Peel GPs

Updated 8 December 2017

Peel GPs, Townside Primary Care Centre, Knowsley Place, Bury, Greater Manchester BL9 0SN is located in Bury town centre, within the Bury Clinical Commissioning Group.

The practice is responsible for providing treatment to 10,310 patients.

The age profile of the practice population is broadly in line with the CCG averages. Information taken from Public Health England placed the area in which the practice is located as fourth on the deprivation scale of one to ten. (The lower the number the higher the deprivation). In general, people living in more deprived areas tend to have greater need for health services.

Updated 8 December 2017

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection, 7 May 2015 the overall rating was 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

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

At this inspection we found:

• The practice had clear 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.

• The practice organised and delivered services to meet patients’ needs. It took account of patient needs and preferences and tailored services in response to those needs.

• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

• Leaders had the experience, capacity and skills to deliver the practice strategy and address risks to it. They were knowledgeable about issues and priorities relating to the quality and future of services. They understood the challenges and were addressing them.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 July 2015

The practice is rated as good for the care of people with long term conditions. The practice has a register of patients with long term conditions and has a recall system in place to ensure patients are called for an annual review so the condition can be monitored and reviewed. GPs run regular ‘Chronic Disease Clinics” in addition to the appointments offered by the practice nurses. Patients whose long term conditions leave them at increased risk of hospital admission are covered by the ‘Unplanned admission’ enhanced service. These patients have care plans with quarterly reviews and post discharge reviews. The practice is proactive in offering flu and pneumococcal vaccination to those eligible or in at risk groups. For those people with the most complex needs GPs worked with relevant health and social care professionals to deliver a multidisciplinary package of care.

Updated 30 July 2015

The practice is rated as good for the care of families, children and young people. Appointments were available outside of school hours and the premises were suitable for children and babies. A telephone triage system ensures that children are seen as soon as possible. The practice provided a ‘one stop clinic’ when the 6-8 week, first immunisations and postnatal checks were completed. This reduced the number of attendances for the family. The practice worked well with midwives, health visitors and school nurses. Baby changing facilities and breast feeding facilities were provided. Baby clinics were held weekly and led by a GP. Nurse led immunisation clinics for young children were held weekly. Family planning services were provided including on site implants and coil services. Systems were in place for identifying and following-up vulnerable families and who were at risk.

The practice was aware of children on protection registers and used an alert system within the patient record to alert staff to the child’s attendance in surgery. All staff knew who the safeguarding leads were and had received training in safeguarding. Staff knew what action to take if they had concerns about a child.

Updated 30 July 2015

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 registered with the practice and had a range of enhanced services, for example, in dementia. All patients aged 75 years and over had a named GP. The practice offered home visits and rapid access appointments for those with enhanced needs and visits to people who lived in care homes were provided.

The practice participated in a Nursing Home LES (Local Enhanced Service), which meant patients who resided at a local nursing home were assured a consistent and supportive service from the practice that included a weekly review visit if required and annual reviews of care plans and plans for end of life care.

Updated 30 July 2015

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. Services included early morning and late evening appointments, pre-bookable appointments and on-line appointment booking and prescription ordering. Appointments with a nurse or a health care assistant were available Monday to Friday from 8am and routine pre-bookable GP appointments were available Monday to Friday from 8,30am.

Online prescription ordering and online appointment booking were available through the practice website and could be accessed by all patient groups. This service was said to be particularly useful for patients who worked and may not have the time to contact the surgery by telephone or by visiting the practice to make an appointment.

The practice is part of the ‘Easy GP’ scheme run by Bury GP Federation (part of the Prime Minister’s Challenge Fund). This gives patients access to routine pre bookable and same-day GP appointments at five GP practices across the Bury area. Appointments are available from 8am to 8 pm Monday to Friday and 8am to 6pm on weekends. Patients book appointments through their own GP.

Access to alcohol screening, smoking cessation and support with weight management was promoted to enable patients to make healthy lifestyle choices.

Updated 30 July 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). People experiencing poor mental health received an annual health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. Patients in this group were offered longer appointments. Telephone triage services allowed for quick responses to patients who felt their mental health was deteriorating or who were at crisis point.

Updated 30 July 2015

The practice is rated as outstanding for the care of people whose circumstances may make them vulnerable. The practice held a register of patients with a learning disability. Annual health checks were undertaken for this patient group and longer appointments were made available. 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. For patients where English was their second language, access to language line and interpreters was available. Measures were in place to alert clinical staff when patients failed to collect prescriptions.

The practice was both committed and dedicated to supporting some of the most vulnerable patient groups, ensuring that they accessed health care when needed, with one of the GPs involved in a number of initiatives that supported vulnerable patients.

One of the practice GPs had a special interest in supporting patients with substance misuse issues and was the GP lead for substance misuse in the Bury area and attended and provided GP services to the Bury Drug and Alcohol Team and had done this for approximately 15 years. They worked with other professionals including health and social care colleagues where the ‘Recovery Model’ was the adopted approach of the team with abstinence being the goal of treatment.

The practice also participated in an alcohol primary care pathway DES (Directed Enhanced Service), which meant that patients who needed support and or help with alcohol issues were supported and signposted to community and secondary services when required.

The same GP was the lead for ‘Zero Tolerance’ patient scheme across the Bury area. This meant that patients who were difficult to manage in primary care services due to violence and aggression and had previously been removed from GP lists could access an appointment with the GP at a centralised location in Bury. This scheme benefited patients from the practice and those from the wider geographical area.

The practice participated in a learning disability DES (Directed Enhanced Service), which meant that patients who had a learning disability were invited to attend an annual review with a GP and longer appointments were provided to ensure this patient groups needs were fully assessed.