Bawtry and Blyth Medical

Updated 23 January 2017

Bawtry and Blyth Medical is a dispensing practice with a main surgery based in Bawtry and a branch surgery in Blyth providing care for 2,738 patients in the Bassetlaw Clinical Commissioning Group (CCG) area. It provides services from purpose built premises with disabled access and a car park at Bawtry and a smaller building at Blyth. The practice catchment area has been identified as one of the third less deprived areas nationally.

The practice has two GP partners, one male and one female, and a part time male salaried GP. They are supported by two practice nurses, a practice manager and reception staff who are also trained to work in the dispensary.

The practice is open Monday to Friday from 8am to 6.30pm at Bawtry. The branch at Blyth is open from:

• 3pm to 5.30pm on Monday
• 5.30pm to 7.30pm on Tuesday
• 8.30am to 11.30am on Wednesday
• 8.30am to 11am on Thursday
• 9am to 11am on Friday

Appointments are available with GPs in the morning and afternoon every week day at Bawtry and on Monday, Tuesday and Thursday at Blyth. Appointments with practice nurses are available at Bawtry on Monday, Tuesday, Wednesday and Friday and at Blyth on Thursdays. Extended hours appointments are offered from 6.30pm to 7.30pm at Blyth on Tuesday evenings.

In addition to pre-bookable appointments that could be booked up to two weeks in advance, urgent appointments were also available for people that needed them. Out of hours care is accessed via the surgery telephone number and listening to the message or calling the NHS 111 service.

Updated 23 January 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 6 September 2016. The overall rating for the practice was good with requires improvement for safety. The full comprehensive report for the  inspection of 6 September 2016 can be found by selecting the ‘all reports’ link for Bawtry and Blyth Medical on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 9 January 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 6 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good.

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

• There was an effective system in place for reporting and recording significant events including capturing near misses in the dispensary.
• The practice introduced a controlled drugs register in October 2016. Monthly checks of stocks of medicines, including controlled drugs, were now completed and recorded on the electronic system and records retained in the dispensary.
• We were shown the procedure implemented to share medicine alerts with dispensary staff. Actions taken as a result of the alert were documented in the action log which was available to all staff on the shared computer drive.
• The practice had reviewed and updated the dispensary standard operating procedures.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 3 October 2016

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

• Nursing staff all had lead roles in long term condition management and patients at risk of hospital admission were identified as a priority.
• The nursing team included specialist nurses in respiratory care and diabetes.
• Performance for diabetes related indicators was 7% below the CCG average and 1% 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 3 October 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 accident and emergency attendances.
• Immunisation rates were comparable to others locally 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 78%, which was comparable to the CCG and lower than the national average of 82%.
• 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 and health visitors.

Updated 3 October 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.
• All patients over the age of 75 years had a named GP.

Updated 3 October 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.
• The practice offered telephone consultations for patients who found it difficult to attend during normal working hours and could then be seen if required during extended hours opening.

Updated 3 October 2016

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

• 83% of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months, which is comparable to the national average of 85%.
• Of those patients experiencing poor mental health, 89% had an agreed care plan in place compared to the CCG average of 93% and the national average o f   88%.
• The practice regularly worked with multidisciplinary teams in the case management of patients experiencing poor mental health, including those with living with dementia.
• The practice carried out advance care planning for patients with living 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 those living with dementia.

Updated 3 October 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 those with a learning disability.
• The practice regularly worked with other health care professionals in the case management of patients whose circumstances may make them vulnerable.They were advised how to access various support groups and voluntary organisations.
• Staff knew how to recognise 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.