Oakwood Surgery

Updated 10 March 2016

Oakwood Surgery is located in a purpose built medical centre the town of Mansfield Wood in Nottinghamshire. The practice provides services for 13808 patients.

The practice holds a Personal Medical Services (PMS) contract and provides GP services commissioned by NHS England and Mansfield and Ashfield Clinical Commissioning Group. A PMS contract is one between GPs and NHS England and the practice where elements of the contract such as opening times are negotiated locally between the practice and the commissioning team .

The practice population is slightly lower the national average for younger people and children under four years, and for those of working age and those recently retired, and slightly higher for older people aged over 65 years. Economic deprivation levels affecting children, older people are higher than the practice average across England and slightly lower than the local CCG area. Life expectancy for men and women are similar to the national averages. The practice patient list compares similarly to the national average for long standing health conditions. It is similar to the national averages for working aged people in employment or full time education and the number of working age people that are unemployed.

The practice is managed by seven GP partners who hold financial and managerial responsibility. In total six male and one female GP work at the practice. One of the GP partners is the Registered Manager. A Registered Manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the practice is run. The practice employs three practice nurses and three healthcare assistants. In addition the practice employs a management team including a practice manager a quality supervisor and a team of receptionists, clinical coders and administration staff.

The practice is a fully accredited Training practice. This means that the practice has a GP Registrar who is a fully qualified doctor who is undertaking GP training in the practice.

The practice is open between 8am and 6.30pm on weekdays. GP and nurse appointments and / or telephone consultations are available between 8.30am to 5.30pm daily. The practice offers late evening appointments up to 7pm on Monday, Tuesday and Thursdays evenings. Appointments may be booked in advance or on the day for urgent issues.

The practice has opted out of providing GP out of hour’s services. Unscheduled urgent care out-of-hours care is provided by North Nottinghamshire out of hours (CNCS) and patients who contact the surgery outside of opening hours are provided with information on how to contact the service.

Updated 10 March 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Oakwood Surgery on 19 January 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• The practice ensured that when things went wrong that these were investigated and learning was shared with staff. Risks to patients were assessed and well managed. There were systems for assessing risks including those associated with medicines, premises, equipment and infection control.
• There was a detailed business continuity plan to deal with untoward incidents that may affect the day to day running of the practice.
• Staff were recruited robustly with all of the appropriate checks carried out to determine each person’s suitability and fitness to work at the practice.

• Patients’ needs were assessed and care was planned and delivered following published local and national best practice guidance. Clinical audits and reviews were carried out to make improvements to patient care and treatment.

• Staff were supported and received role specific training to meet the needs of patients and there was a system for staff appraisal.
• Patients said they were treated with compassion, dignity and respect.
• Information about services and how to complain was available and easy to understand. Complaints were investigated and responded to appropriately and apologies given to patients when things went wrong or their experienced poor care or services. Complaints were reviewed and any trend identified and monitored to improve patient satisfaction.
• Some patients said they found it difficult to access appointments and to contact the practice by telephone. The practice had reviewed its appointments system and upgraded the telephone systems to address patients comments about the lack of accessible appointments and difficulties
• 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 to make improvements to the services provided.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 March 2016

The practice is rated as good for the care of people with long-term conditions.

The practice offered proactive, personalised care to meet the needs of people with long term conditions, including:

• Extended opening and evening appointments were available three evenings each week.

• Patients with long term conditions had specific care plans to coordinate their care and treatment.

• Appointments and reviews were carried out for patients who lived in local care homes and these were co-ordinated to include carers where possible.

• Proactive health promotion and health screening including smoking cessation, information and advice around alcohol consumption, diet and lifestyle.

• Collaborative working with other health care professionals to coordinate care and treatment.

• GPs and nursing staff had lead roles in chronic disease management and provided a range of clinics including asthma, diabetes and chronic obstructive pulmonary disease (COPD). The practice performance for the management of these long term conditions was similar to or higher than other GP practices nationally.

• The practice had a dedicated member of staff to coordinate reviews for the management of long term conditions and work was being done to streamline reviews so as to minimise the number of visits for patients with one or more long term condition.

Updated 10 March 2016

The practice is rated as good for the care of families, children and young people.

The practice offered proactive, personalised care to meet the needs of people with long term conditions, including:

• Collaborative working with health visitors and the local safeguarding team to monitor the care and welfare for children.

• There were twice weekly ante-natal clinics available led by a community midwife.

• Staff undertook appropriate training including safeguarding and domestic abuse awareness.

• Urgent same day appointments were available for children.

• A full range of infant and childhood immunisations were available.

• Appropriate referrals were made to Children and Adolescent Mental Health Services (CAMHS).

• On site clinics for teenagers run by an external organisation and supported by the practice nurse to offer advice on sexual health and contraception.

Updated 10 March 2016

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 older people, including:

• Monthly meetings with other health care professionals to reduce unplanned hospital admissions.

• A range of appointments were available including telephone consultations and home visits.

• Home visits for phlebotomy was provided as needed.

• Patients who were over 75 years had a named GP who was responsible for coordinating their care.

• A range of health promotion and screening services were available including flu and shingles vaccinations and cancer screening.

• Patients were referred as needed to a local befriending service

• Dementia screening and referral to specialist services were available where appropriate.

• The practice offered an ‘open door’ service to carers, friends and relatives for advice and support.

The patient participation group contributed information to a local community newsletter to provide information to the local community about the practice and local support groups.

Updated 10 March 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

The practice offered proactive, personalised care to meet the needs of working-age people (including those recently retired and students), including:

• Access to extended evenings appointments three days per week.

• Flexible appointments and telephone consultations that could be booked in person, by telephone and online.

• Same day appointments for urgent requirements.

• Longer appointments provided as needed.

• A range of in-house services including counselling, phlebotomy and ECG.

• Proactive promotion for NHS Health Check Screening and cancer screening including breast and bowel screening.

Updated 10 March 2016

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

The practice offered proactive, personalised care to meet the needs of people experiencing poor mental health (including people with dementia), including:

• Structured appointments for mental health checks and learning disability health checks.

• Depression screening and referral for specialist treatment where required.

• A walk-in minor injuries clinic.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• 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.

Updated 10 March 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

The practice offered proactive, personalised care to meet the needs of people whose circumstances may make them vulnerable, including:

• Staff undertook training in safeguarding vulnerable people and equality and diversity.

• The practice worked with the local social services, probation services and drug & alcohol services to help support patients according to their individual circumstances.

• Patients with no permanent address and homeless people were able to register at the practice.

• The practice organised a food bank voucher scheme for vulnerable patients.

• Patients were signposted to a local befriending service as needed.