Updated 18 September 2020
The Grange Family Health Centre is part of Royal Primary Care which operates as the Division of Primary Care for Chesterfield Royal Hospital NHS Foundation Trust (the provider). The Trust is registered with the CQC to carry out a range of regulated activities – this includes those regulated activities we would usually expect to see for primary care providers: diagnostic and screening procedures, family planning, surgical procedures, maternity and midwifery services and treatment of disease, disorder or injury.
Chesterfield Royal Hospital NHS Foundation Trust have another other CQC registered Primary Medical Services location at Blue Dykes Surgery in Clay Cross. Royal Primary Care also manage another GP practice in Chesterfield at Ashgate Medical Practice. It delivers primary care services across eight sites.
The Grange Family Health Centre is the location name registered with CQC to deliver primary care medical services. This incorporates three GP surgeries within the Chesterfield area of North East Derbyshire, and collectively they are known as Royal Primary Care Chesterfield. There is one patient list for the three sites, meaning that registered patients can access services at:
- The Grange Family Health Centre, Stubbing Road, Chesterfield, S40 2HP.
- Rectory Road Medical Centre, Rectory Road, Staveley, Chesterfield. S43 3UZ.
- Inkersall Family Health Centre, Attlee Road, Inkersall, Chesterfield. S43 3HB.
The Grange Family Health Centre has a contract with NHS Derby and Derbyshire Clinical Commissioning Group (CCG). It provides services to approximately 20,500 patients via an Alternative Provider Medical Services (APMS) contract. With the recent addition of Ashgate Medical Practice into Royal Primary Care, the provider delivers care for approximately 44,000 patients in Derbyshire.
The practice age profile is mostly in line with national averages, but with slightly lower percentages of patients aged over 65, and slightly elevated percentages of patients under 18s compared to the CCG average.
The practice has a higher prevalence of patients with a long-term condition and this impacts upon the demand for health services. The general practice profile shows that 63% of patients registered at the practice have a long-standing health condition, compared to 56% locally and 51% nationally.
The practice scored three on the deprivation measurement scale; the deprivation scale goes from one to 10, with one being the most deprived. People living in more deprived areas tend to have greater need for health services.
The provider employs over 70 staff across the Grange Family Health Centre main site and two branches. A full time general manager heads a team of twelve operational and managerial staff, who work across both of Royal Primary Care’s registered locations (The Grange Family Health Centre and Blue Dykes Surgery).
The clinical team at the Grange Family Health Centre includes a full-time clinical lead GP and eight salaried GPs. At the time of our inspection, two regular locum GPs were also working at the practice. There are six advanced nurse practitioners and seven practice nurses, supported by five health care assistants.
The clinical team also includes four pharmacists, three pharmacy technicians, two specialist mental health practitioners and physiotherapists. The service purchases the musculoskeletal physiotherapy service from an external provider. The pharmacy team work across both of Royal Primary Care’s registered locations.
The clinical team is supported by 28 non-clinical staff across the three sites including receptionists, data and administrative staff, working across the three sites.
The provider is a GP teaching practice accepts medical students on placement and nursing students.
The practice opens from 8am until 6.30pm Monday to Friday. Extended hours GP and nurse appointments are available on Tuesday evenings 6.30pm-8.30pm, and on Saturdays between 8.30am-12.30am.
The surgery closes for one afternoon once a month for staff training. When the practice is closed, out-of-hours cover for emergencies is provided by Derbyshire Health United (DHU).