Background to this inspection
Updated
21 May 2018
Dr David Shurmer is registered at Stannington Medical Centre with the CQC to provide primary care services, which includes access to GPs, family planning, surgical procedures, treatment of disease, disorder or injury and diagnostic and screening procedures. The practice provides GP services for patients living in the Stannington area of Sheffield. The practice has two GPs (one male and one female), a practice manager, and a practice nurse who are supported by a range of administrative staff.
The practice is open 8am to 6pm on Monday to Friday with later appointments available up to 8pm on Tuesdays. Patients can book appointments in person, via the phone and online. Appointments can be booked in advance for both the doctor and nurse clinics. When the practice is closed patients can access the out of hours NHS 111 service. The practice has a General Medical Services (GMS) contract. This is the contract between general practices and NHS England for delivering services to the local community. The practice is part of NHS Sheffield Clinical Commissioning Group (CCG). It is responsible for providingprimary care services to just under 3,200 patients. The practice is meeting the needs of an increasingly elderly patient list size that is generally comprised of an equal number of women and men.
Updated
21 May 2018
This practice is rated as Good overall. (Previous inspection 06/08/2015 – 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 living with dementia) - Good
We carried out an announced comprehensive inspection at Dr David Shurmer on 29 March 2018 as part of our inspection programme.
At this inspection we found:
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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.
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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.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
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Patient survey results were significantly better than CCG and national averages which reflected the personalised and dedicated service provided by the practice.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
6 August 2015
The practice is rated as good for the care of people with long term conditions. Emergency processes were in place and referrals made for patients in this group that had a sudden deterioration in health. Longer appointments and home visits were available when needed. Patients had a named GP and structured annual reviews to check their health and medication needs were being met. For those people with the most complex needs, the named GP worked with health and care professionals to deliver a multidisciplinary package of care.
Families, children and young people
Updated
6 August 2015
The practice is rated as good for the care of families, children and young people. Systems were in place for identifying and following-up children living in disadvantaged circumstances and those who were at risk. Patients told us, and we saw evidence, that children and young people were treated in an age-appropriate way and recognised as individuals. Appointments were available outside of school hours and the premises were suitable for children and babies. We were provided with good examples of joint working with midwives and health visitors. Emergency processes were in place and referrals made for children and pregnant women who had a sudden deterioration in health.
Updated
6 August 2015
The practice is rated as good for the care of older people. Nationally reported data showed the practice had good outcomes for conditions commonly found amongst older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example in dementia care. The practice was responsive to the needs of older people and where appropriate provided home visits.
Working age people (including those recently retired and students)
Updated
6 August 2015
The practice is rated as good for the care of the 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 which reflected the needs for this age group.
People experiencing poor mental health (including people with dementia)
Updated
6 August 2015
The practice is rated as good for the care of people experiencing poor mental health including people with dementia. The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health including those with dementia. The practice had advanced care planning in place for patients with dementia. Staff had received training on how to care for people with mental health needs and dementia.
People whose circumstances may make them vulnerable
Updated
6 August 2015
The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice held a record of patients living in vulnerable circumstances including homeless people, travellers and those with learning disabilities. The practice offered longer appointments for people with learning disabilities. 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.