Bodey Medical Centre

Updated 14 April 2016

Bodey Medical Centre is based in Fallowfield, Manchester. It is part of the NHS South Manchester Clinical Commissioning Group (CCG) and has 17000 patients. The practice provides services under a Personal Medical Services contract with NHS England.

Information published by Public Health England rates the level of deprivation within the practice population group as level four on a scale of one to 10. Level one represents the highest levels of deprivation and level 10 the lowest. Male and female life expectancy in the practice geographical area is 76 years for males and 80 years for females, both of which are below the England average of 79 years and 83 years respectively. The numbers of patients in the different age groups on the GP practice register were generally similar to the average GP practice in England. There are a significantly higher number of patients aged 15 to 29 years due to the practice being near a university accommodation area.

The practice population includes a mixture of mobile younger adults, often students or immigrants, as well as local families and a broad range of long term residents. There is an annual turnover of around 3500 new arrivals and similar losses yearly due to the transitioning student population.

The practice has a similar percentage (53.6%) of its population with a long-standing health condition than the England average (54%). The practice has a higher percentage (79.2%) of its population with a working status of being in paid work or in full-time education than the England average (61.5%). The practice has a similar percentage (5.6%) of its population with an unemployed status than the England average (5.4%).

The service is within a purpose built building with plenty of car parking and is easily accessible to pushchairs and wheelchairs. There is a toilet with access for wheelchair users, which also has a baby-changing unit. The practice has a number of consulting and treatment rooms used by the GPs and nursing staff as well as visiting professionals such as health visitors. The practice is a teaching practice and as such worked with the local university to provide training to GP registrars.

There are five GP partners, six salaried GPs, a management team including two practice managers (one full time and one part time), a nursing team with a nurse manager, four nurses and two healthcare assistants as well as an administration team including a number of reception / administrative staff who also cover other duties such as dealing with samples and drafting prescriptions.

The practice is open between 8:30am and 9pm on Monday’s and 8:30am to 6pm from Tuesday to Friday. Appointments are available all day. Extended surgery hours are offered on Monday evenings until 9pm. The GPs have very few pre-booked slots in their diaries to allow availability for patients who need to be seen. The GPs offer a telephone triage with the patient and arrange a suitable time on the day if appropriate. Out of hours cover is provided by the NHS 111 service and patients can access the local walk in centres. The Practice is a member of a local federation which provides out of hours appointments each evening and weekends at local hubs.

Updated 14 April 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on 17 March 2016. Overall the practice is rated as good.

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

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• 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.
• The provider was aware of and complied with the requirements of the Duty of Candour.

We saw some areas of outstanding practice which included:

• The practice used electronic media such as Facebook, Twitter and information from NHS choices to ensure they listened to and acted on feedback.
• There was a lead GP who was trained to provide acupuncture to elderly patients for chronic pain management. This was not funded but research had shown patients benefited from the therapy.
• The sexual health service had received an award for its service to the community. The demand had increased due to the high student population.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 14 April 2016

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 all five diabetes related indicators was better than the national average.
• 96.23% of patients with diabetes had received an influenza immunisation compared to the national average of 94.45%.
• A record of foot examination was present for 90.91% compared to the national average of 88.3%.
• Patients with diabetes in whom the last blood pressure reading (measured in the preceding 12 months) was 140/80 mmHg or less was 82.18% compared to the national average of 78.03%.
• Patients with diabetes whose last measured total cholesterol (measured within the preceding 12 months) was 5 mmol/l or less was 89.32% compared to the national average of 80.53%.
• The percentage of patients with diabetes, on the register, in whom the last IFCCHbA1c is 64 mmol/mol or less in the preceding 12 months was 84.54% compared to the national average of 77.54%.
• 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.
• The Practice developed co-morbidity long term condition clinics which were nurse/healthcare assistant led.
• Patients were offered longer appointments for annual review to reduce the need for patients to attend several times to review different diseases.

Updated 14 April 2016

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 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 percentage of women aged 25-64 whose notes record that a cervical screening test has been performed in the preceding 5 years (01/04/2014 to 31/03/2015) was 83.48%, which was above the national average of 81.83%.
• 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.
• The practice carried out audit cycles monitoring child protection coding which led to significant improvements in identification of vulnerable children and troubled families. Staff offered these families priority booking of appointments.
• The practice responded to findings from serious case reviews in Manchester.

Updated 14 April 2016

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.
• There was a lead GP who was trained to provide acupuncture to elderly patients for chronic pain management. This was not funded but research had shown patients benefited from the therapy.
• Home visits were available for older patients and patients who would benefit from these.

Updated 14 April 2016

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 reflects the needs for this age group.

Updated 14 April 2016

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

• 81.82% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which was comparable to the national average.
• The practice regularly worked with multi-disciplinary teams in the case management of people 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 percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive, agreed care plan documented in the record in the preceding 12 months was 93.52% compared to the national average of 88.47%.
• The percentage of patients diagnosed with dementia whose care had been reviewed face to face in the preceding 12 months was 81.82% compared to the national average of 84.01%.
• 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.

• Reception and nursing staff attended a face to face information session held at the practice in 2015 with Dementia Friends.

Updated 14 April 2016

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 homeless people, travellers and those with a learning disability.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• 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.
• The practice ran a weekly community alcohol team clinic for patients registered with them, and offered appointments for domestic abuse patients with trained workers on site.
• The practice was one of the first to become IRIS trained (addressing domestic violence) in 2013 in Manchester.
• All clinical staff had in house training for FGM.