Archived: Wye Valley Surgery

Updated 6 April 2018

Wye Valley Surgery is located in the centre of High Wycombe in Buckinghamshire. The practice is one of the practices within Chiltern Clinical Commissioning Group (CCG) and provides primary medical services to approximately 10,500 registered patients.

Services are provided from:

• Wye Valley Surgery, 2 Desborough Avenue, High Wycombe, Buckinghamshire HP11 2RN.

Online services can be accessed from the practice website:

• www.wyevalleysurgery.co.uk

According to data from the Office for National Statistics, Buckinghamshire has high levels of affluence and low levels of deprivation. However, Wye Valley Surgery is located in a pocket of high deprivation and the local area experiences challenges including substance misuse and severe mental health problems. People living in more deprived areas tend to have greater need for health services.

The practice population has a significantly higher proportion of patients aged under 18 when compared to the local CCG and national averages whilst there is a lower proportion of patients aged 65 and over.

There are a high percentage of patients from ethnic minority backgrounds and a large proportion of the patients speak English as a second language. The practice has a transient patient population; patients are often outside of the country for long periods. This has an impact on screening and recall programmes

The practice has the highest proportion of unemployed patients registered in the area, 6.4% of patients are unemployed compared to the CCG average (3%) and national average (4%).

Updated 6 April 2018

At our previous comprehensive inspection at Wye Valley Surgery in Buckinghamshire on 2 November 2017 we found a breach of regulations relating to the provision of safe services. The overall rating for the practice was requires improvement. Specifically, the practice was rated requires improvement for the provision of safe and responsive services.

The concerns which led to these ratings apply to everyone using the practice, therefore all population groups were also rated requires improvement. The practice was rated good for the provision of effective, caring and well-led services.

The full comprehensive report on the November 2017 inspection can be found by selecting the ‘all reports’ link for Wye Valley Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 21 March 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection in November 2017.

This report covers our findings in relation to those requirements and improvements made since our last inspection.

We found the practice had made improvements since our last inspection. At our inspection on the 21 March 2018 we found the practice was meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well-led services. Overall the practice is now rated as good.

All six population groups have also been re-rated following these improvements and are also rated as good.

Our key findings were as follows:

• Systems had been implemented and embedded which ensured care and treatment was provided in a safe way to patients.

• The practice had established and was now operating safe and effective systems to assess, manage and mitigate the risks identified relating to patient safety, medicine safety and device alerts.

• The practice had continued to review the existing arrangements with regards to the number of patients attending the cervical screening programme. Part of the review included an analysis of potential barriers preventing patients attending the screening programme. We also saw the review led to a five point action plan to increase uptake rates. We were presented data during the March 2018 inspection which indicated the plan had been effective and uptake rates had increased.

• The practice engaged with patients and monitored the outcomes of patient feedback including patient surveys and took appropriate action to further improve the patient experience. Feedback received during the inspection indicated improving levels of patient satisfaction, specifically regarding access.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 6 April 2018

The practice had resolved the concerns for safety and responsiveness identified at our inspection in November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 6 April 2018

The practice had resolved the concerns for safety and responsiveness identified at our inspection in November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 6 April 2018

The practice had resolved the concerns for safety and responsiveness identified at our inspection in November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 6 April 2018

The practice had resolved the concerns for safety and responsiveness identified at our inspection in November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 6 April 2018

The practice had resolved the concerns for safety and responsiveness identified at our inspection in November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 6 April 2018

The practice had resolved the concerns for safety and responsiveness identified at our inspection in November 2017 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.