King Street Health Centre

Updated 4 August 2022

King Street Health Centre is a nurse-led walk-in service that is situated at 47 King Street Wakefield WF1 2SN, in the centre of the town. The centre is operated by Local Care Direct Limited, a social enterprise which delivers a range of health services including out of hours and some NHS 111 services across West Yorkshire and parts of North Yorkshire. Local Care Direct Limited operates from Sheridan Teal House, Longbow Close, Pennine Business Park, Bradley, Huddersfield HD2 1GQ.

The King Street Health Centre building is accessible to those with a physical disability and is served by a staircase and passenger lift. Access into the building is gained via a door intercom.

Being located in the centre of Wakefield there is no on-site parking, although there are public car parks nearby.

The service is commissioned by NHS Wakefield Clinical Commissioning Group (CCG).

The walk-in centre is open from 10am to 10pm 365 days of the year. As a nurse-led walk-in centre most members of the general public can attend the service to receive services in relation to:

• Minor illness
• Minor injury
• Dressings
• Emergency contraception

There are agreed exceptions, and these include:

• Babies under the age of six months
• Pregnant women presenting with a pregnancy related problem
• Repeat prescriptions
• Head injuries in Children under 2 years and in adults over 65 years old

Patients who attend the service during weekdays are assessed and prioritised for treatment and when necessary are supported to access other services such as accident and emergency, or appointments with other GP service providers.

The centre’s clinical staff team consists of one clinical lead, six advanced nurse practitioners, two trainee advanced care/clinical practitioners, and a clinical support worker. The clinical team is supported by GP educators/trainers, a management team, and a reception and administration team.

The centre works closely with other local services including the extended access provider, and the local hospital trust.

King Street Health Centre is registered with the Care Quality Commission to deliver services in relation to:

• Diagnostic and screening procedures
• Treatment of disease, disorder or injury.

Updated 4 August 2022

We carried out an announced focused inspection at King Street Health Centre on 31 January 2019 as part of our inspection programme.

At the last inspection in June 2018 we rated the practice as good overall, with a rating of requires improvement for providing safe services. The full comprehensive report regarding the June 2018 inspection can be found by selecting the ‘all reports’ link for King Street Health Centre on our website at www.cqc.org.uk.

The practice was rated as requires improvement for providing safe services because:

• The provider was not able to give full assurance that all Patient Group Directions and updates had been fully authorised.
• The provider had not checked or recorded the immunity status of applicable staff with regard to measles, mumps and rubella, and chickenpox.
• There was only limited assurance regarding the system for checking emergency medicines and equipment.
• All relevant staff were not aware of the symptoms of sepsis.

In addition to the areas for improvement identified under the key question of providing safe services, at the inspection in June 2018 we also said the practice should consider improving the following area:

• Review and improve communication activities with staff.

At this inspection, we found that the provider had satisfactorily addressed these areas.

Our judgement of the quality of care at this service is based on a combination of what we found when we inspected, information from our ongoing monitoring of data about services and information from the provider and other organisations.

Overall the practice is now rated as good overall, with the practice rated as good for providing safe services.

Our key findings were as follows:

• The provider had adopted practices and processes which ensured Patient Group Directions had been fully authorised, and that staff were fully competent to deliver vaccinations and immunisations.
• The provider had made, or was in the process of making, the necessary checks to assure themselves of the immunity status of all relevant staff members. This included status checks in relation the measles, mumps and rubella, and chickenpox.
• We saw that the provider had developed and implemented processes for the checking of emergency medicines and equipment.
• Staff had introduced processes and procedures, and raised staff awareness, to enable them to identify and manage patients with severe infections including sepsis.
• The provider had improved communication with staff members. We saw for example, that staff bulletins were circulated and there were mechanisms in place for staff to cascade feedback to managers.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 19 August 2016

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

• Staff had lead roles in chronic disease management, which included diabetes, chronic obstructive pulmonary disease (COPD) and asthma, and patients at risk of hospital admission were identified as a priority.

• Longer appointments and home visits were available when needed.

• 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 multidisciplinary packages of care.

• The practice offered 24 hour blood pressure monitoring and in-house spirometry.