Archived: Cottingley Surgery

Updated 31 May 2016

• Cottingley Surgery is located in the Cottingley area of Bradford. Personal Medical Services (PMS) are provided under a contract with NHS England. The practice has on-site parking and disabled access. It is located next to a high street.

• We visited two locations during the inspection:-

• Cottingley Surgery, Canon Pinnington Mews, Cottingley, BD16 1AQ (branch site)
• Saltaire Medical Practice, Richmond Road, Shipley, BD18 4RX (main site)

• The practice has:-
  • Four GP partners, one registrar GP, four associate GPs, one practice manager, one advanced nurse practitioner, two nurses, one HCA, one finance and 16 other staff.
  • Five female and four male GPs
• Opening time and appointment times:
  • The practice is open between 8am and 7:30pm Monday and Thursday. It is open from 8am and 6:30pm on Tuesday and Wednesday and from 8am to 6pm on Friday. Appointments are from 8:20am to 5:50pm every day. Extended hours appointments are offered on Monday and Thursday to 7:30pm.
  • During out of hours 111 for urgent services.
• The practice serves 10,688 patients mainly working age population.

Updated 31 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Cottingley Surgery on 19 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 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 decisions about their care and 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 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 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 31 May 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.
• The percentage of patients with diabetes, on the register, in whom the last blood sugar reading in the preceding 12 months (01/04/2014 to 31/03/2015) was 78% which was the same as the national average.
• 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.
• The percentage of patients with diabetes, on the register, who had an influenza immunisation in the preceding 1 August to 31 March (01/04/2014 to 31/03/2015) was 96% compared to a national average of 94%.

Updated 31 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 and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were average 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 percentage of women aged 25-64 whose notes recorded that a cervical screening test had been performed in the preceding 5 years (01/04/2014 to 31/03/2015) was 83% compared to the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We were told about positive examples of joint working with midwives, health visitors and school nurses.

Updated 31 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.
• The integrated care team met quarterly to discuss complex patients.
• The practice had developed a ‘Nursing Home Action Sheet’ that the GPs completed on every visit to nursing and care homes. The pro-forma enabled an effective diagnosis and care planning service for patients.

Updated 31 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 practice is currently involved in three major health promotion projects, Bradford Healthy Hearts, Bradford Beating Diabetes and Bradford Breathing Better.
• The practice used posters and leaflets in the waiting room to inform patients, for example on the influenza immunisation campaign and the bowel screening programme.
• The staff also used the messaging section of paper prescriptions and in 2015 sent text messages to all patients over 40 with information about the Bradford Healthy Hearts website.
• The practice managed a stall with health promotion information at “The Conversazione” event in Saltaire and the practice’s patient participation group (PPG) have held group sessions on heart disease, preventing diabetes and dementia friends.
• The practice website contained links which provided information on health.

Updated 31 May 2016

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

• 86% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which is comparable to the national average of 84%.
• The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive, agreed care plan documented in the record, in the preceding 12 months (01/04/2014 to 31/03/2015) was 94% compared to the national average of 88%.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• The practice carried out advance care planning for patients 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 dementia.

Updated 31 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 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.