Milborne Port Surgery

Updated 10 January 2017

Milborne Port Surgery is located in a residential area of Milborne Port. They had approximately 5900 patients registered from around the local area which is mainly rural and which included supporting patients from Wincanton, Stalbridge and Sherbourne.

Milborne Port Surgery

Gainsborough

Milborne Port

Sherborne

Dorset

DT9 5FH

A branch surgery is located at:

Templecombe Surgery

Rock House

Station Road

Templecombe

SomersetBA8 0JR

Milborne Port Surgery is situated in a purpose built building. There are consulting rooms, treatment rooms, reception and waiting rooms on the ground floor. On the first floor, which was accessible by a lift, there are offices, meeting rooms and a staff room and areas for storage. There is a large car park to the front of the building.

Templecombe Surgery is a small two storey converted domestic dwelling situated in Templecombe approximately 6 miles away. There are consulting, examination and treatment rooms and a reception area on the ground floor. The upper storey is used for storage. There is limited parking and outside space and there is restricted access to the building for people with difficulty with mobility.

Patients can attend at either practice locations and there are dispensaries at both Milborne Port and Templecombe. The practice was able to provide pharmaceutical services to those patients on the practice list who lived more than one mile (1.6km) from their nearest pharmacy premises. Approximately 50% of the practice population who have regular medicines obtain them from the practices dispensaries.

The practice is provided by a partnership of five GP partners with one salaried GP, four male and two female. The practices core team of employed staff including two practice nurses and two health care assistants. The practice had a practice manager who is supported by a team of senior reception staff, reception staff, administrators, secretaries and a cleaner. The practice supports medical students.

Milborne Port Surgery is open from 8am until 6.30pm, Monday to Friday, and on Saturdays 8.30am until 11.30am. At Templecombe the surgery is open from 9am until 3pm Mondays, Tuesdays, Thursdays and Fridays. GP appointments are available at Milborne Port from 8.30am until 10.30 am and again from 3.30pm until 5.30 each day, Saturdays 8.30 until 11.30 by prior appointment only. Nursing staff have slightly longer appointment availability each day until 12.30 am, earlier start and finish for the afternoons on Monday, Tuesday and Fridays at 2.30pm until 4pm. On Wednesdays and Thursdays each week the nursing staff hold surgeries from 3.30 until 6pm.

At Templecombe, GP appointments are available from 9am until 11.10am Monday and Thursday and from 9am until 11.20am on Tuesday and Fridays. Nurse or health care assistant appointments are from 9am until 11.30am each day. The practice is closed on Wednesdays.

Patients can attend either practice should they wish to. Records, administration of the service is carried out at the Milborne Port Surgery.

The practice has a General Medical Services contract with NHS England (a locally agreed contract negotiated between NHS England and the practice). The practice is contracted for a number of enhanced services including extended hours access for patients, children in the area

were able to benefit from receiving childhood immunisations, the assessment and provision of services for patients living with dementia and were involved in the unplanned hospital admission avoidance scheme.

The practice does not provide out of hour’s services to its patients, this is provided by VOCARE. Contact information for this service is available in the practice and on the practice website.

Patient Age Distribution

0-4 years old: 4.5% (the national average 5.9%)

5-14 years old: 11% (the national average 11.4%)

15- 44 years old: 21% (the national average 40.5%)

65-74 years old: 16% (the national average 17.1%)

75-84 years old: 7.6% (the national average 7.8%)

85+ years old: 3.2% (the national average 2.3%)

Other Population Demographics

% of patients with a long standing health condition is 54% (the national average 54%)

% of patients in paid work or full time education is 60% (the national average 61.5%)

0% of the practice population was from a Black and Minority Ethnic background.

Practice List Demographics / Deprivation

Index of Multiple Deprivation 2015 (IMD): is 12.8 (the national average 21.8). The lower the number the more affluent the general population in the area, is.

Income Deprivation Affecting Children (IDACI): is 13% (the national average 19.9%)

Income Deprivation Affecting Older People (IDAOPI): is 9.7% (the national average 16.2%)

Updated 10 January 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Milborne Port Surgery on 15 November 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 found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• 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 practice was involved in local pilot schemes to improve the outcomes for patients, this included Health Coaches, to enable patients to identify issues and manage their own health, social and emotional needs.

The area the provider should make improvement:

• The provider should ensure there is a comprehensive oversight of fire safety systems and processes at the branch surgery at Templecombe.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 January 2017

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

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

• The practice proactively identified patients at risk of developing long-term conditions and took action to monitor their health and help them improve their lifestyle.

• The practice followed up on patients with long-term conditions discharged from hospital and ensured that their care plans were updated to reflect any additional needs.

• There were emergency processes for patients with long-term conditions who experienced a sudden deterioration in health.

• 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.

Updated 10 January 2017

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

• There were systems 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 accident and emergency (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 positive examples of joint working with midwives, health visitors and school nurses.

• The practice had emergency processes for acutely ill children and young people and for acute pregnancy complications.

Updated 10 January 2017

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

• Staff were able to recognise the signs of abuse in older people and knew how to escalate any concerns.

• 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 identified at an early stage older people who may be approaching the end of life. It involved older people in planning and making decisions about their care, including their end of life care.

• The practice followed up on older patients discharged from hospital and ensured that their care plans were updated to reflect any extra needs.

• Where older patients had complex needs, the practice shared summary care records with local care services.

Updated 10 January 2017

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, including a full range of health promotion and screening that reflects the needs for this age group.

Updated 10 January 2017

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

• 85% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which is comparable to the national average of 85.5%.

  The practice had a system for monitoring repeat prescribing for people receiving medication for mental health needs.

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

• People at risk of dementia were identified and offered an assessment.

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

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

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

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

Updated 10 January 2017

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 offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed 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.

• End of life care was delivered in a coordinated way which took into account the needs of those whose circumstances may make them vulnerable.