Courtside Surgery

Updated 31 May 2018

Courtside Surgery is located close to the centre of Yate near Bristol. The premises are purpose built with a privately run pharmacy adjacent to the practice. The practice has approximately 14,600 registered patients. The practice accepts patients from an area North of the M4 which includes, Yate, Chipping Sodbury, Westerleigh, Frampton Cottrell, Wickwar and Hawkesbury.

Regulated Activities are provided from one location:

Courtside Surgery,

Kennedy Way,

Yate,

Bristol

BS37 4DQ

There are 10 partners who are complemented by three salaried GPs and a team of clinical staff including practice nurses, phlebotomists, and health care assistants. Six partners are female and four are male. Collectively the GPs provide 7.9 whole time equivalent (WTE) employees and provide 63 clinical sessions each week. Additionally two urgent care nurses are employed providing 1.3 WTE employees; four nurses, including a nurse manager, are employed providing 2.8 WTE employees; and four health care assistants/phlebotomists equal to 1.9 WTE employees. Non-clinical staff include a full time practice manager, reception staff, secretaries, IT and other support staff. A practice pharmacist employed by the Clinical Commissioning Group (CCG) supports the practice one day a week.

One of the practice GPs is a South Gloucestershire Clinical Commissioning Group (SGCCG) GP governing body member, with a clinical lead for information management and technology. The practice manager is the SGCCG governing body practice manager representative. The practice has been accredited by the Severn Deanery as a GP training practice; there are two GP trainers at the practice

The practice population ethnic profile is predominantly White British with around 2.5% of patients from black and minority ethnic groups. The index of multiple deprivation placed the practice in the ninth decile (the second least deprived classification). The age distribution of male and female patients is in line with national average figures. The national GP Patient Survey published in 2017 indicated 83% of patients said they would recommend the practice to someone new to the area, which was above the CCG average of 76% and national average of 77%.

The practice has a Personal Medical Services (PMS) contract with NHS England to deliver health care services, including enhanced services such as extended opening hours, online access and diabetes services. When the practice is closed patients can access Out Of Hours services provided by Brisdoc.

Updated 31 May 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection April 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 with dementia) - Good

We carried out an announced comprehensive inspection at Courtside Surgery on 16 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.
• 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.
• 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. Areas identified at the last inspection in 2015 where the practice should make improvements had been addressed.

We saw two areas of outstanding practice:

• The practice had developed IT based systems to improve medicines management and patient care. These included electronic repeat prescribing protocols; and electronic systems to share clinical information with other health care organisations to ensure appropriate end of life patient care.
• The practice carried out proactive screening of patients for alcohol misuse; and had used IT to improve prescription management in relation to substance misuse. Patients had access to an onsite drug and alcohol misuse support worker and a lead GP.

The areas where the provider should make improvements are:

• There was an effective system to manage infection prevention and control, however, arrangements should be reviewed. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 4 June 2015

The practice is rated as good for the care of people with long-term conditions. Nursing staff had lead roles in chronic disease management. Patients at risk of hospital admission were identified as a priority for appointments and health checks. Longer appointments and home visits were available when needed. All these patients 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 worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 4 June 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 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, health visitors and school nurses.

Updated 4 June 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. 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.

Updated 4 June 2015

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 reflects the needs for this age group.

Updated 4 June 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The majority of 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 carried out advance care planning for patients with dementia.

The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations including MIND and locally based organisations. It had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health. Staff had received training on how to care for people with mental health needs and dementia.

Updated 4 June 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 most people with a learning disability and these patients had received a follow-up appointment with a GP where indicated. It offered longer appointments for people with a learning disability.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It had told vulnerable patients about 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.