Rastrick Health Centre

Updated 17 May 2016

Rastrick Health Centre is situated in Brighouse, Calderdale HD6 3NA. There are currently 4,652 patients on the practice list. The majority (95%) of the patients are of white British origin. The practice provides General Medical Services (GMS) under a contract with NHS England. They offer a range of enhanced services such as minor surgery and early diagnosis and support for people with dementia.

The practice has three GP partners, two of whom are male and one female. There is one female advanced nurse practitioner (ANP), a female practice nurse and two female health care assistants. The clinical team is supported by a practice manager and a range of administrative, secretarial and reception staff.

The practice catchment area is classed as being within the fifth less deprived decile of practice populations in England.

The practice profile shows a significantly higher than average proportion of patients between the ages of 45 and 79 years. The practice had identified 25% of their patients as being aged 65 or older.

The practice is open between 8.30am and 6.30pm Monday to Friday. The practice does not offer extended opening hours.

Weekly clinics are held which include asthma, diabetes, healthy heart and c child immunisation clinics.

Out of hours care is provided by Local Care Direct which is accessed by calling the surgery telephone number or by calling NHS 111 service.

Updated 17 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Rastrick Health Centre on 5 April 2016. Overall the practice is rated as good.

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

• We saw evidence of an open and transparent approach to safety and an effective system was in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they felt respected by the practice staff, that they were treated with compassion, dignity and respect. They told us they felt involved in their care and decisions about their treatment.
• Clear guidance about how to complain was displayed in the practice and on the website. Services provided by the practice were clearly displayed in the practice leaflet and on the website.
• Patients said they usually found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice was clean and well maintained. Facilities provided were appropriate to meet the needs of their patients.
• Staff described a clear leadership structure and told us they felt supported by management and the GP partners.
• The practice had a recently established Patient Reference Group (PRG) and were working closely with patients to respond to patient feedback.
• The provider was aware of and complied with the requirements of the Duty of Candour.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 17 May 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. Patients who had been identified as having a long term condition were offered structured annual health and medication reviews.

• Patients who had been identified at risk of unplanned admission to hospital were provided with a dedicated telephone number to allow them to access the practice more easily for advice or for a priority appointment.

• 84% of patients with diabetes, on the register had a cholesterol recording which was within normal limits completed in the preceding 12 months, compared to 81% nationally.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP. 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.

• The practice provided a level three diabetes service. This enabled staff to manage stable insulin dependent patients within the primary care setting.Access to podiatry services was available at the same time as diabetic clinic appointments.

Updated 17 May 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 accident and emergency ( A&E) attendances.

• Immunisation rates were relatively high for all standard childhood immunisations.

• Health visitors were co-located in the practice building. A weekly baby clinic was held on site. GPs and practice staff described good working relationships and clear lines of communication with health visitors to discuss families with additional needs.

• 83% of patients with asthma, on the register had completed an asthma review in the preceding 12 months compared to 75% nationally.

• Practice staff told us that children and young people were treated in an age-appropriate way and were recognised as individuals.

• Appointments were available outside of school hours and the premises were suitable for children and babies. Baby changing and breast feeding facilities were available.

• Midwifery services were located a short distance away from the practice. Staff described how liaison occurred when necessary to support pregnant women, new mothers and their families

Updated 17 May 2016

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

• The practice had identified 25% of their practice population as being in the over 65 year age group. They offered proactive, personalised care to meet the needs of these people.

• The practice offered home visits for housebound or very sick patients.

• Those patients who had been identified as at risk of unplanned admission to hospital had access to a dedicated telephone line which provided priority access to GP advice or appointments.

• The practice provided medical support for five local nursing homes and one warden controlled facility.Before the inspection we sought feedback from one local nursing home and were told that the standard of care provided by the practice was very good.

• The practice provided data which showed that 75% of eligible patients had received the over 75 health check in the preceding nine months.

Updated 17 May 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 offered online access to make and cancel appointments, and for repeat medication requests. The practice provided data which showed that 15% of their patients had registered for this service. Text reminders were sent to advise of appointment times or changes to appointment details.

• University students returning home during holidays were able to register as temporary patients to receive care and treatment from the practice.

• 84% of eligible women had a cervical screening test completed in the preceding five years compared to 82% nationally.

• The practice provided data which showed that 61% of eligible patients had received an NHS 40 to 74 year check in the preceding year, which is the same as the CCG average.

Updated 17 May 2016

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

• 91% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the preceding 12 months, which is better than the national average of 84%
• 100% of patients with schizophrenia or other psychoses had their alcohol consumption recorded in the preceding 12 months compared to the national average of 90%.

• The practice routinely worked with multidisciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

• The practice carried out advance care planning for patients with dementia.

• The practice gave patients experiencing poor mental health information about how to access various support groups and voluntary organisations.

• The practice hosted a counselling service provided by local mental health services which was available to patients other than those registered with the practice.

• All accident and emergency attendances were reviewed on a daily basis. Where patients who may have been experiencing poor mental health had attended these were followed up by the practice.

• Staff had a good understanding of how to support patients with mental health needs and dementia. Dementia screening tools were used to help identify patients at risk of developing dementia

Updated 17 May 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 and those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice routinely worked with multidisciplinary teams in the case management of vulnerable people.

• The practice informed vulnerable patients how to access various support groups and voluntary organisations, such as Calderdale Carers’ Project.

• The practice had identified less than 1% of their patients as carers.

• 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.