one consultation room and one treatment room which was currently out of use awaiting refurbishment to bring it in line with infection prevention and control requirements.

The practice has six GP Partners, four male and two female, three female salaried GPs, one female nurse practitioner, a nurse manager and three practice nurses, three treatment room nurses, three healthcare assistants and two phlebotomists. The practice also has two community link nurses for housebound patients. One clinical pharmacist had recently started in post, with another due to start in August 2016. The practice is a training practice supporting GP trainees and had three GP trainees at the time of our visit. The clinical team is supported by a practice manager and team of 20 administrative, reception and support staff.

The practice population is slightly older than the average national practice population, with more patients aged 45 years or older. There are fewer under 45 year old patients than the national average, with comparatively more over 65 year olds. 15% of the practice population are 66 years old or over. Around 69% of patients have a long-standing health condition, which is higher than the CCG average of 58% and national average of 54%.

Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to 10 (level one represents the highest levels of deprivation and level 10 the lowest). Male life expectancy at the practice is 75 years which is lower

than the CCG average of 77 and national average of 79. Female life expectancy is 81 years, this is in line with the CCG average of 81 and just below the national average of 83 years.

East Lancashire has a higher prevalence of chronic obstructive pulmonary disease (COPD, a lung condition), smoking and smoking related ill-health, cancer, mental health and dementia than national averages.

The practice is open 8am until 6.30pm Mondays to Fridays. Reception is closed for training for one hour each Friday lunchtime, when urgent calls are responded to by phone. When the practice is closed, out of hours cover is provided by East Lancashire Medical Services Ltd

Overall inspection

Good

Updated 6 January 2017

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Peel House Medical Practice, for two areas within the key question safe conducted on 23 November 2016.

The practice was initially inspected on 22 July 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated ‘good’ overall. However, within the key question safe areas were identified as requires improvement, as the practice was rated as requires improvementnot meeting the legislation at that time; Regulation 12 Safe care and treatment and Regulation 13 Safeguarding service users from abuse and improper treatment.

At the inspection in July 2016 we found there were shortfalls in relation to Safe care and treatment and Safeguarding service users from abuse and improper treatment.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 12 Safe care and treatment and Regulation 13 Safeguarding service users from abuse and improper treatment of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Following this desktop review, we found the practice to be good in providing safe services. Overall, the practice is rated as good.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice