Marple Bridge Surgery

Updated 17 October 2018

Marple Bridge Surgery Town Street, Marple Bridge, Stockport, SK6 5AA is based in Marple Bridge Village Stockport in a converted church building. It is part of the NHS Stockport Clinical Commissioning Group (CCG.) Services are provided under a general medical service (GMS) contract with NHS England. The practice is situated on a busy road with no on-street parking but pay and display facilities available directly across the road and free parking is available nearby. The practice has approximately 6500 registered patients.

Information published by Public Health England rates the level of deprivation within the practice population groups as ten on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. Deprivation affecting children in the practice is rated

at 4.9% compared with CCG average of 16.2%. Deprivation affecting older people is rated at 7.4% compared with CCG average of 17.7%. These results are well below the national averages of 19.9% for children and above for older people at 20.4% nationally. The practice population includes a comparable proportion (17.9%) of people under 18 years of age, and a higher proportion (25.6%) of people over the age of 65 years, in comparison with the national average of 20.8% and 17.2% respectively. The practice has 48% of its population with a long-standing health condition, which is lower than the CCG average of 55% and the England average of 54%. Unemployment at 1.4% is lower than the CCG average of 3.1% and England average of 5%.

The practice is a partnership with four partners (male and female) two salaried GPs and a trainee GP. The practice is supported by three practice nurses and two health care assistants and an administration team lead by the practice manager and a deputy. The practice is a training practice for GP’s with an identified training lead GP.

The practice opens from 7.20am to 6.30pm (surgery appointments until 6pm) Monday to Friday and does not close for lunch. Patients requiring a GP outside of normal working hours are advised to contact 111 who will refer them into the out of hours provider Master call if required. After the practice is closed an answering machine informs patients of this process.

The practice provides level access to the building and is adapted to assist people with mobility problems; the practice provides a wheelchair to assist patients with mobility issues.

Updated 17 October 2018

We undertook a comprehensive inspection at Marple Bridge Surgery on 27 March 2018. The overall rating for the practice was good, although the practice was rated as requires improvement for being well led. The full comprehensive report for the 27 March 2018 inspection can be found by selecting the ‘all reports’ link for Marple Bridge Surgery on our website at .

This desk top review was carried out on 11 September 2018. We reviewed evidence submitted by the practice which demonstrated

the practice had carried out their plan to meet the requirements in relation to the breach identified in relation to Regulation 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014

The practice is now rated as good for well led services, and overall the practice is rated as good.

Our key findings were as follows:

• The practice had established effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

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

Updated 12 November 2015

The practice is rated as good for the care of people with long-term conditions (LTC). Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. The practice population with LTCs was in line with local and national averages at 53.5%. Longer appointments and home visits were available when needed. All these patients had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care

Updated 12 November 2015

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 relatively 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. Appointments were available outside of school hours and the premises were suitable for children and babies. We saw good examples of joint working with midwives, health visitors and school nurses. The practice population for under18 years of age was 32.8% which was higher than both local and national averages.

Updated 12 November 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, in dementia and end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs. The practice had a close working relationship with a local nursing home and met with the team regularly to discuss changes to care plans. The practice's patient population who were over 65years was higher than both national and clinical commissioning group averages at 37.4% according to Public Health England statistics.

Updated 12 November 2015

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 12 November 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). All people experiencing poor mental health had been offered an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It 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 and referrals were made to the Improving Access to Psychological Therapies (IAPT) team as required. It had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health. Staff had received training on how to care for people with mental health needs and dementia.

Updated 12 November 2015

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 those with a learning disability.It offered longer appointments for people with a learning disability.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It had told 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. The practice reviewed all hospital attendance for all vulnerable patients on a monthly basis and ensured their care plans reflected their on-going needs. The practice had a number of patients who were regularly reviewed due to incidents of deliberate self-harm, these patients had a named GP who managed their care and contacted them to offer support as required.