Archived: Shelf Health Centre

Updated 30 July 2015

Shelf Health Centre is located in Shelf Halifax. The practice has good parking facilities and disabled access.

The practice is registered with the CQC to provide primary care services. The practice provides primary care services for 9100 patients under a Personal Medical Services (PMS) contract with NHS England in the Calderdale Clinical Commissioning Group (CCG) area. The PMS contract is a contract between a general practices and NHS England for delivering primary care services to local communities.

Fifty six per cent of the patients have a long-standing health condition while the English average was 54%.

The practice is one of three practices who form part of the Caritas Group Practice. The Caritas Group have three advanced nurse practitioners (female) and a diagnostic clinician (male) who are the partners for the group. There are also five male GPs, (one female GP, another advanced nurse practitioner, four practice nurses and 2 health care assistants. They are supported by  four managers and 12 administration and reception staff who cover the three sites.

Shelf Health Centre is open on Mondays, Wednesdays and Fridays 10am to 6pm, Tuesdays and Thursdays 8am to 4pm Extended hours are available, with a late night surgery once a week on a Wednesday evening from 6.30pm to 8.00pm. The extended hours are available to all patients who cannot attend during normal surgery hours and is by appointment only.

The practice treats patients of all ages and provides a range of medical services. Out of hours care is provided by the Local Care Direct service.

Updated 30 July 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Shelf Health Centre on 22 April 2015. Overall the practice is rated as good.

Specifically, we found the practice was good in providing safe, responsive, caring, well-led and effective care for all of the population groups it serves.

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 those relating to recruitment checks.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• 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 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.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 July 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. All these patients had a named GP and a structured annual review to check their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 30 July 2015

The practice is rated as good for the care of families, children and young people. The practice provided family planning clinics, childhood immunisations and maternity services. Staff ensured care for mothers, babies and young patients was safe, caring, responsive and effective. Immunisation rates were relatively high for all childhood immunisations. We saw good examples of joint working with midwives and health visitors. There was health education information relating to these areas in the practice to keep patients informed.

Updated 30 July 2015

The practice is rated as good for the care of older people. 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 people in its population and had a range of enhanced services. For example, 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.

Updated 30 July 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. 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 of this population group.

Updated 30 July 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). Eighty eight per cent of people experiencing dementia had received an annual physical health check. The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advance care planning for patients with dementia.

The practice had told patients experiencing poor mental health how to access various support groups and voluntary organisations. Staff had received training on how to care for people who had poor mental health or dementia.

Updated 30 July 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. It had carried out annual health checks for people with a learning disability and 95% of these patients had received a follow-up. It offered longer appointments for people who had a learning disability.

The practice regularly worked with multidisciplinary teams in the case management of vulnerable people. It advised vulnerable patients 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.