Mickleover Surgery

Updated 24 December 2019

Mickleover Surgery is a practice providing primary medical services to around 6,500 patients from 10 Cavendish Way, Mickleover, Derby, DE3 9BJ.

The practice had a General Medical Services (GMS) contract with NHS England. This is a contract for the practice to deliver primary care services to the local community.

The staff at the practice included two female GP partners, one part time salaried doctors, one advanced clinical practitioner, three practice nurses, a practice manager and a team of administration and reception staff.

The practice is located in a location which is considered one of the least deprived areas of England with deprivation levels of 9% compared to the England average of 19%. The practice population is made up of 86% white British, 1.9% mixed race, 9.5% Asian, 1.6% black and 1% other. The practice age profile shows the practice have slightly higher numbers of patients aged 65+ with around 20.1% of patients being over 65 years old compared to the 17.3% national average.

The practice is located within the area covered by Derby and Derbyshire Clinical Commissioning Group (CCG). The CCG is responsible for commissioning services from the practice. A CCG is an organisation that brings together local GPs and experienced health professionals to take on commissioning responsibilities for local health services.

The practice was open between 8am and 6.30pm Tuesday to Friday and open 8am until 7.50pm on Mondays. Patients could access extended access appointments at other local practices from 6.30pm to 8pm on Monday to Friday, and Saturday and Sundays from 8am to 12pm.

When the practice is closed patients are asked to contact 111 to access out-of-hours care.

Updated 24 December 2019

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Mickleover Surgery on 17 November 2015. The overall rating for the practice was good . Following the inspection t he practice sent us an action plan to address a requirement that the provider was not meeting.

The inspection report dated 17 November 2015 can be found by selecting the ‘all reports’ link for Mickleover Surgery on our website at www.cqc.org.uk. 

We carried out a follow up focused inspection of Mickleover Surgery on 27 January 2017, to check that the practice had completed their plan to meet the legal requirement we identified at our last inspection. This report covers our findings in relation to the requirement and improvements made.

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

• The practice had completed their action plan and was now meeting the  legal requirement . ​
• ​ Effective governance systems were in place to assess, oversee and improve the quality and safety of the services provided.
• The systems for identifying, recording and learning from  safety incidents and significant events had been strengthened, to ensure  appropriate improvements had taken place .​
• The clinical audit programme had been further developed to support ongoing quality improvement and effective care, through completed audit cycles. The practice had implemented an annual audit programme, which included re-audit dates and when these had been completed.
• The practice had adopted a more proactive approach in planning, recording and monitoring staff training. A clear annual training plan had been implemented, which provided an up to date record and overview of training that all staff had completed, or were due to attend. 
• Opportunities for all staff to meet as a full team to attend essential training, aid communication, and share learning had increased. Full team training events and meetings were scheduled to take place four times each year.
• To support protected learning time and enable all staff to attend full team events, the Clinical Commissioning Group were funding the future cost of Derbyshire Health United provider covering the practice whilst it closed . The practice previously funded this.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 28 January 2016

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

• Nursing staff had lead roles in chronic disease management and completing patient reviews, having received appropriate training.

• The practice offered proactive care. All patients had a named GP and received structured reviews, which included education and strategies to enable them to self-manage their condition and improve their health.

• Patients with long term conditions and other needs were reviewed at a single appointment where possible, rather than having to attend various reviews.

• Longer appointments and home visits were available when needed.

• Patients were sign posted to appropriate support groups.

Updated 28 January 2016

The practice is rated as good for the care of families, children and young people.

• Priority was given to appointment requests for babies and young children; they were seen the same day if unwell.

• Appointments were available outside of school and college hours and the premises were suitable for children and young people.

• Systems were in place to identify and follow up children , for example children and young people who had a high number of A&E attendances.

• The practice provided maternity care and family planning services. We saw good examples of joint working with midwives and health visitors.

• Childhood immunisation rates were mostly above or similar

• The practice also provided advice and screening on sexual health for teenagers.

Updated 28 January 2016

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

• The practice offered proactive, personalised care to meet older people’s needs.

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

• Patients over 75 years were invited to attend an annual health check, and had a named GP to provide continuity of care and ensure their needs were being met.

• The practice was mostly performing above or similar to local and national averages in respect of the management of clinical conditions commonly affecting older people. For example; the practice performance in relation to osteoporosis was 100%, which was 6.5% percentage points above the CCG average and 18.6% points above the national average.

• The 2014-2015 flu vaccination rates for the over 65s were 73.8%. Data was not available to compare this to local and national averages.

Updated 28 January 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 and flexible.

• Extended hours surgeries were available on Saturday mornings. Patients also had access to ‘choose and book’ when referred to secondary services, which provided flexibility over when and where their appointment took place.

• Patients were able to book appointments in person, by telephone or on line. They also had access to telephone consultations.

• 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. This included health checks to patients aged 40 to 74 years, which included essential checks and screening for certain conditions.

Updated 28 January 2016

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

• The practice held a register of patients experiencing poor mental health (including people with dementia). Patients were invited to attend an annual health check.

• Patients were offered extended or same day appointments, where needed.

• The practice worked closely with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia, to ensure their needs were being met.

• Patients had access to counselling and psychological therapies.

• Staff had a good understanding of how to support people with mental health needs and dementia.

• The practice screened appropriate patients for dementia, to support early referral and diagnosis where dementia was indicated. All staff had or were due to attend dementia awareness training to assist them to identify early possible symptoms.

Updated 28 January 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.

• It offered longer appointments or home visits where needed.

• Patients with a learning disability were invited to attend an annual health check.

• The practice worked closely with multi-disciplinary teams in the case management of vulnerable people, and to safeguard children and adults from abuse.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. They were aware of their responsibilities to share information, record  safeguarding concerns and how to contact relevant agencies.

• Sign language, a hearing loop and email appointments were available to people with hearing difficulties.