Winter Newsletter 2017

CQC Outcome:


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 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.


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


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

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.



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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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.

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Changes for 2016/17

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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Practice News

10 insider tips you didn’t know about your GP



When you are unwell with:
Vomiting & Diarrhoea for more than 24 hours STOP taking the medicine listed below.
Restart when you’re well (after 24-48 hours of eating and drinking normally).
If in doubt contact your pharmacist Practice Nurse or GP. 

*  ACEi: Medicine names ending in “pril” eg Lisinopril, Perindopril, Ramipril.

*  ARBs: Medicine names ending in “sartan” eg Losartan, Candesartan, Valsartan.

*  NSAIDs:  Anti-Inflammatory pain killers, eg Ibuprofen, Diclofenac, Naproxen.

*  Diuretrics: Sometimes called “water pills” eg Furosemide, Spironolactone, Bendroflumethiazide, Indapamide.

*  Metformin: A medicine for diabetes.


From Monday 1st August we are changing our prescription ordering number, please note our new number:
0795 451 9397
When texting your order, please remember to include:


If you request a new item please state where this was given and be aware that this may take longer than the usual 48 hours to process.
If you are requesting an item you have not had for over 3 month you may require a GP review before this is issued.

Thank you for your cooperation.
Medicines Optimisation Team


Our Surgery along with all other practices in Sunderland CCG are closed once a month, normally a Wednesday afternoon for mandatory training and development of staff.

Please ring the surgery on 111 and you will be directed to the Out of Hours Services for medical emergencies and advice.

Dates to note are:
WEDNESDAY afternoons:
7th March,  18th April, 20th June, 18th July, 19th September, 17th October and 5th December.


From Monday 29th February 2016 we no long take telephone message requests for repeat medications.

Preferred methods include: fax, online, by post in writing or by using your right hand side repeat slip, in person or text your request to the usual number.

Thank you for your cooperation


We would like to inform you that GP’s in the practice do not prescribe antibiotics for infections which usually get better on their own such as colds and flu.  We would recommend you visit your pharmacist if you are suffering from these sorts of conditions.


GP contract 2015-2016 Named GP
What is the named GP requirement?
This is a contractual requirement and builds on the 2014-2015 agreement to provide a named and accountable GP for over 75s. The named GP requirement has now been extended to all patients. By 31 March 2016 all practices will need to include on their website reference to the fact that all patients, including children have been allocated a named, accountable GP.

Will practices have to write to patients to tell them their named GP?
There is no requirement to write to any patients regarding their named GP. Practices are required to inform patients of their named GP at the next appropriate interaction and it is for practices to decide what is appropriate.

What does ‘accountable’ mean?
The contract requires the named accountable GP to take responsibility for the co-ordination of all appropriate services required under the contract and ensure they are delivered to each of their patients where required (based on the clinical judgement of the named accountable GP).

Does the requirement mean 24-hour responsibility for patients?
No. The named GP will not:
*  take on vicarious responsibility for the work of other doctors or health professionals
*  take on 24-hour responsibility for the patient, or have to change their working hours. The requirement does not imply personal availability for GPs throughout the working week
*  be the only GP or clinician who will provide care to that patient

Can patients choose their own named GP?
In the first instance, patients should simply be allocated a named GP. However, if a patient requests a particular GP, reasonable efforts should be made to accommodate their preference, recognising that there are occasions when the practice may not feel the patient’s preference is suitable.

Do patients have to see the named GP when they book an appointment with the practice?
No. Patients can and should feel free to choose to see any GP or nurse in the practice in line with current arrangements.

If you wish to know your accountable named GP please contact us. 

We now have the facility for you to order prescriptions and book appointments online.
You must register with us for access to the online services by contacting us on
0191 5658598 or
Or calling into the surgery for an access form.


We have also implemented a new Warfarin Monitoring service which is held every Friday (morning at Pallion, afternoon at Ryhope with home visits over the lunchtime period).


BIG CHANGES “SCCG” (Sunderland Care Commissioning Group)

As you may be aware from the media the NHS is undergoing one of the biggest changes since it began.  Local PCT’s are disbanding and GP consortia’s are taking control.  We are part of the SCCG Sunderland clinical Commissioning Group.
By 2012, legislation will be in place forcing all practices in England with a registered list to be part of a commissioning group. But how will the network of consortia operate?

Accountable officer
By April 2013, each GP consortium must have an ‘accountable officer’ to take financial control of budgets from its PCT.
As PCTs and SHAs are abolished, a new NHS Commissioning Board will calculate practice-level budgets, based on list size and deprivation, and allocate them directly to the consortia.
The commissioning board will hold each consortium to account for ‘stewardship of NHS resources’ and outcomes of its population. In turn, each consortium will hold its constituent practices to account against these same objectives.
Unlike fundholding, GPs will not be able to profit from savings the consortium makes, nor will they be liable for financial losses.
The consortium will instead receive a ‘management fee’ to pay GPs for their time (or to pay third parties for support) with a ‘premium’ available for those achieving high quality outcomes or financial performance.
GP contracts and services will be commissioned directly by the NHS Commissioning Board, another big job for it alongside all the other commissioning GPs will not take part in, like pharmacy and dentistry.
GPs will still be monitored by the CQC, and despite Mr Lansley’s pledge to scrap many NHS quangos, his White Paper seems to have created new ones and made the largest ones even larger.
The CQC will be ‘strengthened’ as a quality inspectorate, while incorporating Healthwatch England, a new body that will respond to patient and public complaints. Monitor will take over the regulation of all providers, including GP practices, as well as being the ‘economic regulator’, setting prices for the NHS services commissioners will buy.
What this means for you?
Please follow the link for further information.

Changes made in 2012/13:
After discussion at clinical meetings and training events we decided to utilise our clinical staff’s knowledge and expertise with new services.

Holiday Vaccinations are a big hit with us also having the added bonus of being a Yellow Fever Centre.  We also offer Anti-malarial prescriptions which some other surgeries don’t.

As part of our on going health promotion programme any patients found with raised BP is referred for ambulatory bp readings (24hr bp recording).  We have a device in the surgery which is used one a daily basis and will help us to confirm a Hypertensive diagnosis.

Sue and Jane are both Nurse prescribers – specialising in COPD & Diabetes.  Both nurses now initiate Insulin as part of our Diabetic Care – this service is also not available at every surgery with some patients having to be referred onto secondary care.


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