Our work with Cancer Research UK

 

The practice was introduced to Cancer Research UK by the commissioning group.  This was an city wide initiative to look at ways of using data from patient referrals, symptoms leading to a referral and diagnosis to find trends/patterns which would help us help our patients in future.

A CRUK practitioner came to see us in the practice to talk about our figures on referrals and diagnosis and how we could monitor this.

The practice decided to delve deeper and really take this to another level by looking at our templates (how we record the information in your consultation) and safety netting (sending reminders to those that fail to attend their screening ‘Breast/Bowel and Cervical Screening’) and following this up with calls from our clinicians.

Adding short cuts to the templates for staff to view the CRUK symptom checker if the staff feel the patient may have symptoms that are suggestive of a cancer.

In our second year we have found that Upper and Lower GI referrals (Stomach and Bowel) and symptoms are almost as high as Breast (women) and Urology (men).  We have sat together as a team and will really focus on stomach health / diet / healthy bowel and will really push this when you come to see your nurse for your check up or your doctor.

We are not here to nag or bully you and we certainly want you to enjoy food but the facts are that stomach and bowel cancers are on the rise and we feel strongly about sharing this information with you for that purpose.

CRUK were impressed with the extra work we did and invited us along to their road show and asked us to share the work we had done with Consultants/Surgeons/GPs/Specialist Nurses from the region.  You can view the video here.

Cancer symptom information can be found here.

If you have any concerning symptoms please make an appointment with your GP as soon as possible.

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Boundary Change Application

Hylton Medical Group provides healthcare for around 5,200 patients, within the SR1 – SR7 postcodes, though nine out of ten registered patients live in SR1, 2, 3 and 4.

The practice also receives applications from other parts of Sunderland, and has a small number of registered patients from DH and NE postcodes.

The practice has been trying to recruit new GPs since 2015, and currently relies on two long-term locums. New housing developments are expected to increase the number of patients wanting to register over the coming year.

With these pressures in mind, doctors at the practice feel the best way to ensure high quality, safe and effective services in the future is to reduce the practice boundary. This will enable them to work more efficiently, concentrating on the SR1 to SR4 postcodes where most of their patients live.

What this will mean for patients

Over the coming months, the practice wishes to reduce its boundary to cover SR1, SR2, SR3 and SR4 only.

Patients living in SR7, or DH and NE postcodes will need to register with a new practice closer to home. This only affects 16 patients.

Registered patients in SR5 and SR6 can continue to use the practice while they remain in their current home. If they move to another home outside SR1-SR4 in the future, they would need to move to another practice at that point. There are 369 patients in this group.

The CCG is writing to all patients who are directly affected by this proposed change, providing practical information and contact details for Healthwatch. Posters are also on display at the practice, and information is on the practice and CCG websites.

 For more information, please contact Suzanne Watson, Locality Commissioning Manager on 07900 833 236 or suzanne.watson8@nhs.net.

Frequently Asked Questions

February 2018

Below are answers to some of the questions you may have about this change. If you have any other concerns, please let us know by emailing kellyhardy@nhs.net or calling the practice on 0191 565 8598.

Why do you need to make changes?

The practice has been trying to recruit new GPs since 2015, and currently relies on two long-term locums. The practice is currently receiving registrations from patients from all over Sunderland.

In addition, new housing developments will increase the number of patients wanting to register with the practice.

With these pressures in mind, doctors at the practice feel the best way to ensure high quality, safe and effective services in the future is to reduce the practice boundary. This will enable them to work more efficiently, concentrating on the SR1 to SR4 postcodes where nine out of ten registered patients live.

What does this mean for patients?

In future, the practice will only accept new patients from the SR1, SR2, SR3 and SR4 postcodes.

Registered patients living in SR7, or DH and NE postcodes will need to register with a new practice closer to home. This only affects 16 patients.

Registered patients in SR5 and SR6 can continue to use the practice while they remain in their current home. If they move to another home outside SR1-SR4 in the future, they would need to move to another practice at that point. There are 369 patients in this group.

When will the boundary change take place?

We expect this change to take place after April should the application be approved.

 If I move nearer to the practice but my house is still outside of the boundary, will I still need to find a new GP?

Unfortunately, yes although the practice is happy to consider any special circumstances.

My father, who is seriously ill, has moved out of the boundary to be nearer me. Will he have to leave the practice?

This would depend on where he has moved to. If his new home is outside Sunderland, it would not be safe for him to be registered with Hylton. Even within Sunderland, the travel time to some areas would be difficult for both the patient and the practice, especially if regular visits are needed. However, we would only request you find another GP if we felt that the distance could potentially be detrimental to his health.

We have just moved out of the practice area. Will I be able to order my repeat medication?

Yes. Once we are informed of your new address, we will continue to provide all your medical needs until either you have registered with your new GP or for 30 days – whichever is the soonest.

My son has moved back home from university and we live outside the boundary. Will he be able to join the practice?

Yes. As you have not moved house and your son is moving into the house, he can register at the practice.

How do I register with a new doctor?

You can find a new practice closer to where you live by searching on www.nhs.uk. If you do not use the internet, you can call us on 0191 565 8598 and we can help you find a GP practice closer to where you live.

What are you doing to attract more GPs to Sunderland?

NHS Sunderland Clinical Commissioning Group (CCG), which is responsible for planning and buying most healthcare services in the city, has a number of initiatives in place to attract more GPs to work in Sunderland.

10 newly qualified GPs have come to Sunderland through the Career Start programme, with another six being recruited soon. The scheme gives them experience over a two-year period within a GP surgery so they can build-up their skills. We hope at the end of the two-year scheme, they will decide to stay.

The CCG is also working with Sunderland University who are looking to set up a medical school. This would train GPs some of whom would decide to stay and work in the Sunderland area. In addition, CCG staff are working closely with GPs to reduce their paperwork and bureaucracy, making it easier for them to see patients, so that it is more attractive to be a GP in the Sunderland area.

For more information, please contact Suzanne Watson, Locality Commissioning Manager on 07900 833 236 or suzanne.watson8@nhs.net.

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Winter Newsletter 2017

CQC Outcome:

GOOD OVERALL

We achieved GOOD for Safe, Effective, Caring, Responsive and Well Led.

 

The staff have all worked extremely hard to improve ratings this year and we are delighted the hard work has been recognised.

*****
  

Book your Flu Jab NOW!

Flu is a serious viral disease and is more serious in the elderly and those with long-term medical conditions as their bodies are not always strong enough to fight off infection.

Those at risk being:

People with respiratory (chest) disease, Heart, Liver and Kidney  disease, Diabetes,  history of Stroke/MS, disease of central nervous system or a weak immune system, HIV, Cancer, using steroids/chemotherapy/radiotherapy, no spleen, in some cases carers and Over 65s.

There is now a nasal flu vaccination for children.

PLEASE BOOK IN TODAY!!!

Medications:

Please make sure you have enough medications to cover the Christmas Holidays. 

PLEASE REMEMBER IT IS 48 Hr TURN AROUND FOR A  REPEAT PRESCRIPTION TO BE PROCESSED.  This is to ensure the appropriate record review and investigation checks are made. If you have not had a medication review in the last 12 month you will be invited for a medication review with the GP BEFORE your prescription is issued

Prescription Ordering

The surgery now has the facility for patients to cancel appointments and order prescriptions by text: 0795 451 9397, post, using a pharmacy, in person, or ONLINE.

ONLINE SERVICES

You can also book appointments and view your results online, please ask at reception for details on how to register.

***Christmas Holidays***

We will be closed on the following days:      

Monday 25th December, Tuesday  26th  and Monday 1st January  ONLY.

If you require medical assistance during these days please contact NHS 111. 

Finally we would like to wish you all a very Happy & Healthy Christmas and New Year. 

 

 

 

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CQC Outcomes

CQC Inspection Outcome:

 

We are delighted to announce the practice has been awarded an overall rating of GOOD in all areas following our recent CQC inspection.  A summary is given below:

Hylton Medical Group Good
Overall summary & rating

Good

Updated 16 November 2017
Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection of Hylton Medical Group on 21 April 2015. The practice was judged to be inadequate and placed in special measures.

On 4 February 2016 we carried out an announced comprehensive inspection and found that improvements had been made. In recognition of the improvements made the practice was rated overall as requires improvement.

We carried out a further announced comprehensive inspection on 2 February 2017. The overall rating for the practice was inadequate and the practice was placed in special measures for another period of six months. The full comprehensive reports on the previous inspections can be found by selecting the ‘all reports’ link for Hylton Medical Group on our website at www.cqc.org.uk.

This inspection was undertaken following the period of special measures and was an announced comprehensive inspection on 28 September and 3 October 2017. Overall the practice is now rated as good.

Our key findings were as follows:

  • The practice had made significant progress since the last inspection and had addressed all areas of concern.
  • We found improvements in the overall governance arrangements, clinical governance, leadership and clinical effectiveness.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they were able to get an appointment with a GP when they needed one, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure in place and staff felt supported by management. The practice proactively sought feedback from staff and patients, which they acted on.
  • Staff throughout the practice worked well together as a team.

The area where the provider should make improvements are:

  • Take steps to record the distribution of pre-printed prescription form stock within the practice.

I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by the service.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

For Full report please click here.

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Practice Performance

KPIs in General Practice

Key performance indicators otherwise known as KPIs can help a practice define and measure progress towards its operational and organisational goals.

One of the challenges with performance management is selecting what to measure, however, as the primary means of communicating performance across the organisation, KPIs should focus on a range of areas.

What are KPIs:

  • Identifying areas of best practice
  • Focusing on continuous improvement
  • Delivering improved outcomes
  • Taking action to improve health services
  • Ensuring that organisational activities are linked to overall strategy

Firstly, each practice should have a strategic plan with clearly defined goals and objectives. Goals and objectives can be categorised into the following areas for example Financial, Patient Services, HR, and IT. Looking at specific areas management should then review what they feel are a priority.

HMG KPIs

**********

We had re inspection on 28th September 2017 and the initial report will be going to National Panel on 25th October.

The inspection and follow up visit on 3rd October went well.

We should have outcome available very soon for you.

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NEWS

11.7.2017 8.05am  IT System Issue

Sunderland IT Networks are currently down, we are experiencing slow clinical systems with limited access for ordering tests and accessing other systems.
Please bear with us while the IT department reinstates full usage.
We will update again as soon as we know more.
Thank you.

******************************************

***NHS Cyber Attack***

***UPDATE TUESDAY 16th May 16.40***
The practice is open but has been operating at 50% IT access throughout the day.
IT Engineers have been working around the clock and tell us we now have 100% IT access.
We would like to thank you for your cooperation and patience during this difficult period.

Dr Khalidi and Staff

**UPDATE MONDAY 15th May @ 1.40pm**

The practice is open but severely limited due to the cyber-attack as our IT systems have been isolated to protect them.

Please bear with us and if the matter is not urgent please consider contacting us later in the week.

If you are feeling unwell and need our help please call the practice where we will triage you appropriately as usual.

If you need an emergency supply of medications, please contact your usual community pharmacy who can help.

Many Thanks for your understanding.

We will update you again as soon as we have more news.

*****

*Update Sunday 14th May 9.50pm*

Primary care organisations across the North East will not have access to IT systems tomorrow (Monday 15 May 2017) and we are working hard to restore these throughout the day.

Practices will be contacted between 09:30 and 10:30 tomorrow morning and will be requested to work with IT Engineers to run the updates on computers in practices that have not successfully received the patch to date.

The current plan is for the N3 network to be switched on on the evening of Monday 15 May 2017.

We ask our patients to be patient and cooperate with us at this difficult time and we will update you as soon as we have any news.

Thank you.

*Cyber attack update* Friday 12th May 4pm

Hylton Medical Group was initially unaffected by the breach but NHS Digital and BT IT advisors decided to take precautionary measures which limited our computer access.  This then resulted in having no access to clinical systems from approximately 3.30pm on Friday 12th May.

We have contingency plans in place however will be unable to process prescription requests until clinical systems are back up and running.
GP’s can see only see patients with limited problems due to inability to access your medical history.  We can still carry out blood tests and some other diagnostic tests and you can collect your prescriptions if they were ordered before Friday.

We will have an update for you Monday 15th May at approximately 11.00am.

Please bear with us at this difficult time.

Thank you.

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Friends and Family Test 2016

The Friends and Family Test (FFT) is an important feedback tool that supports the fundamental principle that people who use NHS services should have the opportunity to provide feedback on their experience.

It asks people if they would recommend the services they have used and offers a range of responses. When combined with supplementary follow-up questions, the FFT provides a mechanism to highlight both good and poor patient experience. This kind of feedback is vital in transforming NHS services and supporting patient choice.

The FFT has produced around 25 million pieces of feedback so far – and the total rises by over a million a month – making it the biggest source of patient opinion in the world. Scores so far have told us that at least nine out of ten patients would recommend the services they used to their loved ones. Patient comments also identify areas where improvements can be made so that providers can make care and treatment better for everyone.

The feedback gathered through the FFT is being used in NHS organisations across the country to stimulate local improvement and empower staff to carry out the sorts of changes that make a real difference to patients and their care.

While the results will not be statistically comparable against other organisations because of the various data collection methods, FFT will continue to provide a broad measure of patient experience that can be used alongside other data to inform service improvement and patient choice.

Please click on the link below to fill out your FFT and email back to us.
fft-2016

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Changes for 2016/17

***IMPORTANT PATIENT INFORMATION REGARDING
Ryhope Health Centre 31.10.2016***

We have had confirmation from Sunderland Primary Care Commissioning Committee that the proposal to merge has been successful.
We have a proposed closing date of 31st December but are awaiting confirmation from NHS Property Services regarding this and we will of course update you as soon as we receive this feedback.
We hope you will continue as a registered patient with our GP’s and practice staff however, if you wish, you can to register with another practice of your choice.
We thank you for your continued patience, support and understanding.
Dr Khalidi & Staff

Dr Malik our GP Partner has left the practice and moved onto pastures new.  We wish her well in her future endeavours.

We are trying to recruit another GP as you are all aware have been trying since October 2015.  Until this time we have “locked in” 3 long term locums:

Dr Imran Ansari who some of our patients may remember from 2012 where he was assigned to the practice as part of his GP training.

Dr Hesham Koriem has agreed to cover daily sessions Monday to Friday for the foreseeable future from October.  He has his own practice in Castletown and provides cover for Out of Hours also.

Dr Finley Maclean will joins us in November will be covering 4 sessions per week for the foreseeable future.
We are currently in talks with a female GP to cover long term sessions also and will let you all know very soon.

We hope to recruit soon however we hope that regular faces will provide some continuity for us all in the meantime.

 

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Safeguarding Information

To report a concern about a child or adult please follow this link for details.

For information on how to speak with your children about being safe please click on the link: NSPCC Underwear rule

Parents guidance on keeping children safe whilst using Pokémon app.

For help with Domestic Violence please use this link

 

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Proposed Closure of Ryhope Surgery

Proposed closure of surgeries held at Ryhope Health Centre

Following consultations and meetings between staff patients and Sunderland CCG the business case went in late July and we are told we should hear news by early October.
You will all of course be the first to know the outcome.

 

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