Hollies Medical Centre

Updated 28 June 2016

The Hollies Medical Centre is situated in Sheffield city centre. The practice provides services for 8,000 patients under the terms of the NHS General Medical Services contract. The practice catchment area is classed as within the group of the second least deprived areas in England. The age profile of the practice population is similar to other GP practices in the Sheffield Clinical Commissioning Group (CCG) area. The practice provides medical care to two nursing homes and five residential homes.

The practice has four GP partners (two female and two male), one salaried GP (male), three trainee GPs (two male and one female),  three practice nurses and one healthcare assistant. They are supported by a team of practice management staff and a reception/administration team. The practice is open between 8.30am and 6pm Monday to Friday. Appointments with medical and nursing staff are available at various times throughout the day. Extended opening hours are offered on Wednesday mornings, Monday evenings and every fourth Saturday. When the practice is closed calls were answered by the out-of-hours service which is accessed via the surgery telephone number or by calling the NHS 111 service.

Updated 28 June 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Hollies Medical Centre on 6 May 2016. Overall the practice is rated as good.

• 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 been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said 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. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care with both urgent and routine 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 provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvements are:

• Review the complaints process to include the details of Sheffield CCG for patients to complaint directly to and include the details of the Parliamentary Health Service Ombudsman in complaint response letters for patients to contact if they were not satisfied with the practice response all contacts as outlined in the NHS complaints procedure.

Professor Steve Field CBE FR   CP FFPH FRCGPChief Inspector of General Practice

Updated 28 June 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.
• Performance for diabetes related indicators was similar to the CCG and national average. For example, the percentage of patients with diabetes, on the register, in whom the last blood test was taken which confirmed good control of diabetes was 80% (CCG average,78%; national average, 78%).
• 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 named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care. 

Updated 28 June 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 high for all standard childhood immunisations.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.
• The practice’s uptake for the cervical screening programme was 84%, which was comparable to the CCG average of 88% and the national average of 81%.
• 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 28 June 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 had responsibility for five residential homes and two nursing homes and provided care for these patients living with dementia, mental health and palliative care needs.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs. 

Updated 28 June 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. 

Updated 28 June 2016

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

• 91% of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months, which is higher than the national average of 84% and the CCG average of 86%.
• 90% of patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive, agreed care paln documented in the record, in the preceding 12 months compared to the national average of 88% and the CCG average of 90%.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those living with dementia.
• The practice carried out advance care planning for patients living with dementia.
• The practice had told patients experiencing poor mental health about 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 those living dementia.
• The practice had responsibility for five residential homes and two nursing homes in the local area and provided care for these patients living with dementia and with mental health needs.

Updated 28 June 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 other health care professionals in the case management of vulnerable patients.
• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
• 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.