Bevan Group Practice

Updated 13 April 2016

Beaconsfield Surgery is located in Beaconsfield Primary Care Centre, Widnes. There were 11,687 patients on the practice list at the time of our previous inspection and the majority of patients were of white British background. The practice had a higher percentage of elderly patients compared to other practices in the area.

The practice is a training practice led by five GPs partners. There are four salaried GPs. There are two practice nurses and two health care assistants. The clinical team is supported by a practice manager, office and reception managers, receptionists and administration staff.

The practice is open 8.30am to 6.30pm every weekday. The practice also offers extended hours on Wednesdays from 7am-8am for pre-bookable appointments. Patients requiring a GP outside of normal working hours are advised to contact the GP out of hours service provided by Urgent Care 24.

The practice has a Personal Medical Service (PMS) contract and has enhanced services contracts for example, childhood vaccinations.

Updated 13 April 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 8 September 2015. A breach of legal requirements was found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to:

• Regulation 19 HSCA (RA) Regulations 2014 Fit and proper persons employed.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Beaconsfield Surgery on our website at www.cqc.org.uk.

Our key findings were as follows:

• The practice had addressed the issues identified during the previous inspection. Disclosure and Barring Service (DBS) checks had been completed for all necessary staff. For those staff that did not require a DBS, a risk assessment had been completed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 22 October 2015

The practice is rated good for providing services for patients with long term conditions. These patients had a six monthly or annual review with either the GP and / or the nurse to check their health and medication. The practice had registers in place for several long term conditions including diabetes and asthma. Patients who were on anticoagulation treatment had the benefit of having their bloods tested at the practice instead of attending other clinics.

Updated 22 October 2015

The practice is rated good for providing services for 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.

Updated 22 October 2015

The practice is rated as outstanding for providing services for older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and offered home visits and nursing home visits. The practice participated in meetings with other healthcare professionals and social services to discuss any concerns. There was a named GP for the over 75s. The practice had built in the flexibility in their appointment system to allow GPs time to book longer appointments or home visits specifically for the over 75 age group of patients. This enabled the practice to carry out full health and social care assessments even if the patient had no previously diagnosed medical condition. The practice worked with a local wellbeing team at the practice to reduce social isolation of elderly patients.

Updated 22 October 2015

The practice is rated good for providing services for working age people. The needs of this population group had been identified and the practice had adjusted the services it offered to ensure these were accessible. For example, the practice offered access to a 24 hour telephone appointment bookings and online services. The practice also offers extended hours on Wednesdays from 7am-8am for pre-bookable appointments.

Updated 22 October 2015

The practice is rated good for providing services for people experiencing poor mental health. Patients experiencing poor mental health received an invitation for an annual physical health check. Those that did not attend had alerts placed on their records so they could be reviewed opportunistically. The practice was in the process of undertaking a review of all nursing home patients to capture information about whether the patient was subject to a deprivation of liberty safeguard. The practice worked very closely with the local community wellbeing team that supported patients.

Updated 22 October 2015

The practice is rated good for providing services for people whose circumstances make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability. It had carried out annual health checks and longer appointments were available for people with a learning disability. Staff had received safeguarding training.