Background to this inspection
Updated
16 February 2018
The practice of Dr Abid Hamid, 2nd Floor, Nye Bevan House, Maclure Road, Rochdale is located in the centre of Rochdale, Greater Manchester and provides general medical services under a personal medical services contract to patients within the Heywood, Middleton and Rochdale Clinical Commissioning Group area.
The practice website is www.drhamidspractice.co.uk.
The practice is responsible for providing treatment to 4584 registered patients and offers direct enhanced services that include meningitis provision, the childhood vaccination and immunisation scheme, extended hours access, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal immunisations, minor surgery, patient participation, rotavirus and shingles immunisation and unplanned admissions.
Information taken from Public Health England placed the area in which the practice is located as one 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. 60% of patients were from a black and minority ethnic group.
Updated
16 February 2018
Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection February 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
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
We carried out an announced comprehensive inspection at The practice of Dr Abid Hamid on 16 January 2018 as part of our inspection programme.
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.
- 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 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.
- All patients with an appointment were reminded by telephone and text of their appointment.
- The practice, with other practices in the Clinical Commissioning Group and the wider NHS, had receptionists who were trained as care navigators who signposted patients to the right person at the right time across a variety of health services.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
19 March 2015
The practice is rated as good for the population group of people with long term conditions. Emergency processes were in place and referrals made for patients in this group that had a sudden deterioration in health. When needed longer appointments and home visits were available. The practice has an electronic register of patients with long term conditions and has a recall system in place to ensure patients are called for a review annually so the condition can be monitored and reviewed. The practice have a high percentage of patients for who English is not their first language, all recall letters would be followed up by a telephone call to help patients understand the need to attend reviews. For those people with the most complex needs GPs worked with relevant health and social care professionals to deliver a multidisciplinary package of care.
Families, children and young people
Updated
19 March 2015
The practice is rated as good for the population group of families, children and young people. Systems were in place for identifying and following-up vulnerable families and who were at risk.
Immunisation rates were high for all standard childhood immunisations.
Appointments were available outside of school hours and Children with long term conditions appointments and reviews were accommodated with during school holidays.
The practice has produced a leaflet called keeping children and young people safe which is available to patients at reception desk.
The practice posts Pregnancy packs to women who are pregnant telling them of all the Antenatal clinics in the area and who midwifery team leaders are, the pack includes a leaflet on folic acid and has details of various workshops they can attend.
Due to English not being the first language the practice would contact newly pregnant patient and ask them if there is anything they do not understand and in majority of cases the practice would book antenatal appointment for them.
All of the staff were responsive to parents’ concerns and ensured parents could have same day appointments for children who were unwell.
Updated
19 March 2015
The practice is rated as good for the population group of older people. Nationally reported data showed the practice had good outcomes for conditions commonly found amongst older people. The practice offered personalised care to meet the needs of the older people in its population. The practice work with other health and social care providers and with out of hours providers to ensure consistency of care.
The practice was responsive to the needs of older people, the GP and provided home visits and rapid access appointments for those with enhanced needs. It was practice policy should an elderly patient arrive at the practice without an appointment, reception staff should not to turn patients away but to try and accommodate the patient so they can see a Doctor without having to come back. The over 75yrs population are offered on the day appointments or telephone consultations.
We saw care plans were in place for patients at risk of unplanned hospital admissions, and those aged 75 and over who were vulnerable had care plans in place. Majority of the patients in this age group were from an Black and minority ethnic backgrounds where English was not there first language, when booking appointments for the over 75 care plans, reception staff ask if the patient would require a translator during the consultation and booking translators for the patients.
The practice is based in an area where the population is predominantly Asian and there are joint family systems in place and the elderly are cared at home by their extended family, the practice is proactive in recognising carers and recorded carer’s details and gave support packs to the carers.
The practice had achieved 93% vaccination rate for the influenza vaccine.
Working age people (including those recently retired and students)
Updated
19 March 2015
The practice is rated as good for the population group of the working-age people (including those recently retired and students). The practice offered online services as well as a full range of health promotion and screening which reflects the needs for this age group. Patients were provided with a range of healthy lifestyle support including smoking cessation. The practice offered NHS health checks to patients including elderly health checks to patients who are 60 plus and not reached the age of 75. The practice had extended opening hour enabling people to make appointments outside normal working hours. Appointments could be booked online in advance and a text message reminder system was in place to remind patients of pre booked appointments.
People experiencing poor mental health (including people with dementia)
Updated
19 March 2015
The practice is rated as good for the population group of people experiencing poor mental health (including people with dementia). The practice maintained a register of patients who experienced mental health problems. The register supported clinical staff to offer patients an annual appointment for a health check and a medication review. The practice worked with multi-disciplinary teams in the case management of people experiencing poor mental health including those with dementia.
Patients experiencing poor mental health are given telephone call reminders on the day of their appointment to ensure they attend there appointment, in the event patients do not want to come into the practice a home visit would be arranged for the patient.
The practice had sign-posted patients experiencing poor mental health to various support groups and voluntary organisations, including referrals to counselling services.
For patients who experienced difficulties attending appointments at busy periods they would be offered appointments at the beginning or end of the day to reduce anxiety.
People whose circumstances may make them vulnerable
Updated
19 March 2015
The practice is rated as good for the population group of people whose circumstances may make them vulnerable. The practice had carried out annual health checks for people with learning disabilities and offered longer appointments for people where required. For patients where English was their second language, an interpreter could be arranged.
The practice worked with multi-disciplinary teams in the case management of vulnerable people.
The practice had held fortnightly clinics for patients experiencing drug and or alcohol issues run by a drugs counsellor
Staff knew how to recognise signs of abuse in vulnerable adults and children.