Archived: Greenhill Health Centre

Updated 30 July 2015

Greenhill Health Centre is located in Sheffield in an area of high deprivation. The practice has off road parking facilities and disabled access.

The practice is registered with the CQC to provide primary care services. The practice provides services for 1800 patients under the Personal Medical Services (PMS) contract with NHS England in the Sheffield Clinical Commissioning Group (CCG) area. The PMS contract is a contract between a general practice and NHS England for delivering primary care services to local communities.

Over two-thirds of the patients had a long standing health condition and this considerably higher than the proportion of these kinds patients being seen in other practices.

The practice has a female GP, a nurse practitioner and a health care assistant. They are supported by a practice manager and four administration and reception staff.

The practice is open at Greenhill Health Centre from 8.00am to 6.00pm Monday, Tuesday Wednesday and Friday and 8.00 am to midday on Thursday. Outside of these hours urgent treatment and advice is provided by the GP out of hours service.

The practice treats patients of all ages and provides a range of medical services. Out of hours care is provided by the Sheffield GP collaborative service.

Updated 30 July 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Greenhill Health Centre on 19 May 2015. Overall the practice is rated as good.

Specifically we rated the practice as good in providing safe, caring, effective, responsive and well-led services. It was also good for providing services for all of the population groups.

Our key findings were as follows:

• Patients said they found it easy to make an appointment with a preferred GP, there was continuity of care and urgent appointments were available the same day.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Patients said they were treated with compassion, dignity and respect and were involved in decisions about their care and treatment.
• Information about services and how to complain was available and easy to understand. Complaints were addressed in a timely manner and the practice endeavoured to resolve complaints to a satisfactory conclusion.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• Staff understood and fulfilled their responsibilities to raise concerns and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients.
• Risks to patients were assessed and well managed.

The practice had a number of policies and procedures in place and held regular governance meetings.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 July 2015

The practice is rated as good for the care of people with long term conditions. The practice had a GP/practice nurse shared care approach to long term conditions. There were structured annual reviews in place to check the health and medications needs of patients were being met. Longer appointments and home visits were available when needed. Staff worked with relevant health and social care professionals to deliver a multidisciplinary package of care. For example, a diabetic nurse attends the practice once a month and holds a clinic.

Updated 30 July 2015

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 attendances. The practice provided sexual health support and contraception, maternity services and childhood immunisations. Appointments were available outside of school hours and the premises were suitable for children and babies. The practice told us all young children were prioritised and young children were seen on the same day if the parents thought it was necessary.

Updated 30 July 2015

The practice is rated as good for the care of older people. Nationally reported data showed outcomes for patients were good for conditions commonly found in older people. All patients over 75 years of age had a named GP and were offered an annual health check. The practice was responsive to the needs of older people, offering home visits and longer appointments. The practice worked closely with other health care professionals, such as the district nursing team and community matron, to ensure housebound patients received the care they needed.

Updated 30 July 2015

The practice is rated as good for the care of working age people (including those recently retired and students). The practice had extended hours, including pre-bookable early morning appointments. The practice was proactive in offering online services as well as a full range of health promotion and screening which reflected the needs for this age group. For example, they offer chlamydia screening for younger patients.

Updated 30 July 2015

The practice is rated as good for the care of people experiencing poor mental health, including people with dementia. The practice offered annual health reviews, longer appointments and home visits as needed for all patients who had poor mental health or dementia.

Updated 30 July 2015

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. It had carried out annual health checks and offered longer appointments for people with a learning disability.

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