Chapelfield Medical Centre

Updated 31 March 2016

Wombwell PMS Practice is approximately nine miles from Barnsley town centre serving a practice population of 9361. The practice catchment area has been identified as one of the fourth most deprived areas in England.

There are three GPs, two male and one female. They are supported by two female first contact practitioners, one female nurse practitioner, one clinical nurse specialist, two practice sisters, one practice nurse, one senior health care assistant, one health care assistant and a clinical assistant with a special interest in cardiology, a practice manager, an administratior, reception staff and clerical staff.

The reception, waiting areas, consulting rooms and disabled toilet facilities are on the ground floor. There is step free access into the building and easy access for those in wheelchairs or with pushchairs. There is a large car park.

Surgery opening times:

The practice is open between 8.30am and 6.30pm Monday to Friday.

Appointments are available from 9.00am to 12.00 noon and 2.00pm to 6.00pm daily with triage availability all day.

Extended surgery hours are offered on Monday and Tuesday evenings from 6.30pm to 7.30pm and Saturday mornings from 9.00am to 12.00 noon.

Out of hours care can be accessed via the surgery telephone number or by calling the NHS 111 service.

The practice is registered to provide; diagnostic and screening procedures, family planning, maternity and midwifery services, surgical procedures and the treatment of disease, disorder or injury at Chapelfield Medical Centre, Mayflower Way, Barnsley S73 0AJ.

Updated 31 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Wombwell PMS Practice on 15 February 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.

• Information about services and how to complain was available and easy to understand.

• Patients told us they were treated with compassion, dignity and respect, they were involved in all aspects of their care and decisions about their treatment.

• Patients told us they found it easy to make an appointment with a named GP, had access to urgent appointments available on the same dayand there was continuity of care.
• 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 registered provider was aware of and complied with the requirements of the Duty of Candour.

We saw three areas of outstanding practice:

The practice continuously and actively sought feedback from patients, because of this the practice had set up their own carers group to support the families and carers of people living with dementia after patients told them there was little support available locally.

The nurses worked closely with the learning disability team. They used a video to show female patients with learning disabilities to understand cytology screening.

A homeless patient had declined offers of accommodation from other agencies. The practice staff worked together to equip this patient with a tent, warm clothes and a sleeping bag to keep them warm until they could be encouraged to consider accommodation. Patients told us of other occasions where homeless patients were supported within the community by the practice staff.

The areas where the provider should make improvement are:

To consistently apply recruitment procedures for all staff, including seeking written references. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 31 March 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 and given a telephone number to bypass the telephone system.

• Diabetes indicators at 99% were 15% above the CCG and 10% above the national average.

• Longer appointments and home visits were available when needed.

• All the registered 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.

• There was information available on long term conditions and useful links on the practice website.

• The practice had set up a support group for patients with heart failure.

Updated 31 March 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 or 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.

• In the last 12 months, 86% of patients diagnosed with asthma had a review of their care.

• Patients told us children and young people were treated in an age-appropriate way and were recognised as individuals. We observed evidence of this on the day of the inspection to confirm this. There was also a drop in sexual health and contraception clinic after school hours.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• There were comfortable, private facilities for breast feeding and this was advertised.

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 31 March 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 within its population.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• Those at high risk of hospital admission were given a telephone number to bypass the telephone system.

Updated 31 March 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 reflected the needs for this age group.

Updated 31 March 2016

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

• Within the last 12 months, 89% of patients diagnosed with dementia had their care reviewed in a face to face meeting, which is comparable to the national average of 84%.

• The practice carried out advance care planning for patients living with dementia.

• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those living with dementia.

• Patients experiencing poor mental health were advised 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.

• The practice had set up a carers group to support those caring for someone living with dementia after patients told them there was little support available locally.

Updated 31 March 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 patients about how to access various support groups and voluntary organisations.

• Staff knew how to recognise the signs of abuse in 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 had several homeless patients registered. One of these patients had declined an offer of accommodation.The practice staff worked together to equip this patient with a tent, warm clothes and a sleeping bag to keep them warm until they could be encouraged to consider accommodation. Patients told us of other occasions where homeless patients were supported within the community by the practice staff.