Wellfield Medical Centre

Updated 4 May 2018

Wellfield Medical Centre is the registered provider and provides primary care services to its registered list of 10,100 patients. The practice delivers commissioned services under the General Medical Services (GMS) contract and is a member of Manchester Health and Care Commissioning (CCG).

The GMS contract is the contract between general practices and NHS England for delivering primary care services to local communities. The practice is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures; maternity and midwifery services; treatment of disease, disorder and injury; surgical procedures and family planning.

Regulated activities are delivered to the patient population from the following address:

55 Crescent Road

Crumpsall

Manchester

M8 9JT

The practice has a website that contains comprehensive information about what they do to support their patient population and the in house and online services offered:

www.wellfieldmedicalcentre.com

The practice is situated in an area at number one on the deprivation scale (the lower the number, the higher the deprivation). People living in more deprived areas tend to have greater need for health services.

Updated 4 May 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection July 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students) – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Wellfield Medical Centre on 20 March 2018.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice had a comprehensive understanding of the performance of the practice and how it was maintained.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
• The practice had visible clinical and managerial leadership and governance arrangements in place.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

We saw one area of outstanding practice:

The practice provided an in house weekly sexually transmitted diseases clinic (STD). Patients were given the choice of a male or female GP and were provided with a double appointment. We saw evidence of 109 patients treated between, 2016-2017. We also saw evidence of these clinics being fully audited on a regular basis.

The areas where the provider should make improvements are:

• Improve the infection control policy so it contains up to date information.
• Improve clarity around the management of risk. Staff who act as chaperones should be trained and have individual risk assessments in place.
• Improve role specific job description information within staff folders.
• Continue to review the Patient Participation Group (PPG) and new ways of engagement.
• Add the full address of the Parliamentary and Health Service Ombudsman(PHSO) in the complaints policy.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 23 July 2015

The practice is rated as good for people with long-term conditions. The practice held chronic disease management clinics and had a recall system for six monthly reviews. There was also a process in place to contact those patients who do not attend.

Clinicians in the practice undertook regular audits of long term conditions to ensure the practice kept up with changes, the latest good practice standards and guidance. Local hospital consultants regularly visited the practice to give talks to the clinical team on the latest advancements in chronic disease management for patients. Nursing staff received regular updates on chronic disease management through the practice nurse forum.

The practice held quarterly multidisciplinary team meetings where patients on the palliative care register were discussed.

Updated 23 July 2015

The practice is rated as good for families, children and young people. There were weekly baby clinics with access to a nurse and a GP for child health surveillance and immunisations and a comprehensive family planning service. A full immunisation programme was undertaken by the surgery and delivered by the practice nursing team. There was a weekly clinic run by the community midwives and a clinic to deal with sexual health.

All staff had undertaken safeguarding children training to the appropriate level for their role. One of the GPs was the practice lead for Safeguarding. All clinical staff demonstrated a clear understanding of Gillick competencies. (These help clinicians to identify children aged under 16 who have the legal capacity to consent to medical examination and treatment).

The practice had a child protection register and additional alerts that were triggered when entering the records of these patients in order to make all staff aware. Any new patients added to the child protection register were discussed at the weekly Tuesday clinical team meeting.

The practice had introduced new technologies such on-line booking for appointments and prescriptions with the aim of being more user-friendly for younger patients.

Updated 23 July 2015

The practice is rated as good for the care of older people. Patients over 75 had a named GP who was responsible for the overall co-ordination of their care. The practice provided home visits for this population group when required by the GPs and the practice nursing staff. This included providing immunisations and a phlebotomy service at home. Patients in this population were given extended appointments for chronic disease management conditions when required.

The practice worked in conjunction with the crisis team with the aim of reducing early admission to hospital for older people. There was a lift in the building to facilitate access to the upper floor for those patients with mobility problems.

Updated 23 July 2015

The practice is rated as good for the population group of the working-age people including those recently retired. The practice recognised that working age patients may struggle to access routine surgery appointments within core hours, and therefore provided a variety of options to facilitate access.

The practice offered online services as well as a full range of health promotion and screening which reflects the needs for this age group. Patients were provided with a range of healthy lifestyle support including smoking cessation and weight management. Access to NHS health checks were promoted to patients when the service was in the local area and this included national screening programmes such as bowel cancer screening.

Appointments and prescriptions could be booked online in advance. Telephone consultations were also available to patients who could not attend the practice.

Updated 23 July 2015

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

The practice has a register of those patients with diagnosed mental ill health and those with dementia. The practice held a severe mental health clinic for those patients diagnosed with psychosis to ensure regular mental and physical health care reviews were undertaken. There was also a clinic for those patients diagnosed with dementia.

Any patients with a diagnosis of depression or anxiety were followed up by the practice every four weeks.

Medicines prescribed for a mental health related condition were not given on a repeat prescription.

All clinical staff we spoke demonstrated an understanding of the mental capacity act.

Updated 23 July 2015

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

The practice held a weekly clinical meeting to discuss those patients with complex needs. There was also a monthly meeting at the surgery to discuss high risk patients and attendees included district nurses, social workers and/or advanced medical practitioners as required.

All staff had been trained to the appropriate level in safeguarding vulnerable adults and children, and also had an understanding of the mental capacity act.

The practice had a child protection register and additional alerts that were triggered when entering the records of these patients in order to make all staff aware. Any new patients added to the child protection register patients were discussed at the weekly Tuesday clinical team meeting.

The practice nursing team undertook home visits for patients with physical disabilities when required.

Translation and interpreter services were available for patients whose first language was not English.