Letter from the Chief Inspector of General Practice
The Wooda Surgery was inspected on Thursday 2 October 2014. This was a comprehensive inspection.
The Wooda Surgery provides primary medical services to people living in the North Devon town of Bideford, and the surrounding areas. The practice provides services to a diverse population age group and is situated in a residential area of the town.
At the time of our inspection there were approximately 9,000 patients registered at the service with a team of eight GP partners who held managerial and financial responsibility for running the business, working with a managing partner. In addition there was a regular locum GP. The practice is a GP training practice, currently providing training and support for a registrar and a foundation year two (F2) student on placement.
Patients who use the practice have access to community staff including district nurses, community psychiatric nurses, health visitors, physiotherapists, mental health staff, counsellors, chiropodist and midwives.
There was a volunteer patient support service called Wooda Plus. A team of volunteers who provided a befriending service to the whole of the patient population. They also co-ordinated and provided a transport facility for patients to get to The Wooda Surgery and also provided transport to other healthcare agencies including hospital appointments in Barnstaple. This was funded by donations and a fundraising program and mainly benefitted older people.
The opening times are 8am to 6pm Monday to Friday. Patients can make appointments with GPs and nurses after 6pm on Mondays and Thursdays.
We rated this practice as good.
Our key findings were as follows:
- Patients were pleased they could get appointments on the day if necessary, because of the duty system.
- The practice was well-led and had a clear leadership structure in place whilst retaining a sense of mutual respect and team work. There were systems in place to monitor and improve quality and identify risk and systems to manage emergencies.
- There was a high regard for training and encouraging staff to develop their practice.
- Carer assessments were carried out by a nurse and a health care assistant who had undertaken specialist training. A family carer confirmed that the support for carers was very good.
We saw areas of outstanding practice including:
- The practice provided a high quality service for patients with diabetes, with qualified nurses trained to provide care and support to patients in collaboration with the GPs and health care professionals in secondary care. Using structured education about diabetes, nurses helped patients manage their condition, including management of insulin.
- There had been effective co-working with the Devon-wide adult substance misuse service. The service focused on harm reduction, particularly in the early stages of treatment for people with high-risk lifestyles. Two GPs recently completed the training for the shared care scheme to support this programme, so they could offer long term support to stable patients who were on a drug and alcohol programme, including giving their prescriptions.
- The practice invested in a centrifuge so blood samples could be kept overnight and still be acceptable to the laboratory after collection each morning. This resulted in more flexibility for patients because health care assistants could now appointments to take blood samples in the afternoons as well as mornings.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice