Dr A Hayat & Partners Also known as Maybush Medical Centre

Updated 8 October 2018

The practice surgery is located at Maybush Health Centre, Belle Isle Health Park, Portobello Road, Wakefield, West Yorkshire WF1 5PN. The practice serves a patient population of around 9,100 people and is a member of NHS Wakefield Clinical Commissioning Group.

The surgery is located in purpose built premises and is readily accessible for those with a physical disability or with mobility issues, for example the entrance door is wide enough to allow wheelchair access. There is parking available on site for patients and an independent pharmacy is located close to the practice.

The practice age profile shows that 23% of its patients are aged under 18 years (compared to the CCG average of 20% and the England average of 21%), whilst it is below both the CCG and England averages for those over 65 years old (15% compared to the CCG average of 18% and England average of 17%). Average life expectancy for the practice population is 77 years for males and 81 years for females (CCG average is 78 years and 82 years and the England average is 79 years and 83 years respectively). Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The practice population is primarily composed of White patients, although there are significant numbers (15%) of patients from other ethnic backgrounds.

The practice provides services under the terms of the Personal Medical Services (PMS) contract. In addition, the practice offers a range of enhanced local services including those in relation to:

• Childhood vaccination and immunisation
• Influenza and Pneumococcal immunisation
• Rotavirus and Shingles immunisation
• Dementia support
• Minor surgery
• Learning disability support

As well as these enhanced services the practice also offers additional services such as those supporting long term conditions management including diabetes and coronary heart disease.

Attached to the practice or with the ability to work closely with the practice is a team of community health professionals that includes health visitors, midwives, members of the district nursing team and health trainers.

Practice staffing comprises two GP partners (one male and one female), and a wider clinical team of two salaried GPs (one male, one female), an advanced nurse practitioner (male), a nurse prescriber (female), two practice nurses (female), a healthcare assistant (female) and a phlebotomist (female). Clinical staff are supported by a practice manager, a reception manager and an extensive administration and reception team. The practice also uses the services of a pharmacy technician (female) who works at practices across the network.

The practice appointments include:

• Pre-bookable appointments which can be made from two to three weeks in advance
• Same day access
• 48-hour access
• Urgent appointments which are assessed on a triage basis
• Home visits
• Telephone consultations where patients could speak to a GP or advanced nurse practitioner.

Appointments can be made in person, via telephone or online.

The practice is open between 8am and 6.30pm Monday to Friday with appointments available between 8am to 11am and 3.30pm to 6pm.

The practice also participates in a local telephone triage service, Trinity Care, which operates across the local network. Once capacity is full at the practice, patients who request to be seen on the same day will be put onto a triage list.  This service operates during normal operating hours.  Calls are triaged and an appointment made with a doctor should this be necessary.  Patients also have the ability to ring direct to the service and bypass the practice.

Extended hours care is provided by GP Care Wakefield and the practice telephone system automatically diverts to this service between 6.30pm to 10pm Monday to Friday, and 9 to 3pm Saturdays, Sundays and bank holidays, for same day GP appointments.  Patients can also book a routine nurse appointment at GP Care Wakefield between 6.30pm to 8pm Monday to Friday, and 9 to 1pm Saturdays, Sundays and Bank Holidays.  Outside of the above times patients can access services provided by Local Care Direct Limited and NHS111.

The practice has been approved as a teaching practice and is to support Year 1 to 3 medical students from September 2018. In addition, the practice supports the training of student nurses.

The rating in relation to the last comprehensive inspection is clearly displayed in the practice waiting room and on the practice website.

Dr A Hayat & Partners is registered with the Care Quality Commission to deliver services in relation to:

• Diagnostic and screening procedures.
• Treatment of disease, disorder or injury.
• Maternity and midwifery services
• Family planning
• Surgical procedures

Updated 8 October 2018

We carried out an announced comprehensive inspection at Dr A Hayat & Partners on 14 February 2018. The overall rating for the practice was good, with a rating of requires improvement for providing safe services. The full comprehensive report on the February 2018 inspection can be found by selecting the ‘all reports’ link for Dr A Hayat & Partners on our website at .

In addition to the areas for improvement identified under the key question of providing safe services, at the inspection on 14 February 2018 we also said the practice should consider improving the following areas:

• Review the areas of low patient satisfaction contained in the National GP Patient Survey linked to timely access to the service and take steps to improve patient satisfaction in these areas.
• Review and complete the current work developing capacity to enable support and mentoring processes to be in place for all clinical areas.

This inspection was an announced focused inspection carried out on 11 September 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified at our previous inspection on 14 February 2018. This report covers our findings in relation to those requirements, and also additional improvements made since our last inspection.

Overall the practice is now rated as good, with the practice rated as good for providing safe services.

Our key findings were as follows:

• The practice had adopted a suite of health and safety risk assessments which had been embedded within the practice. We saw that health and safety issues had been discussed at team meetings.
• The practice had reviewed and updated a number of key policies and procedural documents such as safeguarding, chaperoning and infection prevention and control. These had been reissued and were available to staff on the practice computer system and in hard copy format.
• Issues identified in relation to the infection prevention and control audit carried out in September 2017 had been addressed, with improvements made.
• New processes and procedures had been put in place for issuing and recording blank prescriptions. Staff had been informed of the revised processes and, as required, had been given specific duties in the operation of these new procedures.
• The practice had proactively carried out an extensive risk assessment exercise regarding key areas of practice activity. This had resulted in the identification and subsequent improvement of workstreams which included prescription handling, pathology processes and chaperoning.
• In the previous inspection report we had informed the practice that they should review and complete work that was underway to develop capacity to increase support and mentoring processes for clinical activities. We saw during the inspection that the practice had increased capacity in this area, improved induction processes, and expanded training opportunities and workforce development.
• In the previous inspection report we had informed the practice that they should review areas of low patient satisfaction contained in the National GP Patient Survey linked to timely access. Whilst areas of satisfaction had not improved in the latest release of this survey data in August 2018 (from views collected January to March 2018), the practice was able to demonstrate that it had:
  • Reviewed the latest data and developed an action plan to improve satisfaction. Activities included increasing the salaried GP’s availability.
  • Recruitment of extra GP sessional cover.
  • Worked with the Patient Participation Group to improve the understanding and expectations of patients with regard to appointment access.

         The practice told us that they would continue to seek improvement in this area.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 23 March 2018

Updated 23 March 2018

Updated 23 March 2018

Updated 23 March 2018

Updated 23 March 2018

Updated 23 March 2018