Archived: Newbury Green Medical Practice

Updated 18 February 2016

Newbury Green Medical Practice is located in Salford and provides care to approximately 10,500 patients. It is easily accessible by public transport and has good parking facilities.

There are four GP partners and one salaried GP (two female GPs and three male GPs). The practice also employs three practice nurses and two assistant practitioners, a practice manager and 15 administration staff. The practice is a teaching practice and takes on medical students from first to third year.

The opening times of the practice are 8:30am - 12:30pm and 1:30pm - 6:30pm Monday to Friday with extended opening on Wednesday until 8.30pm. The phone lines to the practice are open from 8am until 6.30pm daily (with extended opening on Wednesday).

Appointment times are:

Monday 9am -11am and 2pm - 6pm, Tuesday 9am -11am and 2pm - 6pm, Wednesday 9am -11am and 3pm - 8.30pm, Thursday 9am -11am and 4pm - 6pm, Friday 9am -11am and 4pm - 6pm

Outside of opening hours, patients are signposted to Salford Royal Hospital or the 111 service.

The practice has a General Medical Services contract and provides the following regulated activities: Treatment of disease, disorder or injury, Maternity and midwifery services, Diagnostic and screening procedures.

Updated 18 February 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Newbury Green Medical Practice on 19 January 2016. 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. Staff had 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.
• 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.

We saw one area of outstanding practice:

• The practice had strong links with the local fire service. The practice arranged for the fire service to inspect the homes of any vulnerable patients and ensure they had working smoke detectors and that their home was free from any potential fire hazards.

However there was one area of practice where the provider should make improvements:

• Ensure that there is a full audit trail available when documenting significant events, including a full investigation, and that learning and sharing is also documented.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 18 February 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 their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 18 February 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.
• 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 positive examples of joint working with midwives, health visitors and school nurses.

Updated 18 February 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.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

Updated 18 February 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 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.
• Extended hours on a Wednesday evening were offered for people that can’t attend during working hours.

Updated 18 February 2016

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

• 86% of patients diagnosed with dementia who had had their care reviewed in a face to face meeting in the last 12 months, which is above the national average of 84%.
• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.
• The practice carried out advance care planning for patients with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• The practice 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 patients with mental health needs and dementia.

Updated 18 February 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 homeless people, travellers and those with a learning disability.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• The practice informed 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.
• The practice had strong links with the local fire service. The practice arranged for the fire service to inspect the homes of any vulnerable patients and ensure they had working smoke detectors and that their home was free from any potential fire hazards.