Annual Practice Report – Bramham Medical Centre, March 2014
Overview of the last 12 months and the year to come
The year started in the ‘new dawn’ of Clinical Commissioning Groups and
GP’s beginning to have more control in the commissioning of primary care
services. Bramham has joined the Leeds North Clinical Commissioning
Group. We have taken a strong stand to represent the interests of the
patients at the surgery and to make sure that the geographical area is not
overlooked when services are designed. Patients who want to know more
about our local commissioning group should look on their website at
www.leedsnorthccg.nhs.uk.
The surgery achieved CQC registration for the start of the April 2013. We
have yet to have an inspection but will keep patients fully informed as to
the attendance of inspectors and the outcome of any visit. Patients will
form an important part of the inspection process so anyone may be asked to
come and chat with inspectors when they visit.
The surgery underwent probably its biggest change when Dr John Nicholls
retired at the end of December 2013. Dr Nicholls had been the heart & soul
of the practice for many years and certainly left big boots to fill. Dr
Lovisetto and his partners at South Milford Surgery have invested in the
surgery to ensure its future. From a practising GP view, Dr Lovisetto, Dr
Lessells & Dr Pepper continue to practice as before and were joined in
December by Dr Brian McGregor, a highly experienced GP who is a great
asset to the team at Bramham. Whilst transition is always challenging and
some changes have to be made to accommodate differing requirements we
are working hard to ensure that all the patients at Bramham get a service
that delivers their care in a timely and efficient way. Clearly this is an ongoing process and we will continue to try and drive improvement.
Overall it has again been a challenging year of transition across the whole
NHS but the practice has been able to absorb these changes and to maintain
our service to patients with special regard to unique offering we are able to
make.
Patients
Our patient list size has stayed fairly stable through out the year and
finished at 3679.
There are 4 GP’s at the practice working a differing number of sessions
equating to 2.125 Full Time Equivalent (FTE) GP’s. This means there are
1,731 patients per FTE GP.
The patient distribution is as follows;
Age
range
0-9
Male
Count
196
% of
total
10.38%
Age
range
0-9
Female
Count
153
% of
total
8.55%
10-19
20-29
30-39
40-49
50-59
60-69
70-79
80+
206
178
179
318
286
271
181
74
1889
51.35%
10.91%
9.42%
9.48%
16.83%
15.14%
14.35%
9.58%
3.92%
Age
range
0-9
10-19
20-29
30-39
40-49
50-59
60-69
70-79
80+
Total
Count
349
358
343
390
588
568
547
350
186
3679
% of
total
9.49%
9.73%
9.32%
10.60%
15.98%
15.44%
14.87%
9.51%
5.06%
10-19
20-29
30-39
40-49
50-59
60-69
70-79
80+
152
165
211
270
282
276
169
112
1790
48.65%
8.49%
9.22%
11.79%
15.08%
15.75%
15.42%
9.44%
6.26%
Of the patient list we have 76 patients who are coded as being or having
been a carer of others. This equates to 2.06%.
Patient Participation
As the surgery had started the group the previous year we had had a good
response from patients to join and offer feedback and ideas but it had been
more difficult to find times for meetings that people could attend. In order
to try and allow as many patients as possible to participate we decided to
try the ‘virtual’ approach to the group to try and encourage more people to
offer their feedback, ideas and other information to help improve services
at the surgery. We advertised for new members. This was done by the
following means;
Advertising in surgery
Advertising on practice website
Recruiting at practice events such as talks or CPR training
Asking staff to refer people who had made enquiries about the surgery or
raised issues
Advertising on community boards
Asking staff to promote the group to patients
Currently the group is made up as follows;
5%
30-39
15%
20%
40%
20%
40-49
50-59
60-69
70-79
80+
And
Female 57% Male 43%
The group is continuing to target members particularly at the younger and
male patient range.
Current Surgery Opening Times (telephone 01937 845854)
Monday
Tuesday – Friday
8.30am to 8.30pm
8.30am to 6.00pm
OUT OF HOURS EMERGENCIES
You can ring NHS 111 for out of hours help. This call is free and they will
direct you to the most appropriate care. Between 8am & 8.30am and 6pm
and 6.30pm please call 0345 6059999 for out of hours GP.
PATIENT PARTICIPATION
The patient group discussed the areas for survey during September and
October. It was clear from all that the key issue to all and to the surgery
was to understand where the surgery was with regards to access. This was
access for appointments, by telephone and online. It was agreed that the
survey would focus on these areas
These areas were;
Access to appointments with GP’s & nurses
Access to the surgery by telephone
Access to the surgery via online system
The survey was designed to look at these points in detail and the survey
questions were approved by the patient group before being issued. The
survey took place throughout December 2013. We picked a high demand
month in order to fully understand how the surgery was performing during
its busiest times. The survey was done in a number of ways. It was available
on line via a link on the practice website and was also put in all surgeries.
Staff also encouraged other patients to complete the forms as they waited
to be seen or after their appointments.
The results of the survey were put together in January and given to the
patient group for feedback and published on the website for all patients to
read. The patient group gave their opinions and we agreed the areas of
priority and the actions were discussed. The survey showed that there were
some areas of access for the surgery to work on
The action plan formulated by the practice and approved by the patient
group by email in February 2014 to tackle these issues was as follows;
Area for
improvement
Promotion of
the Extended
hours surgery
session times
Speed of
telephone
answering
Promotion of
the online
system for
booking
appointments
and ordering
repeat
medication
Reason for Action
Details of the plans
to
The survey highlighted that
 Advertise
most patients were not
times in the
aware of our late evening
surgery
session but most also said
 Highlight on
they would use that time
the surgery
website

Add to other
Aware of
surgery
hours
Yes
No
information
such as recall
42.25% 57.75%
letters,
scripts etc as
possible
Patients were having to ring
 Addition of
an unacceptable number of
extra admin
times to get through and
staff to assist
ring for a high number of
with calls
minutes
 Promotion of
online to
Three
reduce calls
Once
Twice
or more
 Set times for
29.41% 20.59% 50.00%
repeat
medication
more
ordering
Under 2
2-5
than 5
 Investigate
mins
mins
mins
alternative
phone system
58.21% 31.34% 10.45%
as current one
is old and
possible
digital lines
As the online booking and
 Advertise the
repeat ordering system is
service in the
still relatively new not too
surgery
many patients were aware
 Highlight on
of it. If we can promote
the surgery
and get more people using
website
it, it is convenient for
 Add to other
patient and helps reduce
surgery
Timeframe &
Responsibility
On –Going
On – Going
By June 2014
On -Going
calls to surgery
Aware you
can book
online/order
repeats
Yes
39.13%
No
60.87%
information
such as recall
letters,
scripts etc as
possible
confident in
explaining
surgery
processes
 Add to repeat
medication
bags
These actions have then been started during February & March
The surgery will review with the existing group to see how they would best
like to proceed for the coming year. We will update the group on our
progress against the agreed actions.
Stephanie Drury
March 2014