Trinity Medical Centre

Updated 27 June 2019

Trinity Medical Centre is operated by Conexus Healthcare Limited. The provider delivers extended hours services under the operating name ‘GP Care Wakefield’ to patients registered with NHS Wakefield Clinical Commissioning Group (CCG) practices. Conexus Healthcare Limited delivers the extended hours service from two sites; Trinity Medical Centre, Thornhill Street, Wakefield, WF1 1PG, and via a sub-contract with Local Care Direct Limited from Pontefract General Infirmary, Friarwood Lane, Pontefract, WF8 1PL. This inspection solely related to the service delivered directly by Conexus Healthcare Limited at the Trinity Medical Centre, Wakefield based site.

GP Care Wakefield is operated by Conexus Healthcare Limited. Conexus Healthcare Limited is a GP confederation (groups of GP practices) and represents all GP practices in the Wakefield and Pontefract area. It holds a contract with NHS Wakefield Clinical Commissioning Group (CCG) for the delivery of the extended hours service. The service at Trinity Medical Centre is delivered from a purpose-built medical facility which it shares with an established GP practice and a pharmacy. The premises are a modern design and have time-restricted parking available for service users. The building is accessible for those with a disability or other mobility issues.

The provider offers a number of services and appointment types under the extended hours contact, these include:

• Access to triage services 4pm to 6pm – a same day service which seeks to provide additional capacity to support GP practices. Patients are remotely booked into this service by their own GP practice. Patients then received a call back from the triage team and can access either advice, signposting to a more appropriate service or are given an appointment with the extended hours service. 
• Access to triage services 6pm to 10pm - Patients access this service by calling their home GP practice number and this is forwarded to the extended hours provider automatically. Patients can access advice, signposting to a more appropriate service or are given an appointment with the extended hours service. 
• Access to same day GP and Advanced Nurse Practitioner appointments. This service operates from 6pm to 10pm Monday to Friday (bookable from 4pm), and from 9am to 3pm on Saturday and Sunday.
• Access to routine care appointments delivered by nurses and health care assistants. This service operates from 6pm to 8pm Monday to Friday (bookable up to 28 days in advance), and from 9am to 1pm on Saturdays. (This service is unavailable to a small number of patients whose home GP practice computer health records system is not compatible with the system used by the provider and the majority of practices in the area).

Outside these operating times patients can access the services of NHS 111 and the contracted out of hours provider.

A number of services are not delivered by the provider, these include cervical screening and vaccination and immunisations.

Patients access the service via:

• Direct booking into the service via their own home GP practice.
• Contacting the service directly via telephone. Calls made to the patients own home GP practice automatically transfer to the service when the home GP practice is closed.
• Those who arrive at Trinity Medical Centre as a walk-in patient can access the triage service via a telephone located in the waiting room, and will be given either advice, signposting to a more appropriate service, or an appointment.

The majority of staff contracted to deliver services come from other GP practices within the NHS Wakefield CCG area and have knowledge of local operating procedures, and the needs of the local population.

Updated 27 June 2019

This service is rated as Good overall.

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 Trinity Medical Centre on 7 May 2019. The inspection was carried out as part of our inspection programme.

At this inspection we found:

• The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
• The service 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 people with compassion, kindness, dignity and respect.
• Patients were able to access care and treatment from the service within an appropriate timescale for their needs.
• There was a strong focus on continuous learning, performance management and improvement at all levels of the organisation. This included the assessment of individual consultations and decisions made by clinicians, and clinical audits for prescribing and controlled drugs.
• The service had an effective staff planning and rota process in place. This ensured services were appropriately staffed, especially at peak periods when demand was high.

The areas where the provider should make improvements are:

• Review and improve processes to ensure that the organisation has assurance that all staff have completed mandatory training requirements such as safeguarding training.
• Review the stocking of emergency medicines. If decisions are made not to stock a medicine these should be supported by a documented and appropriate risk assessment process.
• Review and embed processes to ensure nursing staff are appropriately authorised to administer injectable contraceptives.
• Continue to roll out supervision and appraisal processes for staff.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care