The Leven and Beeford Medical Practice

Updated 1 August 2018

The Leven and Beeford Medical Practice, 29 High Stile, Leven, Beverley Humberside HU17 5NL

is located in a converted property in the village of Leven in East Yorkshire. Parking is available on the street outside the practice. Consulting and treatment rooms are all on the ground floor. There is a branch site, Beeford Surgery, Rectory Lane, Beeford YO25 8BA in the village of Beeford, approximately six miles from Leven. Both sites were visited during the inspection.

The practice provides services under a General Medical Services (GMS) contract with the NHS North Yorkshire and Humber Area Team to the practice population of 11,066, covering patients of all ages. The practice also offers dispensing services to those patients on the practice list who live more than one mile (1.6km) from their nearest pharmacy.

The provider is registered to provide the regulated activities Diagnostic and screening procedures, Family planning, Maternity and midwifery services, Surgical procedures and Treatment of disease, disorder or injury.

The proportion of the practice population in the 65 to 74 year age group is slightly higher than the local CCG and national average and is similar to the local CCG and England average in the 75+ year age. The proportion of the practice population in the under 18 years age group is similar to the local CCG and England average. The practice scored eight 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 practice has six GP Partners, four male and two female, three work full-time and three part-time. There is one trainee nurse practitioner who works full-time, five practice nurses, (all part-time), and three health care assistants, one full-time and two part-time. All the nurses and HCAs are female. There is a business manager, finance manager and a team of administration, reception and secretarial staff. There are eight dispensers.

The Leven surgery is open between 8am to 6pm Monday to Friday, GP appointments are available between 8.30am to 11.00am and 3.40pm to 5.50pm Monday to Friday. The Beeford surgery is open between 8am to 12.30pm and 3.30pm to 6pm on Monday, Tuesday, Thursday and Friday and 8am to 12.30pm on Wednesday. GP appointments are available between 8.30am to 11.00am Monday to Friday and 3.40pm to 5.50pm on Monday, Tuesday, Thursday and Friday.

The practice, along with all other practices in the East Riding of Yorkshire CCG area have a contractual agreement for the Out of Hours provider to provide OOHs services from 6.00pm on weeknights. 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 and on the practice website.

Updated 1 August 2018

This practice is rated as Good overall. (Previous rating September 2015 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Outstanding

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at The Leven and Beeford Medical Practice on 24 April 2018 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.

We saw several areas of outstanding practice:

• The practice arranged a twice weekly taxi service to bring patients living in rural villages to the practice for their appointments.
• The funding for a wound management clinic had been removed from the practice and the clinic changed to another location. However, the practice continued to offer this service as an unfunded service to provide patients with a service closer to home.
• The number of patients on the practice palliative care register who died in their preferred place was significantly higher than the national average. Over the past four years 60% of patients had died in their preferred place compared to the local CCG and national average of 23%.

The area where the provider should make improvements are:

• Take action so that dispensary standard operating procedures and PGDs are signed by all staff using them.

Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice

Updated 1 August 2018

Updated 1 August 2018

Updated 1 August 2018

Updated 1 August 2018

Updated 1 August 2018

Updated 1 August 2018