Archived: Beech Grove Medical Practice

Updated 26 April 2016

• Beech Grove Medical Practice provides General Medical Services to their practice population.They are also contracted to provide other enhanced services for example: extended hours access. The total practice population is currently 3,854. The practice population lives mainly in a less deprived area than average for England.

• This is a teaching practice for medical students who are studying at Hull& York Medical School (HYMS).

• There are three GPs, a practice manager, two nurse prescribers and one health care assistant. They are supported by a small team of six who provide administrative and receptionist’s roles.

• The practice is open from 8.00am-6pm Monday- Friday. There is extended opening by appointment on Monday and Thursday evening from 6.30-7pm and Friday mornings from 7am. This is for those patients who find it difficult to attend in the normal surgery hours.

The practice website and leaflet offers information for patients when the surgery is closed. They are directed to the Out of Hours Service provided by Northern Doctors Urgent Care.

Updated 26 April 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Beech Grove Medical Practice on 8 March 2016. Overall the practice is rated as good.

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

• There was an open and transparent approach to safety and a system was in place for reporting and recording significant events.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Patients said they could easily make appointments with a named GP and felt there was continuity of care.
• The practice had good facilities and was equipped to treat patients and meet their needs.
• There was a leadership structure and staff felt supported by the management team. The practice proactively sought feedback from staff and patients, which it acted on.
• The partners were  aware of and complied with the requirements of the Duty of Candour. This means they must be open and transparent with patients about their care and treatment, including when it goes wrong.

We saw  areas of outstanding practice:

• The practice offered extended opening hours during the week for patients who were unable to attend during normal surgery times. They pro-actively and reactively managed their appointment system which means their patients were always seen.

• The practice used proactive methods to improve patient outcomes and this was validated by their higher than the national performance indicators for treating patients with diabetes, hypertension (high blood pressure) and mental health issues.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 26 April 2016

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

• Clinical staff 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.

• All of these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and social care professionals to deliver a multidisciplinary package of care.

Updated 26 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 A&E attendances.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• All very young patients in this age group were always seen the same day if required.

• Appointments were available outside of school hours (between 4-5.30pm) and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives and health visitors.

Updated 26 April 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of this population group.

• In addition the practice was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.

• The practice held a register of patients who were at risk of unplanned emergency admission to hospital.

Updated 26 April 2016

The practice is rated as good for the care of working-age patients (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services they offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

• The practice hosted various services with direct and targeted benefits to their patient population.

Updated 26 April 2016

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

• 75% of patients diagnosed with dementia had, had their care reviewed in a face to face meeting in the last 12 months, which was lower than the national average of 84%.

• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

• The practice was dementia friendly.

• All patients who did not attend (DNA) a mental health related appointment were contacted.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

• The practice had told patients experiencing poor mental health how to access various support groups and voluntary organisations, some of which were hosted within the practice.

Updated 26 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 including those with a learning disability and other vulnerable patients.

• The practice informed vulnerable patients how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff 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.