Scott Road Medical Centre

Updated 8 October 2015

Scott Road Medical Centre is located in the town of Selby. There are 10949 patients on the practice list and the majority of patients are of white British background. The practice manager told us there were a higher proportion of younger patients on the practice list compared with the national data available for GP practices.

The practice is a teaching practice, there are five GP partners and five salaried GPs (8 females and 2 males). There is a practice manager, six practice nurses and two healthcare assistants. In addition there are a range of administrative personnel to support everyday activities. The practice is open 8am to 6.00pm on Monday- Friday. Extended hours are available on alternate Monday/Tuesday mornings and on alternate Tuesday/ Wednesday evenings and Saturday mornings all by pre-bookable appointments. Patients requiring a GP outside of normal working hours are advised to contact the GP out of hours service 111 provided by Harrogate Foundation Trust.

The practice has a Personal Medical Service (PMS) contract and also offers enhanced services for example: minor surgery, a Patient Participant Group (PPG), and timely diagnosis and support for patients who may have dementia.

Updated 8 October 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Scott Road Medical Centre on 18 August 2015. 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.
• 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 relatively easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available on 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.

We saw some areas of outstanding practice:

• The practice, as part of SHIELD (The Selby Area Federation of GP Practices), had won an innovation fund to develop social prescribing. This fund was used initially to support the local voluntary service to produce an up to date data base of available voluntary social care organisations. Patients were now referred to the most appropriate services. This service is in its infancy. There was only anecdotal evidence that it was having a positive impact on patients and /or their carers
• The named GP had assessed patients with a geriatrician at the local care and nursing homes to assess and meet the needs of their patients. This also prevented long journeys to hospitals for these patients who were mainly frail and elderly. In conjunction with the community matron, they had implemented anticipatory care plans with admission avoidance planning incorporated.
• The practice had a Same Day Care (SDC) service for patients who felt their needs were urgent. The receptionist took a phone number and a brief outline of their symptoms. The patients were telephoned back within the hour by a clinician and were triaged (assessed); and if necessary they were given an appointment with either the GP or nurse or with the GP they usually see.
• Patients who had Long Term Conditions had appointments in the One Stop Review Clinic. These extended appointments provided allocated time with the nurse prior to seeing the GP. This optimised treatment plans and enabled multiple conditions to be reviewed in one visit.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 8 October 2015

The practice is rated as good for the care of patients 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. Patients who had Long Term Conditions had appointments in the One Stop Review Clinic. These structured extended appointments provided allocated time with the nurse prior to their appointment with the GP. This optimised treatment plans and enabled multiple conditions to be reviewed in one visit.

Updated 8 October 2015

The practice is rated as good for the care of families, children and young patients. 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 patients who had a high number of A&E attendances. Immunisation rates were 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. We saw good examples of joint working with midwives and health visitors.

Updated 8 October 2015

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 patients in its population and had a range of enhanced services, for example, in dementia and end of life care. They were responsive to the needs of older patients, and offered home visits and rapid access appointments for those with enhanced needs.

Updated 8 October 2015

The practice is rated as good for the care of working-age patients (including those recently retired and students). The needs of these patients had been identified and the practice had adjusted the services they offered to ensure they 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 of this age group.

Updated 8 October 2015

The practice is rated as good for the care of patients experiencing poor mental health (including those with dementia). 82% of patients experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia. They carried out advance care planning for patients with dementia.

Patients experiencing poor mental health had been told how to access various support groups and voluntary organisations. A counsellor and a mental health worker both held clinics in the practice weekly.The practice had a system in place to follow up patients who had attended accident and emergency (A&E) when they may have been experiencing poor mental health. These patients were added to the VIP list. Staff were receiving training on how to care for people with mental health needs and dementia.

Updated 8 October 2015

The practice is rated as good for the care of patients whose circumstances may make them vulnerable. The practice held a register of patients who were vulnerable. This was known as the Vulnerable Identified Patient (VIP) list. They had carried out annual health checks for patients with a learning disability and all of these patients had received a follow-up. The practice had recently commissioned a disabled access audit and some changes had already been implemented.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable patients. They had told vulnerable patients 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.