Primary Care Manchester Ltd

Updated 15 August 2022

Primary Care Manchester Ltd. provides the primary care access to extended hours requirements for the central region of Manchester. They operate out of seven locations within central Manchester. The service headquarters is located at Victoria Mill, 10 Lower Vickers Street, Miles Platting, Manchester, M40 7LH.

The Manchester Primary Care Partnership Ltd (MPCP) was formed in February 2015, is a not for profit organisation by the three Manchester GP Federations. These are Northern Health GPPO (North Manchester), Primary Care Manchester (Central Manchester) and South Manchester GP Federation (South Manchester).

The MPCP, through its member Federations, is in a privileged and unique position of having the backing of all 90 independent local GP Practices across the Manchester local authority area, covering a total patient population of over 600,000. The MPCP provides a second-tier governance structure to the three Manchester Federations, which sharing learning and incidents and peer discussions are raised in the meetings.

Primary Care Manchester Ltd. mission is to develop and provide high-quality, safe and effective health services, to support and improve primary healthcare.

Appointments can be booked through the receptionist at the patients local GP practice, where a time and location will be provided. The services operate out of seven community hubs throughout Manchester between the hours of 17:00 and 20:00 on weekdays and at weekends between the hours of 9am and 1pm.

The service operates using GPs to offer patient appointments and administration staff, provided by the operational sites, offer support during their operation at each hub location.

Primary Care Manchester Ltd. is registered with the Care Quality Commission (CQC) to provide the regulated activities; treatment of disease, disorder or injury and diagnostic and screening procedures.

Regulated activities are delivered to the patient population from the following addresses:

• Chorlton health centre, 1 Nicolas Rd, Chorlton-cum-Hardy, Manchester, M21 9NJ
• Dickensen road medical centre, 357-359 Dickensen road, Longsight, M13 0WQ
• The Robert Darbishire practice, Walmer Street, Longsight, Manchester, M14 5NP
• West Point medical centre, 167-169 Slade Lane, Levenshulme, Manchester, M19 2AF
• West Gorton medical centre, 2 Clowes St. West Gorton, Manchester, M12 5JE
• Cornbrook medical centre, 63 Booth St. W, Manchester, M15 6PR
• Ashfield Surgery (Hot COVID-19 clinic), 171 Upper Chorlton Rd. Manchester, M16 9RT

The service has a website that contains information about what they do to support their patient population: https://cmgppo.org.uk/index.html

The service does not accommodate walk-in patients or attend home visits.

Updated 15 August 2022

This practice is rated as Good overall.

The key questions are rated as:

Are services safe? – Requires Improvement

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 Primary Care Manchester Ltd. on 21 July 2022 as part of our inspection programme as the service had not yet been inspected.

At this inspection we found:

The service was operating an effective, caring, responsive and well-led service. Systems, processes and governance arrangements were in place and working, although these would benefit from strengthening in some areas, in particular in relation to assurances sought from operational sites in relation to the safe key question, which is rated require improvement. The service delivered achieved key performance indicators and benchmarking standards and received generally positive feedback from the patients that used it.

For example:

• The practice had systems to manage risk so that safety incidents were less likely to happen, but these were not always fully effective. 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 and reported this regularly and openly to key stakeholders including the commissioners of the service. 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 feedback that they generally rated the service excellent or good and would recommend it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation. In particular in relation to audits conducted by the service that ranged from consultation and treatment decisions, to referrals and the use of controlled drugs.

We saw one area of outstanding practice:

• We saw that the provider also ran a service to care homes that modelled the integrated care systems, incorporating care home staff, primary care staff and secondary care staff to provide proactive care and treatment to reduce admissions and increase general health for this vulnerable group. This service provided additional training for care home staff to ensure their participation in the health of their residents. Of the 361 patients in the service, all had had an annual review and medicines review, non-elective admissions were at 0.1% (target 0.4%) and all patients that were admitted were reviewed following the admission. Of the 361 patients, 81% had advanced care plans in place and 96% had had a flu vaccination. Of those patients that were at the end of their lives, 77% were facilitated to die in their preferred place of death.

The areas where the service should make improvements are:

• Ensure systems of assurance regarding infection prevention and control (IPC) are consistent and accurate.
• Review Service Level Agreements (SLAs) to ensure staff training is fully considered.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of General Practice