Dr A Munzar

Updated 6 May 2016

Dr A Munzar is situated in Monk Bretton Health Centre. This is an older style purpose built practice where plans are in place for renovation. Located approximately three miles from Barnsley town centre, it has a car park and disabled access.

The practice provides care for 1997 patients in the NHS Barnsley Clinical Commissioning Group (CCG) area.

The practice catchment area has been identified as one of the fourth most deprived areas nationally.

There is one male GP, a female practice nurse, a practice manager and three administration and reception staff.

The practice opening hours and surgeries are 8.00am to 6.00pm Monday to Friday. Longer appointments are available for those who need them and home visits and telephone consultations are available as required.

Out of hours services are accessed by calling the practice telephone number or NHS 111.

The practice is registered to provide the following regulated activities; maternity and midwifery services; diagnostic and screening procedures and treatment of disease, disorder or injury from Monk Bretton Health Centre, Barnsley, S71 2EQ.

Updated 6 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr A Munzar on 4 April 2016. Overall the practice is rated as good.

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

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients told us that 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.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• 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.
• The registered provider was aware of and complied with the requirements of the Duty of Candour.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 6 May 2016

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

• The practice nurse took the lead role in chronic disease management with the support of the GP and patients at risk of hospital admission were identified as a priority.

• Performance for diabetes indicators at 91% was higher than the CCG average of 84% and the national average of 89%.

• 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 GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 6 May 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 or who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were comparable to local and national averages for all standard childhood immunisations.

• In the last 12 months 72% of patients diagnosed with asthma had a review of their care which is comparable to the national average of 75%.

• Patients told us children and young people were treated in an age appropriate way, were recognised as individuals and we saw evidence on the day of the inspection to confirm this.

• 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 6 May 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.

Updated 6 May 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 GP and practice nurse both offered a telephone triage system for patients who found it difficult to attend.

Updated 6 May 2016

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

• In the last 12 months, 83% of patients diagnosed with dementia had received a face to face review of their care, which is equal to the national average.

• The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health, including those living with dementia.

• The practice carried out advance care planning for patients living with dementia.

• Patients experiencing poor mental health had been advised 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 dementia.

Updated 6 May 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, travellers and those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with multidisciplinary teams in the case management of people whose circumstances could make them vulnerable.

• People whose circumstances could make them vulnerable had been 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.