Archived: Dr Jutta Meiwald Also known as Binbrook Surgery

Updated 19 April 2016

Dr Jutta Meiwald, Binbrook Surgery provides primary medical care for approximately 2,390 patients living in the rural area of Binbrook and neighbouring villages. It is located in the heart of the Lincolnshire Wolds some 28 miles from the City of Lincoln and 10 miles from Grimsby. Public transport provision is very poor.

The service is provided under a General Medical Services contract with Lincolnshire East Clinical Commissioning Group.

The practice had a higher number of older people aged between 50 and 79 on the patient list than the national average. 24.6 % of patients were aged 65 or over compared to the national average of 16.7%. It has a lower than average number of younger people on the patient list. The average age of a person living in Binbrook is 54. The practice list is weighted to 2,916 using the Car-Hill formula to reflect patient demographics.

Care and treatment is provided by two female and one male GPs, a nurse practitioner, two practice nurses and a phlebotomist/healthcare assistant. They are supported by a team of dispensers, receptionists and administration staff.

It is a dispensing practice, and dispenses to 90% of its patients.

The surgery is open between 8am and 6.30pm Monday and Friday, and from 8am to 1pm on Tuesday, Wednesday and Thursday.

When the surgery is closed GP out-of hours services are provided by provided by Lincolnshire Community Health Services NHS Trust which can be contacted via NHS111.

Updated 19 April 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Jutta Meiwald, Binbrook Surgery on 4 February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.

• There was an extensive program of clinical audit aimed at improving patient safety and care.

• 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 readily available and easy to understand.
• 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 practice recognised the challenges posed by the requirement for increased access to services and had been proactive in working with commissioners and another provider to achieve this goal.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should ;

• Ensure that action taken to mitigate identified risks was clearly evidenced.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 19 April 2016

The practice is rated as good for the care of people with long-term conditions. GPs had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. 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. Home visits were undertaken to those unable to attend the surgery by the advanced nurse practitioner and health care assistant for the management long term conditions.

Updated 19 April 2016

The practice is rated as good for the care of families, children and young people. 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. Comprehensive information and provision of all contraceptive methods was provided. The practice supported the national chlamydia screening programme.

Updated 19 April 2016

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. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs. The practice co-operated closely with its local residential care home and conducted ‘ward round’ type visits at the home once a month with additional consultations as required. All residents of the home had a personalised care plan written with input from the GP. The home was provided with the personal mobile number of the GP for use in the case of emergency.

Updated 19 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, include on-line booking of appointments and repeat prescriptions 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 was willing to arrange GP consultations outside of normal hours for those who found it very difficult to attend during normal surgery times.

Updated 19 April 2016

The practice is rated as good for the care of people experiencing poor mental health. 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. 95% of patients diagnosed with dementia had their care reviewed in a face-to-face review in the preceding 12 months, compared to the national average of 84%.

One GP had developed special expertise in the management of gender dysphoria. Gender dysphoria is a condition where a person experiences discomfort or distress because there is a mismatch between their biological sex and gender identity. The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

Updated 19 April 2016

 The practice is rated as good for the care of people whose circumstances may make them vulnerable. 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. It had carried out annual health checks for people with a learning disability.