Ilkley and Wharfedale Medical Practice

Updated 29 March 2018

Ilkley and Wharfedale Medical Practice is located at Springs Medical Centre, Springs Lane, Ilkley LS29 8TQ.

There are currently 4,639 patients registered on the practice list. The practice provides General Medical Services (GMS) under a locally agreed contract with NHS England.

The practice is housed in purpose built premises which were built in 2001. The building is shared with another GP practice, and serves the population of Ilkley and the surrounding area. Car parking is available on site, with dedicated disabled spaces also allocated. There is lift access from the car park to the practice building. All the clinical rooms are located on the ground floor, and are accessible to patients with mobility problems, or those who use a wheelchair.

The Public Health General Practice Profile shows the majority of the practice population to be of white British origin, with approximately 2% of mixed or Asian ethnicities. The level of deprivation within the practice population is rated as ten, on a scale of one to ten. Level one represents the highest level of deprivation and level ten the lowest. The age/sex profile of the practice shows a lower than average number of patients in the 15 to 39 year age group, with a higher than average number of patients in the 50 to 75 year age group. The average life expectancy for patients at the practice is 82 years for men and 85 years for women, compared to the national average of 79 years and 83 years respectively.

• The practice offers a range of enhanced services, including childhood vaccination and immunisation, facilitation of timely diagnosis and support for dementia, support for patients with learning disabilities and minor surgery.

The practice is a long established training practice. This means it provides training and support for qualified doctors wishing to specialise in general practice. At the time of our visit two registrars were working at the practice. The practice is also able to accommodate medical students and newly qualified doctors wishing to gain experience in general practice.

There are two GP partners, both male, and two salaried GPs, both female. The clinical team is completed by two female practice nurses. Supporting the clinicians is a practice manager, reception manager, and a range of administrative, secretarial and reception staff.

Out of hours care is provided by Local Care Direct and can be accessed by calling the surgery telephone number or by calling the NHS 111 service.

When we returned for this inspection we checked, and saw that the previously awarded ratings were displayed, as required, in the practice premises and on the practice website.

Updated 29 March 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. The previous inspection, carried out on 24 November 2015 rated the practice as Good overall.

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 Ilkley and Wharfedale Medical Practice on 28 February 2018. We carried out this inspection as part of our inspection programme.

At this inspection we found:

• There was an open and transparent approach to safety and clear systems were in place for recognising, reporting and learning from incidents.
• Staff were aware of current evidence based guidance. Staff had received appropriate training to provide them with the necessary skills and knowledge to deliver effective care and treatment.
• Results from the national GP patient survey were consistently high. We saw that patient satisfaction in relation to access to appointments, and for receiving compassionate care was higher than local and national averages across all areas. We heard that people were respected and valued, empowered as partners in their care, and that a holistic personalised service was routinely provided for patients.
• Patients had access to a named GP. There was continuity of care, with urgent and non-urgent appointments available the same day.
• There was evidence of a cohesive team with a clear leadership structure in the practice. Staff were aware of their roles and responsibilities. Staff told us they felt supported in their roles.
• The practice performed well in relation to cervical, breast and bowel cancer screening. Childhood immunisation uptake stood at 100%.
• The practice regularly reviewed the effectiveness and appropriateness of the care provided.
• We saw evidence that the practice performed consistently better than other practices in the Clinical Commissioning Group area in relation to non-elective hospital admissions and accident and emergency attendances.
• We observed staff treating patients with kindness and compassion. The practice had good facilities and was equipped to treat patients and meet their needs.

The area where the provider should make improvements is:

• Review and improve their responses to complaints so that they always include the details of the Parliamentary and Health Service Ombudsman.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 29 March 2018

Updated 29 March 2018

Updated 29 March 2018

Updated 29 March 2018

Updated 29 March 2018

Updated 29 March 2018