Broomhill Surgery Also known as Dr Savage & Partners

Updated 11 August 2016

Broomhill Surgery is located in a converted residential property in Broomhill and has a branch site called Lodge Moor Surgery which is located within five miles of the main site. The practice accepts patients from Broomhill, Lodge Moor, Crosspool, Fulwood and Crookes in Sheffield.

Public Health England data shows the practice population has a higher than average number of patients aged 40 to 85+ years compared to the England average. The majority of the patients registered with the practice are white British and the practice catchment area has been identified as one of the 10th least deprived areas nationally.

The practice provides General Medical Services (GMS) under a contract with NHS England for 9395 patients in the NHS Sheffield Clinical Commissioning Group (CCG) area. It also offers a range of enhanced services such as anticoagulation monitoring and childhood vaccination and immunisations.

Broomhill Surgery has four GP partners (one female, three male), three female salaried GPs, three practice nurses, one healthcare assistant, practice manager and an experienced team of reception and administration staff. The practice is a teaching practice for medical students.

Broomhill Surgery is open 8.30am to 12.30pm and 1pm to 6pm Monday to Friday with the exception of Thursdays when the practice is closed from 12 noon. Appointments are available 8.30am to 11am and 3pm to 6pm daily, with the exception of Thursdays afternoons.

The branch site at Lodge Moor Surgery is open 8.30am to 12.30pm on a Monday, 8.30am to 6pm Tuesday, Wednesday and open 8.30am to 3pm Thursday and Friday. Appointments are available 8.30am to 11am daily and 3pm to 6pm Monday to Wednesday and 12.30pm to 2.30pm Thursday and Friday.

Extended hours are offered on a Tuesday evening 6.30pm to 8.30pm at the Broomhill Surgery and 8am to 12 on a Saturday morning at the branch site.

When the practice is closed between 6.30pm and 8am patients are directed to contact the NHS 111 service. The Sheffield GP Collaborative provides cover on a Thursday afternoon and when the practice is closed between 8am and 6.30pm. For example, at lunchtime when the telephones are transferred to them between 12 noon and 3pm. Patients are informed of this when they telephone the practice number.

The practice is registered to provide the following regulated activities; treatment of disease, disorder or injury, diagnostic and screening procedures, maternity and midwifery services, surgical procedures and family planning.

Updated 11 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Broomhill Surgery and the branch site at Lodge Moor Surgery on 13 July 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 their care and decisions about their 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 were able to make an appointment with a GP and there was continuity of care, with urgent appointments available the same day through the GP telephone triage system.
• 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.

The areas where the provider should make improvement are:

• Maintain a complete record of the immunity status of clinical staff as specified in the national Green Book (immunisations against infectious disease) guidance for healthcare staff.

• Ensure there is a system in place to check the fire alarm system and complete fire drills on a regular basis at the branch site.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 11 August 2016

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

• Nursing staff had lead roles in long term condition management and patients at risk of hospital admission were identified as a priority.

• 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. For example, the specialist community diabetic nurse held regular clinics at the practice.

• Data showed the practice had a low number of emergency admissions for patients with long term conditions at 13% compared to the national average of 20%.

• The practice had identified patients with a respiratory condition, for example, asthma, who had been hospitalised or who were poorly controlled to offer support as part of a local quality improvement scheme objective.

Updated 11 August 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 relatively high for all standard childhood immunisations.

• Staff told us that children and young people were treated in an age appropriate way and were recognised as individuals.

• Data showed 87% of women eligible for a cervical screening test had received one in the previous five years compared to the national average of 82%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives and health visitors.

Updated 11 August 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 practice provided medical care and weekly routine GP visits to patients who resided in two local care homes.

• The percentage of patients aged 65 or over who received a seasonal flu vaccination was 76%, higher than the national average of 73%.

Updated 11 August 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 offered appointments one evening a week and on Saturday mornings at the practice and weekend and evening appointments at a local practice through the Sheffield satellite clinical scheme.

• 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 11 August 2016

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

• Of those patients diagnosed with dementia, 95% had received a face to face review of their care in the last 12 months, which is higher than the national average of 84%.

• Of those patients diagnosed with a mental health condition, 84% had had a comprehensive care plan reviewed in the last 12 months, which is slightly lower than the national average of 88%.

• The practice regularly worked with multidisciplinary teams in the case management of patients experiencing poor mental health, including those living with dementia.

• The practice carried out advance care planning for patients with dementia.

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

• Staff had a good understanding of how to support patients with mental health needs and dementia.

• The practice hosted Improving Access to Psychological Therapies Programme (IAPT), a counselling service to support patients’ needs.

Updated 11 August 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 those with a learning disability. The practice had coded alerts on the records of patients who may be vulnerable to alert staff that they may require extra support when booking an appointment.

• 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 patients who may be vulnerable, for example, the community nursing team.

• The practice informed patients whose circumstances may make them vulnerable about how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in 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.