Kearsley Medical Centre

Updated 3 December 2018

Kearsley Medical Centre is the registered provider and provides primary care services to its registered list of approximately 13500 patients (a 4.5% increase in the last three years). The practice delivers commissioned services under a General Medical Service (GMS) contract and is a member of Bolton Clinical Commissioning Group (CCG).

The GMS contract is the contract between general practices and NHS England for delivering primary care services to local communities. The practice offers direct enhanced services that include meningitis provision, the childhood vaccination and immunisation scheme, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal immunisations, learning disabilities, minor surgery and rotavirus and shingles immunisation.

Regulated activities (Family planning, Diagnostic and screening procedures, Treatment of disease, disorder or injury, Surgical procedures and Maternity and midwifery services) are delivered to the patient population from the following address:

Jackson Street

Kearsley

Bolton

BL4 8EP

The practice has a website that contains comprehensive information about what they do to support their patient population and the in-house and online services offered:

At the time of our inspection there were seven GP partners working a minimum of six sessions per week, two salaried GPs each working six sessions per week (five male and four female), four practice nurses (female, three full time, one part time) an assistant practitioner (female) and pharmacy technician. Clinical staff are supported by a practice manager deputy practice manager, office manager and IT manager, as well as sixteen other staff in the reception and administration team.

There is also a health trainer, health improvement practitioner, pharmacist, pharmacy technician and a mental health practitioner working in the practice, theses posts are funded and managed by Bolton Clinical Commissioning Group. The practice also provided a phlebotomy service, with staff contracted by the trust.

The practice is a training practice, accredited by the North Western Deanery of Postgraduate Medical Education and has three GP specialist trainees.

The age profile of the practice population is broadly in line with the CCG averages, with a slightly higher than average number of patients over the age of 65. The practice ethnicity profile showed 93% of patients were White British. The practice also provided care to approximately 117 (1%) patients living in a nearby residential and nursing home. Information taken from Public Health England placed the area in which the practice is located is the fourth most deprived (from a possible range of between 1 and 10). In general, people living in more deprived areas tend to have greater need for health services.

Updated 3 December 2018

This practice is rated as Good overall (Previous rating October 2015 Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Kearsley Medical Centre on 6 November 2018 as part of our inspection programme.

At this inspection we found:

• The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• The practice should develop a formal process to carry out an infection control audit and ensure checks delegated to staff are carried out and documented, for example testing of the fire alarm.
• Review the system in place for monitoring the changes to patient’s medicines have been accurately processed by the pharmacy technician. Although a system was in place this could be more robust with additional checks to ensure the changes made were as instructed.
• The practice should have a clear pathway for clinical oversight of those patients automatically exception reported in QoF.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Updated 3 December 2018

Updated 3 December 2018

Updated 3 December 2018

Updated 3 December 2018

Updated 3 December 2018

Updated 3 December 2018