Dr Ghanshyam Patel Also known as Veritas Health Centre

Updated 7 September 2017

Dr Ghanshyam Patel (also known as Veritas Health Centre) is situated in Sheffield. Car parking is available on the road outside the practice.

The practice provides General Medical Services (GMS) for 1,400 patients in the NHS Sheffield Clinical Commissioning Group (CCG) area. It provides enhanced services; this includes those for patients living with dementia. The practice is situated in one of the fifth less deprived areas nationally.

Dr Patel (male) is supported by a female locum GP, a practice nurse, practice manager and a small reception team.

The practice is open:-

• 8am to 1pm and 4pm to 6pm Monday to Friday, except Thursday, when it is closed in the afternoon.

• Appointments are available 9am to 11am and 4.20pm to 6pm daily, except when it is closed on a Thursday afternoon.

• The GP is also available between 11am and 11.30am and between 5pm and 6pm Monday to Friday, except Thursday afternoon, for telephone consultations.

• The nurse is also available for telephone consultations between 10.30am and 11.30am, and 5pm and 6pm on Monday, Tuesday, Wednesday, and Friday.

When the practice is closed, the Sheffield GP collaborative provides GP services. Access to the and ou out of hours services is through the s are covered by NHS 111 service. The practice telephone number directs the caller to the appropriate service when the practice is closed .

Updated 7 September 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Ghanshyam Patel Practice on the 13 December 2016. The overall rating for the practice was good, with requires improvement for providing safe services. The full comprehensive report on the 13 December 2016 inspection can be found by selecting the ‘all reports’ link for Dr Ghanshyam Patel on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 8 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 16 December 2016 and also additional improvements made since our last inspection.

Overall the practice is now rated as Good.

Our key findings were as follows:

Updated 15 February 2017

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Performance for diabetes related indicators was 95%, 4% better than the CCG average and 5% better than the national average.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. 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 15 February 2017

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were high for all standard childhood immunisations.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• The practice’s cervical screening uptake for women outside of this category was 83% which was 2% above national average and 5% below CCG average. The practice demonstrated how they encouraged uptake of the screening programme. There was a policy to offer telephone reminders for patients who did not attend for their cervical screening test. They also told us some of their patient population did not always engage with the cervical screening programme and they had worked with patients to try to improve knowledge in this area.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives and health visitors.

Updated 15 February 2017

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

Updated 15 February 2017

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was offered online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 15 February 2017

The practice is rated as good for the care of people experiencing poor mental health (including people living with dementia).

• 100% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which is 17% better than the CCG average and 15% better than the national average.

• Data showed the practice was performing above CCG and national average in most areas except mental health in which they scored 81%, which is 12% below CCG and national average. All but one of the indicator results for mental health were 100%. However, the practice had scored 0% for the indicator “The percentage of women aged 25 or over and who have not attained the age of 65 with schizophrenia, bipolar affective disorder and other psychoses whose notes record that a cervical screening test has been performed in the preceding 5 years”. This impacted on the overall achievement figures for mental health. The practice had not had a nurse for some time during the data collection period which had impacted on the figures relating to cervical screening. However, they had recruited a nurse and were monitoring performance closely. Some of the patient population did not always engage with the cervical screening programme and they had worked with patients to improve knowledge in this area.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

• The practice carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 15 February 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.