Background to this inspection
Updated
6 August 2015
The practice, situated in Hull, delivers primary care under a Personal Medical Services (PMS) Contract between themselves and NHS England for patients living in the Hull, Willerby, Anlaby and surrounding areas. The practice has four GP partners, three male and one female. The practice is a teaching practice.
The practice opens from 8.00am – 6.30pm Monday to Friday. There are Saturday appointments available which opens at 8.30am till 1.00pm. The practice does not provide an out-of-hours service to their own patients directly and patients are automatically diverted to the local out-of-hours 111 service when the surgery is closed in the evenings and at the weekends.
The registered patient list size of the practice is 8, 914. The overall practice deprivation is on the fourth more deprived decile. The practice profile is 6.4% aged 0 to 4 years, 9.7% aged 5 to 14 years, 12.9% aged under 18 years, 11.8% aged 65+ years, 5.3% aged 75+ years and 1.6% aged 85+ years. Deprivation for children and adults is slightly higher than the national average.
Updated
6 August 2015
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Newland Group Medical Practice on 06 May 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing safe, effective, caring, responsive and for being well led. It was also good for providing services for older people and people with long term conditions.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.
- The practice safely and effectively provided services for all patient groups. The staff were caring and ensured all treatments being provided followed best practice guidance. The practice was well-led and responsive to patients’ needs.
- The practice had systems and processes in place to ensure they provided a safe service.
- The practice had an effective governance system in place, was well organised and actively sought to learn from performance data, complaints, incidents and feedback.
The practice actively sought the opinions of staff and patients, working with a well-established patient participation group (PPG).
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. There were emergency processes in place and regular reviews took place for patients whose health deteriorated suddenly. Longer appointments and home visits were available when needed. Patients in this group had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP and/ or specialist nurses worked with relevant health and care professionals to deliver a multidisciplinary package of care. The staff had received appropriate training in the management of long term conditions.
Families, children and young people
Updated
6 August 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 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 when it was convenient for children and teenagers to attend the surgery.
Updated
6 August 2015
The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. There were a number of care homes in the practice area and a named dedicated GP provided health care support and input to the homes on a regular basis. 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 and end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.
Working age people (including those recently retired and students)
Updated
6 August 2015
The practice is rated as good for the care of working-age people (including those recently retired and students). The needs of this group 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. The practice provided a range of services patients could access at times that best suited them. Saturday morning appointments and early morning appointments were available to help those patients who could not attend during core hours. 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.
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). People experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It also carried out advance care planning for patients with dementia.
The practice helped patients experiencing poor mental health to access various support groups and voluntary organisations. It had a system in place to follow up and review patients’ needs who had attended A&E who had been experiencing poor mental health. 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 register of patients living in vulnerable circumstances including those with a learning disability. It had carried out annual health checks for people with a learning disability and offered longer appointments for people with a learning disability or those who required it.
The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It helped vulnerable patients 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.