Archived: Leigh Family Practice

Updated 16 November 2016

Leigh Family Practice provides primary medical services in Leigh, Wigan from Monday to Friday. The surgery is open Monday to Friday 8am to 8pm and Saturday 8am to 12pm.Appointments with a GP at Leigh Family Practice are available:

Bridgewater:

Monday 8:45am to 12pm and 2pm to 5pm

Tuesday 9am to 11:20am and 2pm to 7:20pm

Wednesday 8:00am to 12pm and 2pm to 6:20pm

Thursday 8:30am to 11:45am, 12pm to 2:45pm and 2pm to 7:20pm

Friday 9am to 11:45am and 1:50pm to 4:50pm

Saturday (alternates with Wigan road) 8am to 12pm

Wigan Road:

Monday 8:00am to 10:45am and 5pm to 7:20pm

Tuesday 8am to 11am

Wednesday 8am to 10:50am

Thursday 8am to 11:45am and 1pm to 4:45pm

Friday 8am to 12pm and 5pm to 7.30pm

Saturday (alternates with Bridgewater) 8am to 12pm

6 The Centre, Higher Fold:

Monday 2pm to 5pm

Tuesday – no GP surgery

Wednesday 9am to 12pm

Thursday – no GP surgery

Friday 2pm to 5pm

Leigh is situated within the geographical area of Wigan Clinical Commissioning Group (CCG).

The practice has an Alternative Primary Medical Services (APMS) contract. The APMS contract is the contract between general practices and NHS England for delivering primary care services to local communities.

Leigh Family Practice is responsible for providing care to 8400 patients.

The practice consists of five GPs, three of whom are female. The practice also has a part time nurse practitioner and a part time practice nurse, and a health care assistant. The practice is supported by a practice manager, reception supervisors, administrators, receptionists and secretaries. Leigh Family Practice is part of the Integral Healthcare Partnership Limited (IHP). IHP is an umbrella organisation that provides the practice with a range of support and services.

When the practice is closed patients are directed to the out of hours service by calling 111.

Updated 16 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Leigh Family Practice on 12 October 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• 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.
• Risks to patients were assessed and well managed, including those relating to recruitment checks.

• 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.

• Data showed patient outcomes were in line with those locally and nationally.
• Feedback from patients about their care was consistently positive,

• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

• The practice implemented suggestions for improvements and made changes to the way it delivered services as a result of feedback from patients.

• Information about services and how to complain was available and easy to understand.

• Patients said they found it problematic at times to contact the surgery by telephone and to make an appointment; however there was continuity of care, with urgent appointments available the same day.

• The practice had good facilities and was well equipped to treat patients and meet their needs. A new site and planning had been submitted for the Higher Fold surgery which will improve the environment for patients and staff.

• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 16 November 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.
• Longer appointments and home visits were available when needed.
• Where appropriate, patients with more than one long-term condition were able to access a joint review to prevent them having to make multiple appointments.
• All these patients had a named GP and a structured annual review to check that their health and medicines needs were being met. For patients with complex needs, a named GP and practice nurse worked with relevant community and healthcare professionals to deliver multidisciplinary support and care. Multidisciplinary meetings were held to review patients’ needs and to avoid hospital admissions.
• Patients with COPD and asthma had self-management plans and those with chronic conditions were provided with care plans.
• Patients who were diagnosed with a long term conditions such as diabetes were directed to a structured education programme.

Updated 16 November 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 people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw good examples of joint working with midwives and health visitors. A midwife held antenatal clinics weekly.
• A contraceptive service including the fitting of contraceptive coils and implants was available for patients.

Updated 16 November 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 people in its population.
• The practice had an Over 75’s care coordinator, whose role included arranging regular reviews with a health care assistant and to contact patients who may not have been seen or in contact with the practice for a period of time to check on their welfare.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• The practice embraced the Gold Standards Framework for end of life care. This included supporting patients’ choice to receive end of life care at home.

Updated 16 November 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.
• Appointments with a GP were available from one of the sites from 8am to 7:30pm four days a week and Saturdays 9am to 11:30am.

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

Updated 16 November 2016

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

• 75% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months.
• 92% of patients with poor mental health had a comprehensive care plan documented in the record agreed between individuals, their family and/or carers as appropriate.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• It carried out advance care planning for patients with dementia.
• The practice had told patients experiencing poor mental health how to access various support groups and voluntary organisations. The practice promoted self-referral to the local Cognitive Behaviour Therapy service.
• Staff had a good understanding of how to support people with mental health needs and dementia.

Updated 16 November 2016

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.

• Vulnerable patients were identifiable with alerts noted on the secure computer system to ensure staff were alerted to needs.
• The practice was proactive in monitoring those patients identified as vulnerable or at risk. This included, monitoring A&E attendances, monitoring missed appointments from those known to be vulnerable and working with other services to ensure, where appropriate, information was shared to keep patients safe.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• The practice had told vulnerable patients how to access various support groups and voluntary organisations.
• 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.