Hanford GP Also known as Dr Shah & Partners

Updated 7 November 2017

Drs Shah & Talpur is located in Hanford Health Centre, Stoke On Trent and is registered with the CQC as a partnership provider. The practice delivers commissioned services under the

General Medical Services (GMS) contract with NHS England and is a member of the NHS Stoke On Trent Clinical Commissioning Group (CCG).

The practice is located in a single storey building with on-site car parking available. The building is owned by Stoke on Trent Partnership NHS Trust (SSTOP) and accommodates a range of health care professionals.

The practice staffing comprises of:

• Three male GP partners

• One male and one female salaried GPs

• One female GP registrar

• Two practice nurses

• Two health care support workers

• A practice manager

• An office supervisor and a team of reception staff and administrators

The practice is an accredited training practice for GP trainees and medical students.

The practice serves a population of 7,172 patients. An increase of 30 patients since the last inspection. The practice demographic is broadly comparable to CCG and England averages, with the exception of female and males aged 50-64 years, which is higher but lower for patients aged 15-24 years and 35-49 years. The practice percentage of unemployed patients is 1% compared to the local average of 7% and the national average of 4%. The percentage of patients with a long-standing health condition is 52%, which is lower than the local average of 57% and the national average of 53%.

The practice is open from 8.00am to 6.30pm Monday to Friday and 8am to 1.30pm on a Thursday. The practice no longer provides extended hours. Routine appointments can be booked in person, by telephone or on-line. Home visits are available to patients with complex needs or who are unable to attend the surgery.

• Consultation times with GPs are available from 8.30am to 11.40am and from 3pm to 5.30pm Monday to Friday.

• Consultation times with nurses are currently available four days per week. On a Monday from 8.30am to 1pm and from 3pm to 6.00pm. Tuesday from 8.30am to 12.30pm and from 1pm to 5.00pm. Wednesday from 9am to 12.00pm and from 1pm to 5.30pm and on a Friday from 9am to 12.30pm and from 1pm to 6.00pm.

The out-of-hours service provider is Staffordshire Doctors Urgent Care Limited. Patients may also call 111 or 999 for life threatening emergencies. The practice is less than two miles away from the nearest hospital; the University Hospital of North Midlands.

Updated 7 November 2017

Letter from the Chief Inspector of General Practice

We carried out an announced focused inspection at Drs Shah & Talpur on 17 October 2017.

Overall the practice is now rated as Good.

The practice had previously been inspected on 12 April 2017. Following this follow-up comprehensive inspection the overall rating for the practice was good with requires improvement for safe services. A breach of legal requirements was found and a requirement notice was served. The practice provided us with an action plan detailing how they were going to make the required improvements in relation to:

Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) 2014: Fit and proper persons employed.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Drs Shah & Talpur on our website at www.cqc.org.uk.

Our key findings were as follows:

• Appropriate staff recruitment checks had been carried out.

• The provider had reviewed and assessed the risks of not carrying emergency medicines in GP bags for use during home visits.

• A business plan had been developed to reflect the vision and values for the team to work towards.

• Action taken to address any improvements as a result of infection control audits had been documented.

We also saw the following best practice recommendations we previously made in relation to providing well-led and responsive services had been actioned:

• A clear and documented strategy and supporting business plan to reflect the vision and values for the team to work towards had been developed.

• An analysis of complaints to identify any common trends had been undertaken to improve the quality of care provided and the outcome shared with staff during a meeting held.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 19 May 2017

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

• All these patients had a named GP and there was a system to recall patients for ongoing monitoring and a structured holistic annual review to check their health and medicines needs were being met.

• The practice followed up on patients with long-term conditions within two days of being discharged from hospital and ensured that their care plans were personalised and updated to reflect any additional needs.

• For those patients with the most complex needs, the practice worked with relevant health and care professionals to deliver a multidisciplinary package of care.

• Longer appointments and home visits were available when needed.

• Clinical staff had received training in long-term disease management and offered lung function testing, diabetic foot care, joint injections and insulin monitoring.  Self-management plans were developed for patients with conditions to include diabetes and asthma. 

Updated 19 May 2017

The practice is rated as good for the care of families, children and young people.

• The practice had systems 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 (A&E) attendances.

• Immunisation rates for the vaccinations given were in line or higher than the CCG average for all standard childhood immunisations with dedicated clinics held on a weekly basis.

• Same day appointments were available for children aged 16 and under with urgent medical need.

• The premises were suitable for children and babies.

• The practice worked with a visiting midwife in the provision of ante-natal, post-natal and child health surveillance clinics.

• Family planning services, pre-pregnancy counselling and fertility advice was available with the GPs in addition to life style advice on healthy living to expectant mothers and family.

Updated 19 May 2017

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 patients in its population.

• The practice was responsive to the needs of older patients, and offered telephone consultations, home visits and urgent appointments for those with enhanced needs.

• The practice carried out a weekly GP visit to a local large care home and provided a dedicated direct access to a nominated GP.

• The practice followed up on older patients discharged from hospital and ensured that their care plans were personalised and updated to reflect any extra needs.

• The practice provided support for patients and their relatives/carers through the end of life processes.

• Patients aged 75 and older had a named GP and were offered an annual health check to review their health and wellbeing.

Updated 19 May 2017

The practice is rated as good for the care of working age people (including those recently retired and students).

• The needs of these populations had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care, for example, extended opening hours on a Monday evening and Tuesday morning.

• 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.

• Telephone consultations were available in addition to text appointment and test result reminder facilities.

• Life style clinics and advice regarding healthy eating, exercise, smoking cessation and alcohol were available.

• NHS Health checks were available for patients aged 40 to 74 years.

• The practice allowed the temporary registration of students whilst home on holiday leave.

Updated 19 May 2017

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

• The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive, agreed care plan in the preceding 12 months was 100

• The practice specifically considered the physical health needs of patients with poor mental health and dementia. For example, the practice offered annual mental health reviews which included general health reviews and health promotion.

• The practice worked with multi-disciplinary teams in the case management of patients experiencing poor mental health and actively sought the advice of the Primary Care Dementia Liaison Team to assess patients with dementia.

• The practice provided a weekly ward round to a large local care home, which accommodated many patients with dementia.

• The practice signposted patients experiencing poor mental health and patients with dementia to various support groups and voluntary organisations.

• The practice had a system to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

Updated 19 May 2017

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice offered longer appointments for patients with a learning disability at a time to suit them and for patients with complex needs.

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.

• The practice worked with other health care professionals in the case management of vulnerable patients and actively referred patients who they considered vulnerable or those with complex needs.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• The practice contacted patients on the care plan register and care home patients that had attended A&E within three days to ensure their medical care needs were attended to.

• Staff we spoke with knew how to recognise signs of abuse in children, young people and adults whose circumstances may make them vulnerable. They 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.