Background to this inspection
Updated
7 January 2022
Mount Pleasant Medical Centre is located at 69 Purlwell Lane, Mount Pleasant, Batley WF17 7PF.
The practice is situated within the NHS Kirklees Clinical Commissioning Group (CCG) and delivers primary care medical services under a Personal Medical Services (PMS) contract to approximately 15,400 patients. The practice is located in a large three-storey converted vicarage property.
The practice is part of the Batley and Birstall primary care network (PCN) with seven other GP practices, which looks to develop collaborative services for the shared practice populations.
The provider is registered as a partnership with the Care Quality Commission (CQC) to deliver the regulated activities diagnostic and screening procedures, maternity and midwifery services, treatment of disease, disorder or injury and surgical procedures.
The focus of this inspection was the non-therapeutic male circumcision service only. NHS Kirklees CCG does not commission this service at Mount Pleasant Medical Centre. This service is carried out on a private, fee paying basis and was accessible to people who chose to use it. Patients do not have to be registered at the practice to receive this service.
The non-therapeutic male circumcision service is operated by one of the practice’s male GP partners. The other GPs partners are aware that male circumcision services are undertaken on the practice premises and under the governance systems of the practice. One member of the practice’s non-clinical staff supported the service as a receptionist.
The service carries out non-therapeutic male circumcisions on infants, under the age of one year old. The service is mainly carried out on Friday afternoon and at the weekend, using practice premises, facilities and equipment. The doctor told us that approximately two to three circumcisions are undertaken each week at 30-minute intervals.
Updated
7 January 2022
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Mount Pleasant Medical Centre on 15 June 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients said they did not always find it easy to make an appointment with a named GP. Urgent appointments were available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- The practice worked with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs. For example, the practice was able to offer 24 hour blood pressure monitoring for patients with hypertension.
- 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.
- The provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider should make improvement are:
- Establish a programme of auditing and monitoring to check that key policies and infection prevention and control( IPC) practices are being implemented appropriately.
- Carry out Control of Substances Hazardous to Health (COSHH) risk assessments
- Label clinical waste bags in line with current legislation and guidance.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice