Archived: Parcliffe Medical Centre

Updated 22 January 2015

The Clifton Medical Practice delivers primary care under a General Medical Services Contract with NHS England. As part of the Fylde and Wyre Clinical Commissioning Group (CCG) they are responsible for a practice population of 5480 patients.

The practice population groups are below national averages up to age 65 with the over 65 groups being higher. The largest population group within the practice the 65 plus age group, with under 4 years being the smallest group at 3.5%. Both figures are in line with CCG averages.65.9% of patients have a long standing health condition and 1.8% of all patients are resident in nursing homes. 5.6% of all patients are unemployed which is higher than the CCG average but in line with the national average.

According to statistics available at the time of the inspection from Public Health England, the practice is in the fourth less deprived percentile for practices in England. Income deprivation affecting older people is lower than both the CCG and national average at 12%. Ethnic estimation within the practice is 1.6% non-white ethnic groups with male life expectancy at 78.0 years and female at 82.7 years.

Services available include access to three partner GPs (male and female), one type 2 salaried GP (this is a GP who has been a locum GP within the practice for more than 12 months), three practice nurses and two health care assistant (HCA). This clinical team is supported by the practice manager, a part time Clinical Commissioning Group (CCG) pharmacist and administration and reception staff. All staff work part time with the exception of the practice manager and two partner GP's.

Appointments with the team are offered between 8.30am and 6pm Monday to Friday. The practice GPs do not provide an out-of-hours service to their own patients and patients are signposted to the local out-of-hours service Fylde Coast Medical Service or the local walk in centre when the surgery is closed and at the weekends.

The nurse and HCA clinics promote healthy living, provide support and care for patients with long term conditions such as diabetes, asthma and chronic obstructive pulmonary disease (COPD).

The doctors are able to carry out minor surgery procedures and provide injections on painful joints.

The premises were purpose built for the service and are shared with another GP practice and the local NHS Trust who have community services on the premises.

Updated 22 January 2015

Letter from the Chief Inspector of General Practice

This is the report of findings from our inspection of Clifton Medical Practice.

We undertook a comprehensive inspection on 10 December 2014. We spoke with patients, staff and the practice management team. The inspection took place at the same time as other inspections of GP practices across the Fylde and Wyre Clinical Commissioning Group.

The practice is rated as good.

Our key findings were;

• All staff understand and fulfil their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal incidents were maximised to support improvement. 
• The practice was using proactive methods to improve patient outcomes, it links with the Clinical Commissioning Group and other local providers to enhance services and share best practice.
• The practice had a clear shared vision across all staff.
• Complaints were sensitively handled and patients are kept informed of the outcome of their comments and complaints
• The practice was actively involved in both local and national initiatives to enhance and support the care they delivered to their patients.
• The appointment system was sensitive to the needs of the population groups the practice served.

We saw areas of outstanding practice including:

• The practice was actively involved in local and national initiatives to enhance the care offered to patients. They were proactive in trailing new ways of working to ensure they continued to meet the needs of the patients registered with the practice.

In addition the provider should:

• Standardise drugs carried in GP bags to ensure all GPs carry the same.
• Ensure all audit cycle processes are fully documented.
• Ensure all post into the practice is seen by the GPs and an audit trail is available of actions identified and completed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice