Archived: Dr Johnson and Partners Parkfield Medical Practice

Updated 10 August 2016

Dr Hibbs and Partners practice is registered with the Care Quality commission (CQC) as a partnership and provides medical services over two sites. The main practice which is owned by the partners is based at 255 Parkfield Road, Parkfields, Wolverhampton WV4 6EG. The branch practice is located at Woodcross Lane, Cosley, Wolverhampton WV14 9BX. This building is owned by the NHS. For this inspection a visit was made to the main and branch practice. Both practices have good transport links for patients travelling by public transport and parking facilities are available for patients travelling by car. Both practices are purpose built and provide ground floor facilities. There is level access to the ground floor and all areas are easily accessible by patients with mobility difficulties, patients who use a wheelchair and families with pushchairs or prams.

The practice team consists of three GP partners, five salaried GPs (five female and three male). The clinical practice team includes two nurse practitioners, two practice nurses and three healthcare assistants. Clinical staff are supported by a management team which include a practice manager, two medical secretaries, 13 administration / receptionist staff and two data clerks. In total there are 33 staff employed across both sites in either full or part time hours to meet the needs of patients. The practice is a training practice for GP trainees.

The practice at Parkfield Road is open and offer appointments between 8am and 6.30pm Monday to Friday. Extended hours appointments are offered from 6.30pm to 8pm on Monday and from 8.30am to 12 noon on Saturday. The extended hours are by appointment only. The branch practice is open and offer appointments from 8.30am to 5.30pm on Monday, Tuesday, Thursday and Friday and 8.30am to 1pm on Wednesday.

The practice has a General Medical Services contract with NHS England to provide medical care and treatment to approximately 12874 patients over two sites. Services provided include, child health surveillance, minor surgery and new patient medicals. The practice does not provide an out-of-hours service to its patients but has alternative arrangements for patients to be seen when the practice is closed. Patients are directed to the out of hours service, provided by Vocare, via the NHS 111 service. The patient demographics is broadly similar to the practice average across England. The practice has a slightly higher proportion of patients below the age of 24 years and females aged 30 to 34, when compared with the practice average across England. For example, the percentage of patients aged 14 to 18 at the practice is 25% which is slightly higher than the England average of 21%. There is a higher than national average representation of income deprivation affecting children (30% compared to 20%) and older people (28% compared to 16%). People living in more deprived areas tend to have greater need for health services.

Updated 10 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Hibbs and Partners on 17 May 2015. 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.
• The practice actively invested in staff development and training. Staff had been supported to attend training both within and outside of the practice 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.
• The practice was aware of the needs of its local population and had implemented changes and engaged with the local community to support meeting these needs.
• 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 the 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.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 August 2016

The practice is rated as good for the care of people with long-term conditions.

• Nurse practitioners and practice nurses had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• The percentage of patients with who had a review undertaken including an assessment of breathlessness using the Medical Research Council dyspnoea scale (the degree of breathlessness related to five specific activities) in the preceding 12 months was 91%. This was comparable to the national average of 90%. COPD is the a collection of lung diseases.
• Longer appointments and home visits were available when needed. A computerised call and recall system was in place to ensure patients were sent an appointment for a review of their health and medicines needs.
• The named GP worked with relevant healthcare professionals to deliver a multidisciplinary package of care to patients with complex needs.

Updated 10 August 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 for all standard childhood immunisations were similar to the local CCG immunisation rates.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals. Appointments were available outside of school hours and the premises were suitable for children and babies.
• The practice’s uptake for the cervical screening programme was 83%, which was comparable to the national average of 82%.

Updated 10 August 2016

The practice is rated as good for the care of older people.

• The practice offered personalised care to meet the needs of the older people in its population. Home visits and flexible appointments were available for older patients.
• Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people.
• The practice had a proactive working relationship with care homes. There was effective communication between the practice and care home staff and weekly ward rounds were carried out in care homes.
• The practice was involved in a model of care that promoted joint working across primary, community and secondary care to the care of older patients who lived in care homes.

Updated 10 August 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 appointment telephone line was open between 8.30am and 6.30pm and extended hours were offered one evening and Saturday morning per week.
• 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.

Updated 10 August 2016

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

• The practice regularly worked with multi-disciplinary teams in the case management of people who experienced poor mental health, including those with dementia.
• The practice carried out advance care planning for patients with dementia.
• The practice held a register of patients who experienced poor mental health and provided a service to 61 patients that lived in a specialist care home for patients who experienced severe mental health. Clinical data for the year 2014/15 showed that 90% of patients on the practice register who experienced poor mental health had a comprehensive agreed care plan in the preceding 12 months. This was comparable to the national average of 88%.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• The percentage of patients diagnosed with dementia whose care had been reviewed in a face to face review in the preceding 12 months was 88%, which was higher than the national average of 84%.
• All staff had received dementia friends training and had a good understanding of how to support people with mental health needs and dementia.

Updated 10 August 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 with a learning disability and carried out annual health checks for these patients. An easy read (pictorial) letter was sent to patients with a learning disability inviting them to attend the practice for their annual health check. Joint meetings are carried out with the local community learning disabilities nurses.
• Staff had been trained 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.
• 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.
• The practice worked closely with local communities including a refugee and migrant centre to discuss how it could effectively support the health care needs of the growing migrant population that had registered with the practice.