Townside Surgery - Dr Cooke

Updated 3 April 2018

Townside Surgery - Dr Cooke, Townside Primary Care Centre, 1 Knowsley Street, Bury, Lancashire BL9 0SN is located in Bury, Greater Manchester and provides general medical services to patients within the Bury Clinical Commissioning Group area.

The practice website contains comprehensive information about what they do to support their patient population and the in-house and online services offered.

Information taken from Public Health England placed the area in which the practice is located as number four on the deprivation scale of one to ten. (The lower the number the higher the deprivation). In general, people living in more deprived areas tend to have greater need for health services.

The practice is responsible for providing services to 5007 patients. The practice offers direct enhanced services that include meningitis provision, the childhood vaccination and immunisation scheme, extended hours, support for patients with dementia and learning disabilities, influenza and pneumococcal immunisations and minor surgery.

There are four GPs working at the practice, two are partners (one male and one female) and two salaried GPs (one male and one female). There are two practice nurses, a health care support worker, a practice manager, reception manager and a team of administration staff.

Updated 3 April 2018

This practice is rated as Good overall. (Previous inspection January 2016 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Townside Surgery - Dr Cooke on 6 March 2018 as part of our inspection programme.

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.

• Safeguarding procedures were well managed.

• 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.

• The majority of patients found the appointment system easy to use and reported that they were able to access care when they needed it.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

• The practice took complaints and concerns seriously and responded to them appropriately to improve the quality of care.

• Leaders had the experience, capacity and skills to deliver the practice strategy and address risks to it. They were knowledgeable about issues and priorities relating to the quality and future of services. They understood the challenges and were addressing them.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 3 March 2016

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Chronic disease monitoring and care plans were in place for patients with long term conditions so as to avoid unnecessary hospital admission.

• 99.03% of patients with diabetes have had influenza immunisation in the preceding period from 1 August to 31 March 2015. The national average is 94.45%.

• 97.58% of patients with asthma have had an asthma review in the preceding 12 months that included an assessment of asthma control using the 3 RCP questions. The national average is 75.35%.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 3 March 2016

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 patients who had a high number of A&E attendances.

• Immunisation rates were high for all standard childhood immunisations.

• Records indicate that 82.51% of women aged 25-64 have received a cervical screening test in the preceding 5 years. The National average is 81.83%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• All staff were up to date with safeguarding training.

• Same day appointments were available for children under 12 years of age.

• Child 6/8 week assessment clinics were held at the same time as health visitor appointments.

Updated 3 March 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older patients in its population.

• The practice was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.

• All patients over 75 years of age have a named GP.

• Influenza and pneumococcal vaccination clinics were available to those patients over 65 years.

Updated 3 March 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

• Extended appointments were available through the Prime Ministers Challenge Fund.

• Nurse and health care assistant appointments were available from 8am.

• NHS health checks were completed.

Updated 3 March 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

Updated 3 March 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. GPs worked with / referred to local services i.e. drug and alcohol services.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• All staff were kept up to date with current safeguarding guidelines (adult and child).  Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff 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.

• Reception staff were alerted to red flags on the IT system which highlighted the failure of patients to collect prescriptions.