Archived: Westbourne Surgery

Updated 17 May 2017

Westbourne Surgery, St James Road, Marsh, Huddersfield, HD1 4QR, provides services for 3,746 patients in the area of Marsh on the outskirts of Huddersfield.

Westbourne Surgery is situated within the Greater Huddersfield Clinical Commissioning group (CCG) and provides primary medical services under the terms of a general medical services (GMS) contract. This is a contract between general practices and NHS England for delivering services to the local community.

The practice population experiences average levels of deprivation and the age profile is similar to other GP providers in the area.

There are two GPs at the practice; one male and one female. The practice is undergoing a period of transition within the partnership. We have advised the provider to make the appropriate applications to reflect these changes to us without delay.

The practice has a practice nurse who works 21 hours a week and the clinical team is supported by a practice manager and a team of administrative staff.

The practice is open between 8am and 6pm Monday and Friday, 7.30am to 6pm on Tuesday, 8am to 12.30pm on Wednesday and 7am to 6pm on Thursday. Appointments are available throughout the day with extended hours available from 7am on Thursday for patients that find it difficult to access the surgery during the usual working day. The practice is closed on a Wednesday afternoon and patients are directed to the out-of-hours service. This service is provided by an external contractor, Local Care Direct. Patients are also advised of the NHS 111 service.

Updated 17 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Westbourne Surgery on 19 August 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected 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.
• Some risks to patients were assessed and managed, with the exception of those relating to legionella, infection prevention and control and fire safety assessments.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles, with the exception of infection prevention and control training. Further training needs had been identified and planned.

• 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.
• Patients said 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.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider must:

• Ensure a Legionella risk assessment is completed and action plan implemented in accord with the findings.
• Ensure an infection prevention and control audit is completed and action plan implemented in accordance with the findings.
• Ensure a fire assessment of the premises is completed and action plan implemented in accordance with the findings.

In addition the provider should:

• Risk assess and review the absence of oxygen and a defibrillator on the premises to ensure the safety and welfare of patients.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 8 October 2015

The practice is rated as good for the care of people with long-term conditions. Nursing staff had lead roles in chronic disease 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 medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 8 October 2015

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 accident and emergency attendances. Immunisation rates were relatively high for all standard childhood immunisations. Patients told us 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 good examples of joint working with midwives, health visitors and school nurses.

Updated 8 October 2015

The practice is rated as good for the care of older people. Nationally reported data showed outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, in dementia and end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.

Updated 8 October 2015

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 as well as a full range of health promotion and screening reflects the needs for this age group.

Updated 8 October 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). All of people known to be experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advance care planning for patients with dementia.

The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations. It 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 received training on how to care for people with mental health needs and dementia.

Updated 8 October 2015

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 homeless people and those with a learning disability. It had carried out annual health checks for 95% of people with a learning disability and offered longer appointments to them.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It had told patients whose circumstances may make them vulnerable how to access various support groups and voluntary organisations. Staff knew how to recognise signs of abuse in children and vulnerable adults. . 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.