Langworthy Medical Practice

Updated 6 April 2016

Langworthy Medical Practice is located in Salford. The address of the practice is Langworthy Medical Practice 250 Langworthy Road, Salford M6 5WW.

The practice is located near a metro tram stop and has good public transport links. The practice has a car park for patients to use.

The practice has approximately 15,000 registered patients and serves a diverse population group including a mix of all age groups. Patients are able to use a branch surgery which is located at the University of Salford. The practice is a training practice for trainee GPs.

The practice offers a wide range of services including: Family planning advice, Baby clinics, Antenatal clinics, Counselling services and Flu clinics under a Personal Medical Services Contract.

The practice has five GP partners and three salaried GPs (six female and two male), a team of nursing staff (practice nurses, a nurse practitioner, a phlebotomist and healthcare assistants) a practice manager, a nurse manager, a business manager, an assistant manager and a team of administration staff. The practice also has a team of staff responsible for the running of the IT systems.

The practice was open between 8am and 6.30pm Monday to Friday. Appointments were from 8am to 6.30pm daily. Extended surgery hours were on Thursdays until 8pm and also between 7am and 8am on Wednesday mornings. In addition to pre-bookable appointments that could be booked up to six weeks in advance, urgent appointments were also available for people that needed them.

Outside of practice opening times, patients are diverted to the 111 out of hours service.

Updated 6 April 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Langworthy Medical Practice on 02 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 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 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.
• Some patients said they found it easy to make an appointment with a named GP and that 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. Duty of Candour ensures that providers are open and transparent with people who use their services.

We saw several areas of outstanding practice:

• The practice had close links with the Manchester Fire and Rescue Service and referred patients to the service and arranged for home visits to improve fire safety.

• The practice had developed an ‘MOT’ template (a system that asks a series of questions to assess the health of a patient) for patients with vascular conditions which helped improve the long term conditions management process for patients.

• The practice held a Christmas party for vulnerable and elderly patients. The practice provided a hot meal, entertainment and ensured all patients received a present.

The areas where the provider should make improvements are:

• Prioritise the summarising of medical records, and review the way in which the back log is organised to allow better access to finding a specific medical record.

• Risk assess the medical record storage room in relation to health and safety.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 6 April 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.
• The practice had developed an ‘MOT’ screening tool to improve the management of patients with long-term conditions. The screening tool had led to over 200 patients with undiagnosed impaired glucose regulation (IGR) being discovered. The practice used this information to put intervention measures in place to reduce the chance of IGR developing into diabetes.
• The practice took a holistic approach to treating patients with long-term conditions. Patients with multiple long-term conditions were invited in for a single appointment and a review of all conditions was performed.
• Patients with housebound conditions were contacted directly and an appointment was arranged for a practice nurse to make a house visit.
• 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.
• The percentage of patients diagnosed with asthma, on the register, who had an asthma review in the last 12 months was 70% which was below the national average of 75%

Updated 6 April 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.
• Appointments were available outside of school hours and the premises were suitable for children and babies.

Updated 6 April 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.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• The practice had close links with agencies such as Age UK. This ensured that patients were receiving support for other aspects of their life and not just clinical.

Updated 6 April 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 reflected the needs for this age group.
• The practice has good links with the University of Salford Wellbeing team and assisted students in getting access to counselling services and financial advice.

Updated 6 April 2016

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

• 90% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which is above the national average of 84%.
• The practice regularly worked with multi-disciplinary teams in the case management of people 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 6 April 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 multi-disciplinary teams in the case management of vulnerable people.
• 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.