Baslow Road Surgery

Updated 30 August 2017

Baslow Road Surgery is located in Totley, Sheffield S17 4DR , on the boundary of Sheffield and North East Derbyshire. The practice has branch surgeries at York Road, Darnall, Sheffield, S9 5DH and at Shoreham Street, Sheffield, S1 4SS. The practice provides services for 12,265 patients under the terms of the NHS General Medical Services contract. Each of the three surgeries is situated in a different geographical and socio-economic area of Sheffield. The three sites have very different patient populations; varying from the more affluent at Totley; to Darnall which is classed as within the group of the fifth most deprived areas in England. The age profile of the practice population is similar to other GP practices in the local area. Half of the patient population are registered at Baslow Road, 30% at York Road and 20% at Shoreham Street.

The practice has four GP partners, two male and two female, three salaried GPs, two female and one male, a lead nurse, two advanced nurse practitioners (ANP), three practice nurses, two trainee practice nurses, three healthcare assistants, a practice manager and a team of reception and administrative staff.

The practice premises are open from 8am to 6.30pm Monday to Friday across all three sites. Telephone calls to each site between those hours are answered by practice staff. The smaller Shoreham Street site closes from 1pm to 2pm daily and telephone calls during this time are diverted to one of the other sites. Appointments with clinical staff are available throughout the day at all the sites. Extended hours appointments are offered with GPs on Monday and Tuesday evening until 8pm and with the practice nurses on Wednesday evenings until 8pm. In addition to pre-bookable appointments that could be booked up to four weeks in advance, urgent appointments are available same day with the ANP’s or triaged by the duty GP. The practice participates in the Sheffield Extended Access scheme with pre-bookable appointments available daily 6pm to 10pm and on Saturdays and Sundays.

When the practice is closed calls are answered by the out-of-hours service which is accessed via the surgery telephone number or by calling the NHS 111 service.

Updated 30 August 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Baslow Road Surgery on 13 December 2016. The overall rating for the practice was good with requires improvement for being well-led. The full comprehensive report from December 2016 inspection can be found by selecting the ‘all reports’ link for Baslow Road Surgery on our website at www.cqc.org.uk.

This inspection was a desk based review carried out on 18 July 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 13 December 2016. This report covers our findings in relation to those requirements.

Overall the practice is rated as good.

Our key findings were as follows:

• The provider submitted to us further evidence as part of this inspection to support the governance framework and the delivery of good quality care.
• The arrangements for identifying, recording and managing risks, issues and implementing mitigating actions had been reviewed to include how actions taken or updates were recorded.
• The practice reviewed how it captured feedback from patients following our December 2016 inspection and implemented new methods to capture feedback.
• The provider reviewed the information available to patients to explain the complaints process and placed notices in each site.

In addition the provider should:

• Continue to review the opportunity for patient engagement, particularly provision of a patient participation group at the Baslow Road site.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 22 February 2017

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

The provider was rated as requires improvement for safety and for well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice:

• Practice nursing staff had lead roles in long term condition management and patients at risk of hospital admission were identified as a priority.
• Performance for diabetes related indicators was 8% above the CCG and 9% above 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 22 February 2017

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

The provider was rated as requires improvement for safety and for well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice:

• 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 accident and emergency attendances. Immunisation rates were relatively 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 uptake for the cervical screening programme was 87%, which was 1% above the CCG average and 6% above the national average.
• 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, health visitors and school nurses.

Updated 22 February 2017

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

The provider was rated as requires improvement for safety and for well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice:

• 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 22 February 2017

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

The provider was rated as requires improvement for safety and for well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice:

• 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 reflects the needs for this age group.

Updated 22 February 2017

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

The provider was rated as requires improvement for safety and for well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice:

• 84% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which is below the national average of 84%.
• 90% of patients diagnosed with poor mental health had an agreed care plan in place in the last 12 months, which is above the national average of 88%.
• The practice regularly worked with multidisciplinary 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 22 February 2017

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

The provider was rated as requires improvement for safety and for well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice:

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
• The practice offered longer appointments for those who needed them.
• 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.