Shay Lane Medical Centre

Updated 13 May 2016

Shay Lane Medical Practice is situated in Hale Barns in modern purpose built premises which is shared with another practice. Their reception area is furthest from the main entrance and there is a new on-site pharmacy. The practice has parking on-site, disabled parking and is near to public transport links.

There are three partner GPs, two male and one female offering a total of twenty six sessions per week. The advanced nurse practitioner who has been with the practice for 17 years is leaving in April 2016 and will be replaced by locum services in the interim. There is also a practice nurse and a health care assistant. The practice offers services to a stable population of 6,200 patients under a Personal Medical Services contract and is not a training or teaching practice. The practice is situated in an area with low deprivation and low diversity.

The practice is open Monday to Friday from 8.30am until 6.00pm and patients have access to a dedicated out of hours service when the practice is closed. Appointments are available every day between 9am and 11.00am and 3pm and 5pm.

There are no extended hours offered at the location. The practice is part of the Trafford Deflection scheme set up by Trafford Clinical Commissioning Group as a response to local Accident &Emergency pressures meaning that an extra three appointments were available for emergencies at the end of each day.  Patients also have access to appointments on a Saturday morning at a nearby practice via the Trafford “Hub” which has been set up as part of the response to seven day access.   

Updated 13 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Shay Lane Medical Practice on 24 March 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 a system in place for reporting and recording significant events.

• Risks to patients were assessed and well managed with the exception of checks for reception staff who were used as chaperones. However these had been identified and addressed before the inspection.

• 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 found it easy to make an appointment with a named GP and 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.
• 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.

We saw an area of outstanding practice:

Learning arising out a significant event led to one of the GPs refining and developing the information templates used within the patient electronic system in order to minimise the same error arising again. Information was shared with neighbouring practices at a GP Forum within the Clinical Commissioning Group and feedback for the presentation was very positive. As a result of the presentation the new template has been adopted by the other practices minimising the error throughout the CCG.

The areas where the provider should make improvements are as follows :

• Introduce a system to manage clinical and non-clinical meetings more effectively and record and disseminate information therefrom.

• Install an emergency chord in the disabled toilet.

• Introduce a Patient Participation Group who meet in person with the practice to reflect the views of the patient population.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 13 May 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.

• Our data showed that patients with diabetes were receiving appropriate interventions which were higher than or in line with national averages.For example, the percentage of patients with diabetes, on the register, receiving appropriate blood tests was 79% compared to the national average of 77%. Those patients receiving regular blood pressure reviews was 73% compared to 78% nationally andthose receiving the required immunisations was 97% compared to the national average of 94%.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 13 May 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.

• The percentage of women aged 25-64 whose notes recorded that a cervical screening test had been performed in the preceding 5 years was 85% compared to 81% nationally.

• Sexually transmitted disease testing was highlighted and offered to 15-24 year olds.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 13 May 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 includingcare plans for older patients at risk of hospital admissions as well as specific holistic plans.

• Elderly patients and their care plans were reviewed on a quarterly basis and new patients were added to the register when required.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs including home visits for acute problems and in order to provide seasonal vaccines.

• One of the GPs attended the local Senior Care Living residential home twice weekly to review the residents.

Updated 13 May 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.

• 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.

• Travel services such as safe travel advice, travel inoculation and yellow fever immunisations were available.

• Patients were encouraged to attend cancer screening such as breast, bowel and prostate testing. There was a practice protocol and alert on patient records for patients who did not return their bowel screening tests.Those patients were pro-actively encouraged to return their samples.

• The practice were involved in a CCG-wide scheme for extended hours involving a hub for the practices run by Trafford Primary Care (a GP Federation) providing GP and nursing appointments on a Saturday morning.

Updated 13 May 2016

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

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  98% of patients with schizophrenia, bipolar affective disorder and other psychoses whose alcohol consumption has been recorded compared to the national average of 89%.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

• The practice 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.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 13 May 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 homeless people, travellers and those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed 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.