Evelyn Medical Centre

Updated 17 January 2017

Evelyn Medical Centre provides care to approximately 5,947 patients over 90 square miles in the Hope, Hathersage, Edale and Castleton areas within the Derbyshire Peak District. It has a branch surgery based in nearby Hathersage. The surgery provides primary care medical services via a General Medical Services (GMS) contract commissioned by NHS England and North Derbyshire Clinical Commissioning Group (CCG). The practice operates from a purpose-built building constructed in 1990.

The practice is run by a partnership of three GPs (two males and one female), and they employ three salaried GPs (two male and one female).

The practice directly employs a community matron and a care co-ordinator. The nursing team also comprises of three practice nurses, and three health care assistants. The clinical team is supported by an assistant practice manager, and a team of ten administrative and reception staff. The practice also employs a team of four cleaning staff. The practice is currently reviewing their arrangements for practice management following the departure of their practice manager in December 2016.

Evelyn Medical Centre dispenses medicines to 4,069 (68%) of its registered patients. This service is only available for patients who reside a mile or more from a local pharmacy. The practice has a dispensing manager and three dispensary assistants.

The practice is a teaching practice for both medical and nursing students. Evelyn Medical Centre hosts third year medical and nurse student placements, and supports the ‘early years’ medical student training programme. The practice was previously a training practice supporting GP registrar placements, and had plans to reinstate this in the longer term.

The registered practice population are predominantly of white British background. The practice is ranked in the lowest decile for deprivation status, and is generally considered an area of high affluence, with a deprivation index of 10.3 (England average is 26.6). The major local employment is within farming and tourism, with a small number of workers based at a local cement works. The practice age profile has higher numbers of patients aged over 50. For example 27.7% of the practice populations are aged 65 and above, compared to the CCG average of 21.7%, and the national average of 17.1%.

The practice opens from 8am until 6.30pm Monday to Friday. Scheduled GP morning appointments times are available from approximately 9am to 11.30am, and afternoon surgeries run approximately from 2.30pm to 5.30pm (these times vary slightly each day). The practice closes on one Wednesday afternoon on eight occasions during the year for staff training. Extended hours opening is available on a Monday evening until 7.30pm.

The practice has opted out of providing out-of-hours services to its own patients. When the practice is closed patients are directed to Derbyshire Health United (DHU) via the 111 service. Urgent care could be obtained via the minor injuries unit at Buxton, or the out of hours’ service based in either Sheffield or Chesterfield, when the practice is closed.

Updated 17 January 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Evelyn Medical Centre on 26 May 2016. Overall the rating for the practice was rated as requires improvement and the practice was asked to provide us with an action plan to address the areas of concern that were identified during our inspection.

We carried out a follow-up focused inspection at Evelyn Medical Centre on 16 December 2016 in order to assess improvements and to review the outcomes from their action plan. The overall rating for this practice following the focused inspection is good.

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

• Following our previous inspection in May 2016, the practice submitted an action plan to address the requirements that the provider was not meeting. At our second inspection we observed that the action plan had been fully completed, and the practice was now meeting all legal requirements.
• The practice held a developmental event for the whole practice team in October 2016 to look at smarter ways of working as a consequence of our previous inspection.

• Our previous inspection had highlighted concerns regarding the daily operation of the practice dispensary, and the management of medicines and prescriptions within the practice. Action had been taken to address these issues and we observed a well-managed practice dispensary, and effective medicines management arrangements, during our inspection in December 2016.
• Staff numbers within the dispensary had been improved with the appointment of a new dispensary assistant and temporary increased hours from an existing member of the team.
• There was a system in place for the reporting and recording significant events. Learning was applied from events to enhance the delivery of safe care to patients. Significant event review forms provided documented evidence that agreed actions had been finalised.
• Risks to patients were assessed and well managed. The practice had strengthened its approach in identifying and managing ongoing and emerging risks. Documentation was in place to support this.
• Governance processes had been strengthened since our inspection in May 2016. For example, meetings were routinely documented; action plans were updated providing evidence of the improvements made; and policies and procedures had been reviewed and updated to reflect the latest guidance.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 17 January 2017

The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.

The practice is rated as good for safe and well-led at this inspection. In view of the improvements made all six population groups are rated as good.

Updated 17 January 2017

The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.

The practice is rated as good for safe and well-led at this inspection. In view of the improvements made all six population groups are rated as good.

Updated 17 January 2017

The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.

The practice is rated as good for safe and well-led at this inspection. In view of the improvements made all six population groups are rated as good.

Updated 17 January 2017

The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.

The practice is rated as good for safe and well-led at this inspection. In view of the improvements made all six population groups are rated as good.

Updated 17 January 2017

The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.

The practice is rated as good for safe and well-led at this inspection. In view of the improvements made all six population groups are rated as good.

Updated 17 January 2017

The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.

The practice is rated as good for safe and well-led at this inspection. In view of the improvements made all six population groups are rated as good.