Hazeldene Medical Centre Also known as Dr Rodger & Partners

Updated 27 February 2017

Hazeldene Medical Centre is located on the outskirts of Manchester and is a member of North Manchester Clinical Commissioning Group (CCG).

The male life expectancy for the area is 76 years compared with the CCG average of 73 years and the national average of 79 years. The female life expectancy for the area is 80 years compared with the CCG average of 78 years and the national average of 83 years. There is a higher than average number of patients who have a long-standing health condition, 64%, compared to the CCG average of 53% and the national average of 54%

The practice is managed by three GP partners (one female and two males), and the surgery also employees one part time salaried GP (female). There is an advanced nurse practitioner, one practice nurse and two healthcare assistants. Members of clinical staff are supported by a practice manager, reception and administration staff.

The practice is open 8.30am to 6.00pm Monday, Tuesday, Thursday and Friday. Every Wednesday afternoon from 1.00pm the practice is closed. Patients requiring a GP outside of normal working hours are advised to call “ Go-to- Doc” using the usual surgery number and the call will be re-directed to the out-of-hours service. The surgery also runs, with three local practices, a neighbourhood scheme for Sunday appointments between the hours of 10am and 6pm .

The practice has a Personal Medical Services (PMS) contract. At the time of our inspection there were 6615 patients on the practice list. The practice is a teaching practice.

Updated 27 February 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Hazeldene Medical Centre on 3 February 2017. Overall the practice is now rated as good.

The practice had been previously inspected on 21st October 2015. Following this inspection the practice was rated requires improvement with the following domain ratings:

Safe – Requires improvement

Effective – Requires improvement

Caring – Good

Responsive – Good

Well-led – Requires improvement

Our key findings from the most recent inspection were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events with learning outcomes documented.
• Staff had a clear understanding of their roles and responsibilities in line with their job description.
• Infection control processes had been introduced with several audits having taken place with actioned outcomes documented and evidenced.
• 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.
• The practice had developed a programme of continuous quality improvement through clinical and internal audits, and these were used to monitor quality and to make improvements.
• Risks to patients were assessed and well managed.
• There was a clear leadership structure. The practice proactively sought feedback from staff and patients, which it acted on. The practice had an active patient participation group (PPG).
• Patients said they found it difficult to access the practice by the phone. Most patients 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 provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvements are:

• Continue to review the telephone and appointment system action plan, to enhance patient experience of access to appointments.
• Use practice data more effectively to monitor performance in areas of exception reporting.
• Ensure care plan templates themselves are updated.
• Review processes in relation to the repeat prescribing policy, whilst implementing a serial checking process for blank prescriptions.
• Add the full address of the Parliamentary and Health Service Ombudsman(PHSO) to the practice leaflet.
• Install an alert system on the practice entrance, so staff can help wheelchair users to access the building.
• Proactively identify carers.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 27 February 2017

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.
• 62% of patients with diabetes had a blood pressure recording which was within normal limits completed in the preceding 12 months, compared to the CCG average of 77% and national average of 78%.
• Longer appointments and home visits were available when needed.
• The practice offered extended hours opening to ensure those with long term conditions and those who were working were able to access appropriate care.
• 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 27 February 2017

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 low for all standard childhood immunisations, however we identified this was due to a fault in the data and saw evidence the practice was in line with or above standard rates on the day of the inspection.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals.
• 83% of eligible women had received a cervical screening test in the preceding five years, compared to the CCG average of 78% and national average of 81%.
• 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 27 February 2017

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.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• There was a named GP for the over 75s and care plans were in place.
• Patients who had an active care plan in place, which was reviewed every three months or after any admission/discharge to hospital.

Updated 27 February 2017

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 reflected the needs for this age group.
• Patients were also able to access extended hours appointments between 6.30pm and 9.30pm and at weekends, delivered at a choice of three sites via a local GP Alliance.

Updated 27 February 2017

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

• The practice held a joint holistic review every six months where immunisation and drug treatment management plans were reviewed. These were for all patients who were seen by the Drug and Alcohol worker.
• 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.
• 95% of patients with schizophrenia or other psychoses had their alcohol consumption recorded in the preceding 12 months compared to the CCG average of 85% and national average of 89%.
• 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 27 February 2017

• 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.
• 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.