Hill View Surgery

Updated 16 September 2016

Hill View Surgery provides primary medical services to 2,955 patients living in Rainworth and the surrounding areas. The practice is located in Rainworth. 

Hill View Surgery is run by a partnership of two GPs and the practice manager. The practice hold a General Medical Service contract with NHS England to deliver primary medical services.

The clinical team includes two GP partners, two part time nurses and a phlebotomist. The clinical team is supported by a full time practice manager and six administrative staff.

The practice is open from 8am to 6.30pm on Monday to Friday. Daily appointment times vary, although the morning appointments are generally available from 8am to 9.30am. Afternoon appointments are generally available until 6pm. Extended hours appointments are available on a Thursday evening until 8pm.

The practice has opted out of providing out-of-hours services to its patients. This service is provided by Central Nottinghamshire Clinical Services.

Updated 16 September 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Hill View Surgery on 24 November 2015. A breach of legal requirements was found, in that not all risks relating to infection control, significant events and medicines were effectively managed. Also, the practice had not undertaken an appropriate check with the Disclosure and Barring Service, prior to a clinical member of staff starting work.

Overall the practice was rated as good; in view of the above the practice was rated as requires improvement for providing safe services.

After the comprehensive inspection, the practice wrote to us to say what action they had, and were taking to meet the legal requirements in relation to the breach.

We undertook a desk based review on 17 August 2016 to check that the provider had completed the required actions, and now met the legal requirements. This report only covers our findings in relation to those requirements. We did not visit the practice as part of this review. 

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Hill View Surgery on our website at www.cqc.org.uk.

This review found that the provider had taken appropriate action to meet the legal requirements.

• The practice was rated as good for providing safe services.
• The systems to assess and manage risks relating to infection control, significant events and medicines had been strengthened to ensure the services are safe. 
• The Disclosure and Barring Service (DBS) and chaperone policy had been reviewed, to ensure the practice obtained appropriate checks for all staff. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 18 February 2016

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

• Clinical staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Care plans were in place for the patients identified as being at risk of admission.

• The practice demonstrated that improvements had been made in respect of its management of diabetes. For example, the practice had already exceeded its performance for diabetes related indicators with over three months until the end of the reporting year.

• 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 people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 18 February 2016

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 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.

• The practice’s uptake for the cervical screening programme was 86.7% which was comparable to the CCG and national average.

• Appointments were available outside of school hours and the premises were suitable for children and babies. Urgent appointments were always available on the day.

• We saw good examples of joint working with midwives and health visitors.

• A female GP provided a service to fit coils and contraceptive implants.

• A monthly baby clinic was run from the practice where a GP, practice nurse and a member of the health visiting team was available.

Updated 18 February 2016

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

• The practice offered proactive, personalised care to meet the needs of older people in its population.

• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• The practice worked effectively with the multi-disciplinary teams to identify patients at risk of admission to hospital and to ensure their needs were met. The percentage of people aged 65 or over who received a seasonal flu vaccination was 72.1% which was in line with the national average of 73.2%.

Updated 18 February 2016

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. This included access to telephone appointments.

• The practice offered extended hours appointments one evening per week to meet the needs of this population group.

• The practice was proactive in offering online services and all GP appointments were offered through the online booking system

• Health promotion and screening was provided that reflected the needs for this age group.

Updated 18 February 2016

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

• 82.5% of patients with a mental health condition had a comprehensive care plan documented in their records in the previous 12 months which was in line with the CCG average of 81%.

• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those 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 a good understanding of how to support people with mental health needs and dementia.

Updated 18 February 2016

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 records indicated they had 13 patients on the learning disability register and all of these patients had received an annual review.

• They offered longer appointments for people with a learning disability in addition to offering other reasonable adjustments.

• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.

• The practice told 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.