Archived: York House Surgery

Updated 28 January 2016

York House Surgery provides primary medical services in Heywood from Monday to Friday. The practice is open between 8am and 6pm. The first appointment of the day with a GP is 8.30am and the last appointment with a GP is 5.20pm.

York House Surgery is situated within the geographical area of Heywood, Middleton and Rochdale Commissioning Group (CCG).

The practice has a Personal Medical Services (PMS) contract. The PMS contract is the contract between general practices and NHS England for delivering primary care services to local communities.

York House Surgery is responsible for providing care to 3862 patients .

Due to the practice being unable to recruit more GP’s the practice have suspended extended hours and have closed the list and are not registering new patients.

The practice consists of one female GP partner and two salaried GPs, one of whom is female, one practice nurse and one phlebotomist. The practice is supported by a practice manager, administration and receptionists.

When the practice is closed patients are directed to the out of hour’s service.

Updated 28 January 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at York Street Surgery on 10 December 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.
• Although risks to patients were assessed and well managed a member of staff had undergone a check with the Disclosure and Barring Service. (DBS) with a previous employer and the practice had not applied for an updated check.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
• 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.
• 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.

The area where the provider should make improvement is:

The provider should ensure those staff acting as chaperones have up to date DBS checks carried out.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 28 January 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.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and a structured annual review to check that their health and medicines needs were being met. 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.

Updated 28 January 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.
• Appointments were available the same day for children under five years of age.
• 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.
• Data showed that 82.84% of women aged 25 to 64 had notes recorded that a cervical smear had been performed in the preceding five years.
• The premises were suitable for children and babies.
• The practice have close working links with Heywood Children's Charity.
• We saw good examples of joint working with midwives, health visitors and school nurses.

Updated 28 January 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.
• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• The percentage of people aged 65 or over who received a flu vaccination was higher than the national average.
• The practice have a Carer’s Advocate who liaises closely with Carers’ Resource and the local authority service.

Updated 28 January 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 and offered continuity of care.
• Although the practice did not offer extended hours the national patient satisfaction survey showed that 88.74% of patients were very satisfied or fairly satisfied with the practices’ opening hours which is higher than the national figure of 78.53%.
• 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.
• The practice is part of a local federation of practices working together to offer 8am to 8pm appointments to patients unable to attend during normal working hours.

Updated 28 January 2016

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

• 78.12% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months.
• 90.91% of patients suffering from poor mental health had a comprehensive, agreed care plan documented in their medical record in the preceding 12 months.
• 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.
• One of the GPs had achieved GP with Special Interest in Dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• It 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 people with mental health needs and dementia.

Updated 28 January 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 those with a learning disability.
• It offered longer appointments for people with a learning disability.
• 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.
• Recovery Republic is a service that has grown from a service offered by one of the partners in the practice. It offers advice from alcoholics anonymous, narcotics anonymous, enduring mental health and financial advice. Practices from the surrounding area refer in to the service.