South Axholme Practice

Updated 30 May 2018

South Axholme Practice, The Surgery, 60-62 High Street Epworth Doncaster South Yorkshire DN9 1EP is located in a converted residential property in the village of Epworth, North Lincolnshire. Parking is available on the street and in public car parks close to the practice and there are accessible facilities. Consulting and treatment rooms are available on the ground and first floor. The practice provides services under a General Medical Services (GMS) contract with the NHS North Yorkshire and Humber Area Team to the practice population of 14808, covering patients of all ages. There are branch sites at;

Pinfold Surgery, Station Road, Owston Ferry, DN9 1AW.

Belton Surgery, 32 High Street, Belton, DN9 1LR

Haxey Surgery, 30 Church Street, Haxey, DN9 2HY

Jubilee Surgery, School Lane, West Butterwick, DN17 3LB

The surgeries at Epworth, Owston Ferry, Belton and Haxey were visited during the inspection. The practice website can be found by following the link https://www.southaxholmepractice.nhs.uk/

The provider is registered to provide the regulated activities Diagnostic and screening procedures, Family planning, Maternity and midwifery services, Surgical procedures and Treatment of disease, disorder or injury.

The proportion of the practice population in the 65 to 84 year age group is higher than the local CCG and England average and in the 85+ year age group is the similar to the local CCG and England average. The proportion of the practice population in the under 18 years age group is slightly lower than 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 seven GP Partners and two salaried GPs, five male and four female, three work full time and six work part time. There are two GP registrars (a Doctor who is training to become a GP). There is one Clinical Pharmacist who works part time, two emergency care practitioners (ECPs), one nurse practitioner (NP) and four practice nurses. The ECPs and one of the practice nurses work full time and the remainder work part time, one is male and the rest are female. There are four health care assistants, all female and all work part time. There is a practice manager, an assistant practice manager and a team of administration, reception and secretarial staff.

South Axholme is a training practice for GP Registrars and Foundation year two Doctors (The Foundation Programme is a two-year generic training programme which forms the bridge between medical school and specialist/general practice training).

Epworth Surgery is open Monday to Friday 8am to 12.30pm and 1.30pm to 6.30pm; extended hours are available from 6.30pm to 7pm Monday to Thursday. GP appointments are available between 8am to 12.30pm and 1.30pm to 6.45pm Monday to Thursday and 8am to 12.30pm and 1.30pm to 6.30pm on Friday.

Belton Surgery is open Monday to Friday 8.30am to 12.30pm. GP appointments are available between 8.30am and 12.30pm Monday to Friday.

Haxey Surgery is open Monday to Wednesday 8.30am to 12.30pm and 1.30pm to 5.30pm and 8.30am to 12.30pm Thursday and Friday. GP appointments are available between 8.30am and 12.30pm and 1.30pm to 5.30pm Monday to Wednesday and 8.30am to 12.30pm Thursday and Friday.

Owston Ferry Surgery is open Monday 8.30am to 12.30pm and 1.30pm to 6pm, GP appointments are available between 8.30am to 12.30pm and 1.30pm and 6pm. Tuesday to Friday the surgery is open from 8.30am to 12.30pm and GP appointments are available between these hours.

West Butterwick Surgery is open Monday, Wednesday and Friday 8.30am to 12pm and GP appointments are available between these hours.

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 and on the practice website.

Updated 30 May 2018

This practice is rated as Good overall. (Previous inspection was on 18 August 2016 – the practice was rated good overall and requires improvement in well led)

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 South Axholme Practice on 18 August 2016. The overall rating for the practice was good and requires improvement in well led. The full comprehensive report for the August 2016 inspection can be found by selecting the ‘all reports’ link for South Axholme Practice on our website at www.cqc.org.uk.

This inspection was an announced comprehensive carried out on 20 March 2018 to check whether the provider was now meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014. This inspection looked at the five key questions of safe, effective, caring, responsive and well led.

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 process for calibration of the thermometers used to monitor room temperatures.

• Monitor that the practice’s standard operating procedure for stock checks of medicines is followed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 May 2018

Updated 30 May 2018

Updated 30 May 2018

Updated 30 May 2018

Updated 30 May 2018

Updated 30 May 2018