Archived: Dr Peter Chadwick Also known as Burnage Healthcare Practice

Updated 24 September 2015

Burnage Healthcare Practice is a long established GP surgery. It is independent to, but occupies the same building as Burnage Community Health Centre. The centre was purpose built in 1995 with the GP’s input and the practice has been there since the building was opened. There is on-site disabled car parking, disabled access and disabled facilities within the practice.

The practice offers services to 2,300 patients within Burnage and the surrounding area of Heaton Mersey under a general medical services contract.

The lead GP is the sole, male GP available for nine two hour surgeries per week and a locum female GP attends for one two hour surgery on a Friday afternoon. The practice nurse (female) is available each morning between 9.30am and 12.45 and on a Tuesday afternoon between 4pm and 6pm. The surgery is open and reception staff are available Monday to Friday from 8.30am until 1pm and from 2pm until 6pm. The surgery is closed for an hour each lunch time and does not re-open on a Wednesday afternoon. When the practice is closed patients are directed to the Out of Hours Service covered by Mastercall Healthcare.

Updated 24 September 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Burnage Healthcare Practice on 30th July 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed with the exception of a system to check that changes were effective when things went wrong.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and training needs were discussed regularly at practice meetings.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• Each member of staff had been given a personal notebook by the GP and asked to record ideas, suggestions of any risk assessments and examples of good practice in order to indicate a culture of improvement. These had been in place since February 2015 and staff were finding them useful.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should :

• Ensure they complete their revalidation and update their safeguard training;
• Undertake training in order to support patients under the Mental Capacity Act 2005 Code of Practice;
• Introduce a system to check that actions that arise out of significant events, complaints, comments or audits, are implemented and are effective.
• Prepare and implement an induction pack for locum staff;

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 24 September 2015

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. Longer appointments and home visits were available when needed. For those people with the most complex needs, the practice worked with relevant health and care professionals to deliver a multidisciplinary package of care. Patients falling within this category had the benefit of a sole GP who knew them well and understood their conditions. The practice staff were pro-actively improving and introducing systems to ensure that patients within this group received appropriate follow up.

Updated 24 September 2015

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 comparable for all standard childhood immunisations. Staff 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. Appointments were available outside of school times and a dedicated, open access, baby clinic was available once a week.

Updated 24 September 2015

The practice is rated as good for the care of older people. Nationally reported data showed that 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 people in its population and offered enhanced services in dementia and end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs. The percentage of older people (aged 75+) registered at the practice was small and was lower than the national average.

Updated 24 September 2015

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 proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 24 September 2015

The practice is rated as requires improvement for the care of people experiencing poor mental health (including people with dementia) because action is required by the GP. 88% of people experiencing poor mental health had a structured plan in place and had been reviewed in the last twelve months. The practice regularly worked with other health and social care professionals in the case management of people experiencing poor mental health. A directed enhanced service was in place to facilitate the timely diagnosis and support for patients with dementia. However, action was required by the GP to complete training under the Mental Capacity Act 2005 in order to better identify and support patients who lacked capacity to make decisions.

Updated 24 September 2015

The practice is rated as requires improvement for the care of people whose circumstances may make them vulnerable because action was required by the GP. There were systems to identify patients living in vulnerable circumstances and a register of those with a learning disability who received regular health checks and longer appointments when required. Staff were trained and gave good examples where they had recognised signs of abuse or vulnerability in adults and children. Staff were aware of their responsibilities to document information and we saw examples where they had shared information with other relevant agencies. However, action was required by the GP to undertake safeguard training at the appropriate level.