Archived: Oakwood Surgery

Updated 20 April 2016

The national GP patient survey results published on July 2015 showed the practice was performing comparable to local and national averages. There were 316 survey forms distributed and 108 were returned. This was a response rate of 34.2% which represented less than 2.4% of the practice’s patient list.

The practice is located in one of the lesser deprived areas of Leeds. It has a patient list size of approximately 4,556 with a higher than national average of patients who are between the ages of 25 and 44.

The practice is located in a two storey purpose built building and patient services are provided from the ground floor.

The practice has good working relationships with local health, social and third sector services to support provision of care for its patients. For example; the practice hosted a weekly midwife clinic and had good relationships with the local hospice and pharmacies.

The service is provided by three GP partners (two male and one female), a regular female locum GP also works at the practice. The GPs are supported by two practice nurses and a health care assistant. The clinical staff are supported by a practice manager, and experienced team of administrative and secretarial staff.

The practice is open from 8am to 6.30pm Monday to Friday, with the exception of Thursdays when the practice closes at midday to provide the vasectomy service. Extended hours are provided on Monday evenings from 6.30pm to 8.30pm.

When the practice is closed out-of-hours services are provided by Local Care Direct, which can be accessed via the surgery telephone number or by calling the NHS 111 service.

Personal Medical Services (PMS) are provided under a contract with NHS England. The following regulated activities are provided Oakwood Surgery; Treatment of disease, disorder or injury; Diagnostic and screening procedures; Surgical Procedures; Family planning and

Maternity and midwifery services

Updated 20 April 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Oakwood Surgery on 17 November 2015. Overall the practice is rated as good for providing safe, effective, caring, responsive and well-led care for all of the population groups it serves.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system was in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• The practice held a register of the 2% of patients who were vulnerable or housebound and at risk of an unplanned hospital admission. These patients had access to same day telephone consultations with a GP.
• The practice were involved in the Year of Care Initiative. This initiative was aimed at encouraging patients with long term conditions to understand their condition and select their own personal health and lifestyle targets.
• The practice had a process in place to follow up patients who had attended accident and emergency (A&E) and those patients who had unplanned hospital admission.
• Patients said they were treated with compassion, dignity and respect and were involved in care and decisions about their treatment.
• Patients were positive about access to the service. They said they found it easy to make an appointment, there was continuity of care and urgent appointments were available on the same day as requested.
• Information about services and how to complain was available and easy to understand.
• There was a clear leadership structure and staff were supported by management.
• The provider was aware of and complied with the requirements of the Duty of Candour.

We saw two areas of practice where the provider should make improvements:

• Ensure that all confidential documents are stored appropriately.
• Ensure arrangements are in place to assure that conversations between patients and reception cannot be overheard.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 20 April 2016

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

• All these patients had a named GP and a structured annual review to check that their health and medicines needs were being met. The practice nurses had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• Longer appointments and home visits were available when needed.
• Patients who required palliative care were provided with support and care as needed, in conjunction with other health care professionals.
• Patients with diabetes had access to a GP with special interests in diabetes who provided services at the practice on a regular basis.
• The practice were involved in the Year of Care Initiative. This initiative was aimed at encouraging patients with long term conditions to understand their condition and select their own personal health and lifestyle targets.

Updated 20 April 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.
• Patients and 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. All children who required an urgent appointment were seen on the same day as requested.
• The practice hosted on site midwife sessions and a combined post natal and baby check clinic.
• Sexual health and contraceptive and cervical screening services were provided at the practice.
• The practice offered a vasectomy service which was accessible to both registered and non-registered patients. This offered patients the option of accessing care closer to home.

Updated 20 April 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 and urgent appointments were available for those patients with enhanced needs.
• The practice worked closely with other health and social care professionals, such as the district nursing team and community matrons, to ensure housebound patients received the care they needed.
• The practice participated in the admission avoidance scheme and had identified patients judged at high risk of hospital admission. These patients had access to same day telephone appointments with a GP.
• The practice actively signposted patients to other agencies. For example; Leeds Age UK and Carers Leeds.

Updated 20 April 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 offered extended hours on Monday evenings until 8.30pm.
• The practice offered online services as well as a full range of health promotion and screening that reflected the needs for this age group. For example, cervical screening, NHS health checks for patients between the ages of 40 and 74.
• The practice offered a text messaging service to remind patients about their appointment.

Updated 20 April 2016

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

• 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, such as Carers Leeds.
• The practice carried out mental health reviews which included physical health and lifestyle.
• The practice carried out dementia screening on patients at risk of developing dementia.
• Nurses employed by the practice were qualified to administer antipsychotic drugs.
• The practice had good drug monitoring systems to ensure drugs were used safely.

Updated 20 April 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 and regularly worked with multidisciplinary teams in the case management of this population group.
• The practice had a system of identifying vulnerable patients at the time of registration and identifying this on the clinical system. Where there was a history of safeguarding concerns, the records were reviewed by the safeguarding lead before being filed.
• The practice ensured next of kin information was available on the clinical system, along with any information required to gain access to vulnerable patients’ homes.
• Information was provided on how to access various local support groups and voluntary organisations.
• Longer appointments were available for patients as needed.
• 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.
• Patients with learning difficulties were invited for annual health check to ensure their physical health was monitored.
• The practice referred to drug and alcohol clinics as appropriate to ensure patients were getting the support they needed and offer intervention.