Jorvik Gillygate Practice

Updated 3 March 2016

Jorvik Gillygate Practice is located in the centre of the York. The practice formed after the merger of two practices the Jorvik Medical Practice and the Gillygate surgery in November 2014.

They have 20,517 registered patients. They have a higher than national average population of patients aged over 25 -45 years. It is in the third least deprived areas of country and is part of NHS Vale of York Clinical Commissioning Group (CCG).

The main practice is based in the centre of Jorvik Gillygate Practice with a branch surgery based at South Bank York.

The practice provides General Medical Services (GMS) under a contract with NHS England. The practice is also contracted to provide a number of enhanced services, which aim to provide patients with greater access to care and treatment on site. They offer enhanced services in; extended hours, childhood vaccinations and Dementia.

There are twelve GPs, six male and six female (all are GP partners), three practice nurses, and three healthcare assistants. These are supported by a team of 4 departmental managers, a practice manager (who is also a partner) and an experienced team of reception/administration staff.

The practice is open between 8am and 6.30pm Monday to Friday with extended hours Monday evening until 8:00pm and Saturday opening 8am -12pm. When the practice is closed, out-of-hours services are provided.

The practice is also a training and teaching practice for GPs in training and medical students.

Updated 3 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Jorvik Gillygate Practice on 9th December 2015. Overall the practice is rated as good.

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.
• 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.
• The practice provided easy access to appointments with on the day appointments available to all patients.
• 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.

We saw several areas of outstanding practice including:

• The practice supported individuals allocated via the Alternative Medical Scheme from the ‘violent patient list’ where other practices had removed a patient from their list. This ensured vulnerable patients had access to the full range of services.

• One GP partner worked with local psychiatric services on assessments enabling closer liaison with hospital and community psychiatrists. This provided direct links to mental health services to support patients living in the community.

• The practice welcomed patients who were being rehabilitated into the community working in collaboration with the York association for care and resettlement of offenders.

• The practice provides support to patients with drug addiction alongside ’Lifeline’ drugs support services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 3 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.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check that their health and medicines 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 3 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 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.

• Immunisation rates ranged from 91-98% for all standard childhood immunisations which were comparable with the CCG rates.

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

• We saw good examples of joint working with midwives and health visitors.

• Women aged 25 to 64 who had a cervical screening test recorded in the preceding five years was 81%, which was comparable with the national average.

Updated 3 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 in its population.

• It was responsive to the needs of older people, and offered home visits and urgent appointments and for those with enhanced needs.

Updated 3 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 telephone consultations and online services as well as a full range of health promotion and screening that reflected the needs for this age group.

• The practice offered extended opening hours during the week and an additional Saturday morning surgery.

Updated 3 March 2016

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

• 83% of people diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months. This was above the national average of 78%.
• The practice regularly worked with multi-disciplinary 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.
• 93% of people diagnosed with mental health a disorder had had their care reviewed in a face to face meeting in the last 12 months. This was above the national average of 86%.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• Staff had a good understanding of how to support people with mental health needs and dementia. All clinical staff had received training on the Mental Health Act.
• One GP partner worked with local psychiatric services on assessments enabling closer liaison with hospital and community psychiatrists. This provided direct links to mental health services to support patients living in the community.
• It had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health. Staff had received training on how to care for people with mental health needs and dementia.
• A counselling service and in house referral to a mental health worker was available at the practice.

Updated 3 March 2016

The practice is rated as outstanding 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 multi-disciplinary teams in the case management of vulnerable people.

• It had told 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 supported individuals allocated via the alternative medical scheme from the ‘violent patient list’ where other practices had removed a patient from their list. This ensured vulnerable patients had access to the full range of services.

• The practice welcomed patients who were being rehabilitated into the community working in collaboration with the York association for care and resettlement of offenders.

• The practice ensured easy access for homeless patients enabling them to use all resources at the practice.

• The practice provides support to patients with drug addiction alongside ’Lifeline’ drugs support services.

• Access for homeless patients to use resources at the practice.