Dr J A D Weir & Partners Also known as Marfleet Group Practice

Updated 7 February 2018

The Marfleet Group Practice, Preston Road, Hull, HU5 5HH is situated to the east of the city of Hull on the Preston road estate. There is a branch site located at Hauxwell Grove, Middlesex Road, Hull, HU8 0RB. We visited this branch as part of our inspection visit. The practice provides services under a General Medical Services (GMS) contract with NHS England, Hull Area Team. The practice list size of 14,454 is predominantly white British background with 2% of mixed race.

The practice has six full time GP partners four of who are male and two are female, one advanced nurse practitioner, one pharmacist and five practice nurses. There is one health care assistant, two repeat prescribing administrators, a practice manager, an assistant practice manager, a finance manager and a team of secretarial, administration and reception staff.

The main practice site is open between 8am and 6.30pm Monday to Friday. The Hauxwell Grove branch is open between 2pm and 5.45pm Monday to Friday. Surgery times for the branch site are 3pm to 5.45pm Monday to Friday.

The proportion of the practice population in the 0-4 years age group is higher than the England average. The practice population in the under 18 years age group is also higher than the England average. The practice scored one on the deprivation measurement scale. The deprivation scale goes from one to ten, with one being the most deprived. People living in more deprived areas tend to have greater need for health services. The overall practice deprivation score is worse than the England average, the practice is 50.6 and the England average is 23.6.

The practice, along with all other practices in the Hull CCG area have a contractual agreement for NHS 111 service to provide Out of Hours (OOHs) services from 6:30pm to 8am. This has been agreed with the NHS England area team. When the practice is closed, patients use the NHS 111 service to contact the OOHs provider. Information for patients requiring urgent medical attention out of hours is available in the waiting area, in the practice information leaflet and on the practice website. The practice website can be accessed at www.marfleetgrouppractice.nhs.uk

Updated 7 February 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 follow-up inspection at Marfleet Group Practice on 13 December 2017 as part of our inspection programme.

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 routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

• 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.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

• The practice implemented service developments using input from clinicians to understand their impact on the quality of care.

• The practice had implemented a new telephone system for patients to allow them to efficiently select the service they need.

The areas where the provider should make improvements are:

• Clinical audits should include a full cycle of events to ensure patient outcomes are improved and reflection and learning is recorded with action points identified.

• Consider Mental Capacity Act training for all staff.

• Consider implementing further systems to ensure patient access to appointments is improved.

• Although team meetings take place on an ad-hoc basis the practice should develop more formal regular reviews for staff to have

• The overall Quality Outcome Framework (QOF) exception reporting rate was 17% compared with a national average of 10%. (QOF is a system intended to improve the quality of general practice and reward good practice. Exception reporting is the removal of patients from QOF calculations where, for example, the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate.)  The practice should consider further systems to ensure the exception rate figure is improved.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 7 February 2018

Updated 7 February 2018

Updated 7 February 2018

Updated 7 February 2018

Updated 7 February 2018

Updated 7 February 2018