Dr P D Miles

Updated 14 August 2017

The practice of Dr P D Miles is registered with CQC as a partnership provider operating out of modern purpose built premises in Stoke on Trent. The practice holds a General Medical Services contract with NHS England and is part of the NHS Stoke on Trent Clinical Commissioning Group. Car parking, (including disabled parking) is available at this practice.

The practice area is one of more deprivation when compared with the local and the national average. The practice has more female patients over the age of 60 and more male patients over the age of 65 than the national average.

At the time of our inspection the practice had 3,961 registered patients. The practice is registered to undertake minor surgery.

The practice is a teaching and training practice and supports medical students from Keele University.

The practice staffing comprises of:

• Two GP’s in partnership (two males).

• One practice nurse and one health care support worker.

• The practice manager, assisted by an assistant practice manager, oversees the operational delivery of services with a team of administrative and reception staff.

The practice is open 8am to 7pm Monday, Tuesday and Wednesday and 8am to 1pm on Thursday and 8am to 6pm Friday.

Appointments are from 8am to 12.30pm each morning. Afternoon appointments are from 2.30pm to 7pm on Monday, Tuesday and Wednesday and 3pm to 6pm on Friday.

Updated 14 August 2017

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Dr P D Miles on 17 August 2016. The overall rating for the practice was good with requires improvement in providing safe services. The full comprehensive report on the 17 August 2016 inspection can be found by selecting the ‘all reports’ link Dr P D Miles on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 5 July 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 17 August 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 were as follows:

• There were emergency medicines available.

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. The practice had implemented a system to ensure the whole staff team were involved in the discussion and learning associated with the significant events.

• A log of verbal complaints received by the practice was kept and action taken recorded.

• Practice policies and procedures had been reviewed.

• The practice’s business continuity plan had been reviewed to include staff contact numbers.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 24 October 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.

• The percentage of patients with diabetes, on the register, who had influenza immunisation was 100%, this was higher than the CCG average and the national average of 94%.

• Longer appointments and home visits were available when needed.

• Patients had 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 had a robust call and recall system to ensure that patients attended their medical appointments.

• The clinical team has a range of experience and qualifications to enable to manage and treat patients with long term conditions effectively.

• Educational events are held so patients have the opportunity to learn about conditions such as diabetes.

Updated 24 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 A&E attendances.

• Immunisation rates were relatively high for all standard childhood immunisations.

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

• The practice’s uptake for the cervical screening programme was 85% which was higher than the CCG and the national average.

• Same day emergency appointments were available for children.

The surgery offered contraception services including oral contraception, intrauterine device s and contraceptive implants.

Updated 24 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.

• Patients at risk of emergency hospital admission had a care plan which was reviewed six monthly.

• The practice offered health assessments to all patients aged 75 and over which included dementia blood screening.

Updated 24 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.

• Extended hours appointments were available. The practice offered appointments between the hours of 8:00 and 7:00 Monday to Friday.

• Patients could register for online access, where they were able to order repeat medication and book appointments.

Updated 24 October 2016

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

• The percentage of patients diagnosed with dementia whose care had been reviewed in

  a face-to-face review in the last 12 months was 100% compared with the CCG average of 83% and the national average of 84%.

• 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 last 12 months was 97% compared with the CCG average of 86% and the national average of 88%.

• The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses whose alcohol consumption had been recorded in the last 12 months was 100% compared with the CCG average and the national average of 90%.

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

• 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 patients with mental health needs and dementia. There were wellbeing prescriptions on the reception desk for patients to self-refer if they so wished.

Updated 24 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 homeless people, and those with a learning disability.

• The practice offered longer appointments for patients with a learning disability and were sent health questionnaires prior to their appointment.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• 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.