Hollywood Medical Practice

Updated 28 September 2016

Hollywood Medical Centre is situated in a residential area in the outskirts of Birmingham. The practice is an area with little deprivation. The current list size is 6,600 patients. The practice is part of the North Worcestershire Healthcare Federation.

The practice has a car park for patients and staff to use.

The practice has four GP partners and one trainee GP (three male and two female offering patients their preferred choice). A GP trainee is a qualified doctor who is training to become a GP through a period of working and training in a practice. The practice has three practice nurses, a treatment room nurse and a healthcare assistant (HCA).

The clinical team is supported by a practice manager, a deputy practice manager and a team of reception and administrative staff.

The practice has a virtual Patient Participation Group (PPG), a group of patients registered with a practice who work with the practice team to improve services and the quality of care.

The practice holds a General Medical Services (GMS) contract with NHS England. This is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract.

The practice is open 8am to 6.30pm Monday to Friday.

The practice does not provide out of hours services beyond these hours. When the practice is closed patients are provided with information about local out of hours services provided by Care UK which they can access by using the NHS 111 phone number.

Updated 28 September 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Hollywood Medical Practice on 15 July 2016. Overall the practice is rated as good.

Our key findings were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed. The practice carried out an annual significant event audit to ensure learning from significant events was embedded.

• Patients’ needs were assessed and care was planned and delivered following best practice guidance.

• There was a developing leadership structure and staff felt supported by the GPs and the practice manager.  The practice proactively sought feedback from staff and patients which it acted on. There was a very pro-active virtual Patient Participation Group (PPG).

• The practice was aware of and complied with the requirements of the duty of candour.

• Risks to patients were assessed and well managed.

• Patients described staff as caring and helpful. Patients commented that they were treated with dignity and respect

• 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 found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 28 September 2016

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

• Patients with long term conditions were identified on a register and invited for annual reviews. All patients with long term conditions had care plans in place.

• Extended appointments were offered to patients with long-term conditions. The practice offered anti-coagulation clinics (for patients who were on blood thinning medicines).

• Quality and Outcomes Framework (QOF) 2014/15 performance in relation to long term conditions was above local and national averages. The practice had achieved 99 % of the total number of points available which was above the CCG average of 97% and above the national average of 95% in 2014/15.

Updated 28 September 2016

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

• There were systems in place to follow up on children who were considered vulnerable including the use of alerts. The child safeguarding register was reviewed with the health visitors regularly. All staff at the practice had received safeguarding training.

• Appointments were available outside of school hours with GPs and nurses and the premises were suitable for children and babies. We saw positive examples of joint working with midwives, health visitors and school nurses. Same day appointments were always provided for children aged five and under.

• Baby clinics were held at the practice every week and the practice website provided information about a range of relevant topics relating to children and young people.

• The practice’s uptake for the cervical screening programme was 83%, which was above the national average of 82%.

• Baby changing facilities and a breastfeeding area were available at the practice.

Childhood immunisation rates for the vaccinations given were comparable to the CCG averages. For example,  the vaccinations given to under two year olds ranged from 80% to 99% compared with the CCG average of 82% to 99% and five year olds from 90% to 97% compared with the CCG average of 94% to 97%.

Updated 28 September 2016

The practice is rated as good for the care of older patients.

• The practice offered personalised care to meet the needs of older patients in its population and had a range of enhanced services, for example, unplanned admissions. The practice worked with the virtual ward in the prevention of admissions. The virtual ward aims to reduce hospital admissions by identifying patients who are at high risk of admission and managing them more effectively in the community.
• The practice had a significant number of elderly patients. Twelve per cent of the patient list was over 75 years and 1% over 90 years. Patients over the age of 75 were allocated a named GP but had the choice of seeing whichever GP they preferred. The practice carried out annual health reviews and comprehensive care plans for those patients with the highest needs. If patients were housebound they were seen at home. Frail elderly patients were always seen on the same day even if no appointments were available.
• The practice was wheelchair accessible.
• Despite being a practice with challenging local transport facilities due to being located on the edge of the CCG boundary the practice accommodated the following services: retinopathy screening, aortic aneurysm screening (AAA), podiatry, physiotherapy, and diabetic educational courses.

Updated 28 September 2016

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

• Extended hours were available each week at the practice both early mornings and evenings.

• The practice offered GP telephone consultations where this was considered appropriate.

  Patients could book appointments or order repeat prescriptions online.

• The practice sent text reminders to patients for booked appointments.

• The practice had a comprehensive screening programme.

• The practice also carried out NHS health checks for patients aged 40-74 years. There had been 308 health checks carried out in the last year.

Updated 28 September 2016

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

• The percentage of patients with mental health problems who had a comprehensive, agreed care plan documented in their record in the preceding 12 months was 93%, which was above the national average of 88%.

• The percentage of patients diagnosed with dementia whose care has been reviewed in a face-to-face review in the preceding 12 months was 82% which was comparable with the national average of 84%.

• Home visits were arranged as required for patients who were not able to attend the practice.

• Annual mental health reviews were carried out for patients experiencing poor mental health.

• The practice signposted patients to the Healthy Minds Well Being Hub when this was considered appropriate. The hub was an information and signposting service for people over the age of 16 who were experiencing low mood, anxiety or stress and felt they would benefit from local community providers.

• The practice also had an in house counselling service for those requiring additional support.

Updated 28 September 2016

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

• All patients with a learning disability were offered an annual health check and longer appointments were allocated. At the time of the inspection the practice had 29 patients on the learning disabilities register and 28 of these had received a health check in the last year. The practice also looked after patients at a residential home which specialised in patients with learning disabilities. The practice had weekly contact with the home.

• Alerts were put on patient records to enable staff to be aware of specific needs for patients. For example to offer the first appointment of the day or alerting staff if the patient had a visual or hearing impairment.

• Patients whose first language was not English were supported by interpreters.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff we spoke with were aware of their responsibilities and had all received safeguarding training.