Dr Aamer Khan Also known as The Lister Surgery

Updated 28 September 2016

Dr Aamer Khan is also known as The Lister Surgery and is located in Westbourne Green Community Health Centre, 50 Heaton Road, Bradford, West Yorkshire, BD8 8RA, and provides services for 2,711 patients.

The surgery is situated within the Bradford City Clinical Commissioning group and is registered with Care Quality Commission (CQC) to provide primary medical services under the terms of a personal medical services (PMS) contract. This is a contract between general practices and NHS England for delivering services to the local community.

There is a higher than average number of patients under the age of 34, in common with the characteristics of the Bradford City area. There are fewer patients aged over 35 than the national average. The practice provides services for a predominantly Asian population and has identified a growing number of patients who are from an Eastern European background.

Dr Aamer Khan works in close collaboration with two other GP practices in the local area. These practices have formed a group called the BD8 Group of surgeries and work closely together, BD8 refers to the practice postcode. The group employ and utilise staffing flexibly, hold joint clinical, staff and PPG meetings.

The registered provider at the practice is Dr Aamer Khan. Dr Khan is supported by a salaried GP (female) and a long term locum GP (male). The practice also has an advanced nurse practitioner, a practice nurse and a health care assistant.

The clinical team is supported by a practice manager and a team of administrative staff. The practice also benefits from the services of a pharmacist and a data quality lead which they share with the BD8 group of practices.

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. People living in more deprived areas tend to have a greater need for health services.

Dr Aamer Khan is situated within a purpose built building with car parking available. It has disabled access and facilities.

The reception is open from 8.00am until 6.30pm on Monday, Wednesday, Thursday and Friday, and from 8am until 8pm on a Tuesday. Appointments are available between the hours of 8.30am and 1pm and 2.30pm until 5.30pm on Monday, Wednesday, Thursday and Friday, and between the hours of 8.30am and 1pm and 2.30pm and 7.30pm on Tuesdays.

When the practice is closed out-of-hours services are provided by Local Care Direct, which can be accessed via the surgery telephone number or by calling the NHS 111 service.

Updated 28 September 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Aamer Khan, also known as The Lister Surgery, on 2 August 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Risks to patients were assessed and well managed.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• 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.
• The provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

• The practice had undertaken work to ensure cervical smear targets had been met. This included providing information sheets in a number of languages and offering appointments with the practice nurse prior to the procedure being carried out, to explain the procedure and the risks associated with not attending an appointment. As a result, cervical smear uptake was recorded at 93%.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 28 September 2016

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. Nursing staff were encouraged to develop competencies and skills to lead in the management of long term conditions.
• The practice offered a level two diabetes clinic where patients could be commenced on insulin therapy without having to attend the hospital.
• The practice offered flexible nurse appointments for complex patients.
• Outcomes for diabetes related indicators were comparable to other practices. For example the percentage of patients on the register who had a flu immunisation in the preceding 12 months was 98% compared to the CCG average of 96% and the national average of 94%.
• All these 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 a multidisciplinary package of care.

Updated 28 September 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. Vulnerable children, young people and vulnerable family groups were discussed and reviewed in a multidisciplinary meeting every month.
• Immunisation rates were higher than the CCG average 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 percentage of women who had undergone a cervical screening test was 93% which was higher than the CCG average of 76% and the national average of 82%.
• We saw positive examples of joint working with midwives, health visitors and school nurses. The practice offered joint eight week baby checks where mothers and babies could be seen at the same time.
• The practice participated in regular screening for Cardiovascular Disease, Diabetes and Hepatitis C.

Updated 28 September 2016

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

• The practice offered proactive, personalised care to meet the needs of the older people in its population.
• The practice was responsive to the needs of older people, and urgent appointments for those with enhanced needs.
• All patients had access to a named GP.
• The practice offered home visits for older people and this included GP appointments and phlebotomy. Flu vaccinations were offered to older patients in their own homes by the practice nurse.
• Medication reviews were carried out every six months and these could be conducted at the patients home.

Updated 28 September 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.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.
• Telephone consultations were available for patients who could not attend the surgery.
• The practice offered an extended hours clinic until 8pm on a Tuesday. Patients could also access a GP at the two other BD8 group surgeries until 7.30pm on a Monday and Wednesday.

Updated 28 September 2016

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

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• The practice 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.
• The practice 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 patients with mental health needs and dementia.
• 100% of patients with schizophrenia, bipolar affective disorder and other psychoses had a record of alcohol consumption in the preceding 12 months, which was better than the CCG average of 95% and national average of 86%.
• 100% of women aged 25 or over (and who had not attained the age of 65) with schizophrenia, bipolar affective disorder and other psychoses had a record that a cervical screening test had been performed in the preceding 5 years (CCG average 91% and national average 89%).

Updated 28 September 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 homeless people, travellers and those with a learning disability.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice informed 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.