Archived: Dr Karen Wagstaff Also known as Barnburgh Surgery

Updated 14 May 2015

Dr Karen Wagstaff GP practice is also known as Barnburgh Surgery, and is located in a rural area in Barnburgh, Doncaster, South Yorkshire.

The practice is a single handed general practitioner (GP) and uses locum GPs who are familiar with the service. A part time salaried GP has recently been appointed and is to join the practice at the beginning of February 2015. Working alongside the GPs are two practice nurses, and a health care assistants (all of whom are female). There is an experienced management team including, a practice manager and administration support/reception staff.

The practice has a Personal Medical Services (PMS) contract. PMS is a locally agreed alternative to General Medical Service (GMS) for providers of general practice. Their registered list of patients is 2,400. A high percentage of the population is elderly, from a mixture of deprived and efficient areas; non English speaking patients are in the minority.

This is a training practice for medical and nursing students and the practice also has an apprentice receptionist. The nurse placements are part of a pilot scheme to help encourage nurses on qualifying, to work in general practice.  

The practice appointment times range between their opening times of: 8 am - 7 pm Tuesday and Wednesday; 8 am - 6.30 pm Monday, Thursday and Friday. 

Home visits are made to those patients who are not well enough to access the surgery, and emergency appointments are available each day.

Weekends, bank holidays and when the practice is closed, calls are diverted to the Doncaster Out of Hours service.

A range of practice nurse led clinics are available at the practice and these include: vaccinations and immunisations, chronic disease management such as asthma, chronic obstructive pulmonary disease (COPD), diabetes and heart disease.

Updated 14 May 2015

Letter from the Chief Inspector of General Practice

We carried out an announced inspection visit on 20 January 2015 and the overall rating for the practice was good. The inspection team found after analysing all of the evidence the practice was safe, effective, caring, responsive and well led. It was also rated as good for providing services for all population groups.

Our key findings were as follows:

• The practice learned from significant events and incidents and took action to prevent their recurrence.

• All areas of the practice were visibly clean.

• Patients received care according to professional best practice clinical guidelines. The practice had regular information updates, which informed staff about new guidance to help ensure they were up to date with best practice.

• The service was responsive and ensured patients received accessible, individual care, whilst respecting their needs and wishes.

• There were positive working relationships between staff and other healthcare professionals involved in the delivery of service.

We saw several areas of outstanding practice including:

• The GP is the CCG clinical lead for dementia and all staff at the practice were dementia friends trained. This helped to offer the patient a better overall experience in meeting their needs.

• The practice had participated in the pilot of ‘Cantab mobile’ a mobile screening tool which identified patients who were at risk of developing dementia.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 14 May 2015

The practice is rated as good for the population group of patients with long term conditions. There were systems in place to ensure patients with multiple conditions received one annual recall appointment wherever possible. This helped to offer the patient a better overall experience when meeting their needs. Healthcare professionals were skilled in specialist areas and their ongoing education meant they were able to ensure best practice was being followed. For those patients with the most complex needs the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 14 May 2015

The practice is rated as good for the population group of families, children and young patients. They helped to ensure care for these patients was safe, caring, responsive and effective. The practice provided family planning clinics, childhood immunisations and maternity services. Appointments were available with practice nurses and GP outside of school hours. There was health education information relating to these areas in the practice to keep people informed.

Updated 14 May 2015

The practice is rated as good for the care of older patients. Nationally reported data showed outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older patients in its population and had a range of enhanced services, for example, in dementia and end of life care. They were responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.

Updated 14 May 2015

The practice is rated as good for the population group of the working-age patients including those recently retired. They helped to ensure care for these patients was safe, caring, responsive and effective. The practice had extended hours to facilitate attendance for patients who could not attend appointments during normal surgery hours. There was an online booking system for appointments. A full range of health promotion and screening clinics was available; these reflected the needs of this population group.

Updated 14 May 2015

The practice is rated as good for the population group of people experiencing poor mental health (including people with dementia). One hundred per cent of patients experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia. The practice had in place advance care planning for patients with dementia. They worked in partnership with the local hospital dementia care team, for the benefit of patients. The practice had participated in the pilot of ‘Cantab mobile’ a mobile screening tool which identified patients who were at risk of developing dementia.

All staff were Dementia Friends trained and they planned to run dementia training for patients, their families and carers in the near future.

The practice had sign-posted patients experiencing poor mental health to various support groups and organisations. The practice had a system in place to follow up patients who had attended accident and emergency where there may have been mental health needs.

Updated 14 May 2015

The practice is rated as good for the population group of patients whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances, including those with learning disabilities. These patients received an annual health check and longer appointments were available where required. Access to translation services where available when needed.