Dr Sivakumar and Dr Gude

Updated 17 December 2018

Dr Sivakumar and Dr Gude is the registered provider and provides primary care services to its registered list of 4422 patients. The practice delivers commissioned services under the General Medical Services (GMS) contract and is a member of NHS Wigan Borough Clinical Commissioning Group (CCG).

The GMS contract is the contract between general practices and NHS England for delivering primary care services to local communities. The practice is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures; family planning; and treatment of disease, disorder and injury.

Regulated activities are delivered to the patient population from the following address:

The Surgery

1 Coldalhurst Lane, Astley, Tyldesley

Manchester

Greater Manchester

M29 7BS

The practice has a website that contains information about what they do to support their patient population and the in house and online services offered:

There are three GPs (one female and two male) and they are supported by a practice nurse and

a healthcare assistant. There is also a practice management team and supporting administration staff. The practice is a training practice for GPs.

The average life expectancy and age profile of the practice population is broadly in line with the CCG and national averages. Information taken from Public Health England placed the area in which the practice is located in the eighth least decile (from a possible range of between 1 and 10). In general, people living in more deprived areas tend to have greater need for health services.

Patients requiring a GP outside of normal working hours are advised to contact the surgery and they will be directed to the local out of hours service which is provided by Bridgewater NHS Foundation Trust –through NHS 111. Additionally, patients can access GP services in the

evening and on Saturdays and Sundays through the Wigan GP access alliance at locations across Wigan Borough.

Updated 17 December 2018

This practice is rated as Good overall. (Previous rating 10 June 2016 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Dr Sivakumar and Dr Gude

on 27 November 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is 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.

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 could access care when they needed it.
• Patient feedback on the care and treatment delivered by all staff was consistently positive.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 17 December 2018

Updated 17 December 2018

Updated 17 December 2018

Updated 17 December 2018

Updated 17 December 2018

Updated 17 December 2018