Langthwaite Surgery

Updated 13 June 2018

The practice of Drs DP Diggle and RE Phillips is located at Church View Health Centre, Langthwaite Road, South Kirkby, West Yorkshire, WF9 3AP. It currently provides services for around 4,200 patients. The practice is a member of the NHS Wakefield Clinical Commissioning Group (CCG).

The practice is registered by CQC to carry out the following regulated activities, maternity and midwifery services, family planning services, treatment of disease, disorder or injury, surgical procedures, and diagnostic and screening procedures.

The practice operates from Church View Health Centre and is located on the first floor of a large purpose designed building which it shares with another GP practice and a number of other health and care providers. The building is accessible for those with mobility problems and a lift is provided to assist patients with access to the practice. The practice has on-site parking available for patients, with designated spaces for patients with limited mobility, or those patients who use a wheelchair.

The practice serves an area which was in the past linked predominantly to mining and associated industries. The practice has a high prevalence of long term conditions with 66% of patients reporting that they had a long standing health condition compared to the CCG average of 57% and the England average of 54%. The population age profile shows that it is comparable to the CCG and England averages for those over 65 years old (18% compared to the CCG average of 18% and England average of 17%). Average life expectancy for the practice population is 77 years for males and 81 years for females (CCG average is 78 years and 82 years respectively and the England average is 79 years and 83 years respectively). The practice serves some areas of higher than average deprivation being ranked as two on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The practice population is predominantly White British.

The practice provides services under the terms of the Personal Medical Services (PMS) contract. In addition the practice offers a range of enhanced local services including those in relation to:

• childhood vaccination and immunisation
• Influenza and Pneumococcal immunisation
• Rotavirus and Shingles immunisation
• Minor surgery
• Learning disability support
• Minor surgery
• Pertussis vaccine for pregnant women
• Prostate cancer injection therapy
• Diabetes management

As well as these enhanced services the practice also offers additional services such as those supporting long term conditions management including asthma, chronic obstructive pulmonary disease, heart disease and hypertension.

Attached to the practice or closely working with the practice is a team of community health professionals that includes health visitors, midwives and members of the district nursing team.

The practice has two GP partners (one male, one female). In addition there is one specialist minor illness nurse, one specialist practitioner/nurse, two practice nurses and one healthcare assistant (all female). Clinical staff are supported by a practice manager, an assistant practice manager and an administration and reception team.

The practice appointments include:

• Pre-bookable appointments
• Urgent and on the day appointments
• Telephone consultations and telephone triage
• Home visits

Appointments can be made in person, via telephone or online.

Practice opening times are:

Monday to Friday 8am to 6.30pm. With extended evening opening on Tuesdays 6.30pm to 8.30pm.

Out of hours care and weekend appointments are provided by GP Care Wakefield and are accessible at two sites in the locality.

The previously awarded ratings are displayed as required in the practice and on the practice’s website.

Updated 13 June 2018

This practice is rated as Good overall. The practice was previously inspected on 29 September 2015 and was rated as Good overall, with Outstanding for Caring.

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 Drs DP Diggle and RE Phillips on 12 April 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, and supported this work with clinical audits and the analysis of outcomes and performance.
• Procedures for handling repeat prescriptions did not give full assurance that authorisation processes and review dates were fully in place.
• Services had been developed by the practice to meet the needs of the local population; this included an extensive diabetes service and the provision of a wound and burns dressing service.
• 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.

We saw an area of outstanding practice:

• The practice had developed a range of responsive services and activities for patients with long-term conditions. Services and activities included:
  • The provision of an extensive diabetes service which demonstrated active management and support for patients.
  • The practice worked hard to improve patient awareness of long-term conditions and the need for screening. For example, the practice made extensive use of themed noticeboards which were regularly updated.
  • The practice sought to support long-term condition patients to make lifestyle changes to improve their wellbeing. They delivered weight management advice and loaned dietary books to patients.

The areas where the provider should make improvements are:

• Review and improve reception staff knowledge with regard to patients attending the practice with possible symptoms of sepsis.
• Review and improve procedures for the review and authorisation of repeat prescriptions.
• Continue to review the implementation of the recently introduced new process for the monitoring of patients prescribed high risk medicines to ensure that it is effective.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Updated 13 June 2018

Updated 13 June 2018

Updated 13 June 2018

Updated 13 June 2018

Updated 13 June 2018

Updated 13 June 2018