Updated 16 October 2018
Hillside Bridge Surgery provides services for 5,307 patients. The surgery is situated within the NHS Bradford City Clinical Commissioning Group and is registered with Care Quality Commission (CQC) to provide primary medical services under the terms of an alternative provider of medical services (APMS) contract. This is a time limited contract between general practices and NHS Bradford City CCG for the delivery of services to the local community.
The provider is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures, treatment of disease, disorder or injury and maternity, surgical procedures, family planning and midwifery services.
There is a higher than average number of patients under the age of 39, in common with the characteristics of the Bradford City area. There are fewer patients aged over 45 than the national average. The National General Practice Profile states that 54% of the practice population is from an Asian background with a further 12% of the population originating from black, mixed or non-white ethnic groups.
The registered provider at the practice is Dr Poonam Jha who provides one clinical session per week at the practice. Additional clinical sessions at the practice are covered by one male salaried GP and four long term locum GPs, one of whom is female. There are two, part time self-employed female advanced nurse practitioners and a part time practice nurse. Two health care assistants (one male, one female) support the nursing team and there is a practice pharmacist who provides one session per week.
The clinical team is supported by a part time practice manager, a part time office manager and a team of administrative staff.
The characteristics of the staff team are reflective of the population it serves and they are able to converse in several languages including those widely used by the patients, Urdu, Punjabi, English and a number of Eastern European languages.
The practice catchment area is classed as being within one of the most deprived areas in England. Information published by Public Health England, rates the level of deprivation within the practice population group as one, on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. People living in more deprived areas tend to have a greater need for health services. Male life expectancy is 74 years compared to the national average of 79 years. Female life expectancy is 80 years compared to the national average of 83 years.
Hillside Bridge Surgery is situated within a purpose-built health centre with car parking available. It has disabled persons’ access and facilities and there is a pharmacy on site.
The reception is open from 8.00am until 6.30pm four days per week and on a Wednesday from 8.00am until 8pm when an extended hours clinic is offered. An additional 50 appointments per month are also available to patients as part of a GP alliance initiative. Patients can attend at three sites across the Clinical Commissioning Group area.
When the surgery is closed patients are advised of the NHS 111 service for non –urgent medical advice.
On the day of inspection, we did not see that the provider was displaying their ratings on the practice website. We asked the practice to immediately review this.
Following a comprehensive inspection on 3 July 2018 the practice was rated as inadequate overall. The practice was in breach of Regulation 12: Safe Care and Treatment and Regulation 17: Good Governance of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014.
Warning notices were issued to the practice on 24 July 2018. The practice was required to be compliant with the concerns documented in the warning notice in relation to Regulation 12 by 1 September 2018.
This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements in relation to Regulation 12.
Compliance in relation to the Regulation 17 warning notice which was issued on 24 July 2018 will be assessed at a further inspection.