Sheffield City GP Health Centre

Updated 15 March 2024

Sheffield City GP Health Centre (also known to patients as the Walk-In Centre) is based in Sheffield city centre. There is disabled access to the building and a lift although most patients are seen in the ground floor clinical rooms. There is no onsite car park although there is nearby parking in the city centre.

The provider is One Medicare Ltd who have a contract with Sheffield Teaching Hospitals Trust to provide an urgent care service. Patients can either walk-in or are referred in by NHS 111. The service is accessible to all patients including those not registered with a GP.

The provider also operates 16 sites across the UK, ranging from registered GP practices, walk-in centres and urgent care centres. The provider’s head office and operations centre is based in Leeds, West Yorkshire.

The provider at this location is registered with CQC to deliver the regulated activities of diagnostic and screening procedures, maternity and midwifery services, treatment of disease, disorder or injury, family planning and surgical procedures. The services from this location are situated within the NHS Sheffield South Yorkshire Integrated Care Board area.

The service is open 7 days a week between the hours of 8am and 10pm. This includes Bank Holiday periods. At the time of the inspection staff consisted of 3 GPs, 4 advanced nurse practitioners, 4 clinical practitioners and 1 triage nurse. The provider had successfully recruited further clinical staff who were due to commence employment in January 2024. These were 2 GPs, 3 advanced nurse practitioners and 2 triage nurses. The service also used locum agencies to supply regular clinical locum staff to support the service. The clinical staff are supported by a team of patient navigators and a dedicated urgent care management team.

Updated 15 March 2024

This practice is rated as Good overall. (Previous inspection 23 April 2023 – Inadequate)

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 Sheffield City GP Health Centre to follow up on areas that were found to be in breach of regulation at the previous inspection in April 2023. At the inspection in December 2023 we rated the practice good overall and for providing safe, effective, caring, responsive and well-led service. We found significant improvements had been made to ensure that care and treatment was provided in a safe way to patients and the provider had established effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

I am taking this service out of special measures. This recognises the significant improvements that have been made to the quality of care provided by this service.

At this inspection we found:

• The service had implemented a new management structure and had proactively addressed breaches in regulation found at the inspection in April 2023. This had led to improved and appropriate systems and processes including oversight, governance, improved culture and monitoring of safe systems.
• There were systems in place to safeguard children and vulnerable adults from abuse and staff knew how to identify and report safeguarding concerns.
• 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 dignity and respect.
• Waiting times to be seen, referred or discharged had improved with the provider meeting the key performance indicators set out by the commissioners.
• Staff feedback was greatly improved with staff saying they had seen a lot of positive changes since the last inspection and staff morale had also improved. Staff told us they felt able to raise concerns and that these were listened to.
• Complaints were handled appropriately and incidents and complaints were used to drive improvement.
• There was a strong focus on continuous learning and improvement at all levels of the organisation. The provider had a comprehensive training and development plan in place and had introduced formal clinical supervision for staff.

The areas where the provider should make improvements are:

• Consider inviting regular locum staff to the formal clinical supervision sessions.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care