Statement of purpose
The name and address of the registered provider is:
Ilkley & Wharfedale Medical Practice
Springs Medical Centre
West Yorkshire, LS29 8TQ
Registered Manager: Dr David Cockshoot
Practice Manager: Rachael Pengelly
Under the Health and Social Care Act 2008 (The Care Quality Commission (Registration) Regulations 2009 Part 4), the registering body (Ilkley & Wharfedale Medical Centre) is required to provide to the Care Quality Commission a Statement of Purpose.
- Diagnostic and screening procedures
- Surgical procedures
- Treatment of disease, disorder or injury
- Family planning
- Maternity and midwifery services
Aims of the Practice
- To provide the highest standard of medical services available under the NHS.
- To ensure that patients are seen by the most appropriate healthcare professional as quickly as possible.
- To focus on prevention of disease by promoting good health and prophylactic medicine.
- To provide patients with an experience and environment that is comfortable, friendly, professional and relaxing and covers all aspects of health and safety requirements.
- To understand and meet the needs of our patients, involve them in decisions about their care and encourage them to participate fully.
- To involve other professionals in the care of our patients where this is in the patient’s best interests; for example, referral for specialist care and advice.
- To ensure that all members of our team have the right skills and training to carry out their duties competently.
- To guide all staff in accordance with diversity and equality.
- To continuously improve the lines of communication to patients using the latest technologies as appropriate.
- To develop new ways to educate and inform patients in order to encourage patients to be pro-active in their health and wellbeing.
- To ensure effective and robust Information Governance Systems.
Objectives of the Practice
To provide a means for the general public to receive medical consultation, examination and diagnosis by a General Medical Practitioner, Practice Nurse and other associated health service staff including, but not limited to, Midwifery and Phlebotomy at the surgery location.
The service is to be provided in courteous, peaceful, practical, professional and comfortable surroundings, which cover all Health & Safety and Infection Control requirements. The Practice will aim to provide the best possible healthcare within the scope of the NHS. It will be free at the point of use for the vast majority of services, however, any charges for services not covered by the NHS, will be made clear to the patient in advance of those services being carried out.
The Practice will strive to maintain patient equality at all times and all fully registered patients will be afforded the same level of service regardless of age, sex, disability, sexual preference, ethnicity, nationality or religious beliefs.
The Practice will strive to provide the very best in general medical services and prides itself on being a whole person centred diagnostic and management service. Our services will include, but are not necessarily limited to, disease prevention, health promotion, and management of acute and chronic illnesses, routine immunisations and travel health, family planning, cervical smears, ante-natal and post-natal care.
In order to provide the best possible healthcare, we need support from our patients, whereby they take responsibility for their own health and the Practice will continuously look at ways and means in order to enable them to do this, by educating and informing patients through our website as well as other lines of communication. The Practice will continue to look at ways in which it can become more efficient without compromising on quality, however, patient support is needed to help us achieve this.
The spiritual, social, psychological and physical aspects of each person are fully considered. The Practice seeks to meet the needs of people to understand and know about their own bodies, sharing the responsibility of each patient’s healthcare equally. It achieves this by allowing patients time in a comfortable environment with a person who is knowledgeable and can help them in most areas of their medical requirements. If the Practice is not able to provide the expertise required on site, it will make referrals to the appropriate healthcare professionals in order to help the patient.
The Practice will offer a range of appointment times from 9.00 am to 6.00 pm, Monday to Friday.
Emergency Equipment will be maintained and this includes a defibrillator, provision of oxygen, nebulisers and emergency medications.
The Practice will remain fully computerised and ensure that all clinicians have full access to all patients’ notes as required.
Staff have yearly appraisals and we identify training needs, ensuring that all staff have the skills and knowledge required to perform their duties to the highest possible standard.
We will also maintain compliance with all legislative, industry and professional requirements.
The Organisational Structure of the Practice
Ilkley & Wharfedale Medical Practice has two Partners. They are Dr David K Cockshoot and Dr Christian M Lachmann. The Practice operates routinely from 8.00 am to 6.00 pm, Monday to Friday.
Rachael Pengelly currently manages the Practice and the employees report directly to her.
We have one Practice Nurse, Margaret Sykes.
Blood tests are carried out by our Practice Nurse or by the Phlebotomist at Ilkley Moor Medical Practice where we have an agreement.
X-rays are referred to outside accredited laboratories.
The surgery operates a walk-in Warfarin Clinic on a Friday morning.
The Kinds of Treatment and any other services provided for the purpose of the Practice, the range of needs which those services are intended to meet, and the facilities which are available for the benefit of patients.
- Routine and urgent appointments with a healthcare professional
- Repeat prescriptions
- Management of Chronic health conditions, including but not limited to Diabetes, Asthma, Coronary Heart Disease, Stroke, Hypertension, Chronic Obstructive Pulmonary Disease, Mental Illness and Epilepsy
- Immunisations e.g. routine, childhood and travel immunisations
- Health screening
The facilities which are available for the benefit of patients
- Ease of access to see a healthcare professional.
- A pleasant, comfortable and clean environment is provided
- There are comfortable waiting areas where patients can sit and relax whilst waiting to see the healthcare professional
- Limited free parking is available on site and there is adequate access for disabled visitors
- Equipment facilities include a large library of books, the presence of equipment to aid diagnosis such as sphygmomanometers, eye charts, otoscopes, oroscopes, and urinalysis including microalbuminuria. Emergency provision in the form of a defibrillator, provision of oxygen, emergency medications. The practice also has facilities for spirometry and warfarin testing.
- The practice is fully computerised.
The arrangements made for consultation with patients about the operation of the Practice
Consultation with patients concerning the operation of the Practice takes place during registration, where the contract is clearly described. During registration, the Practice leaflet is given to each patient and this outlines the working practices of the surgery. Patients have a right to access their own patient records.
The arrangements for dealing with complaints
This practice operates a procedure for the investigation of complaints.
Making a complaint to the Practice in no way prejudices the right to complain to PALS (The Patient Advice and Liaison Service), should a complaint not be resolved to a satisfactory level.
Rachael Pengelly, Practice Manager manages the complaints procedure on behalf of the Practice.
A complaint should be submitted as soon as possible after the event giving rise to the complaint. The Practice will then ensure that all relevant details are recorded and arrange for the complaint to be investigated.
The Practice will acknowledge receipt of a complaint within 3 days and aim to report back within 28 days. If this is not possible the reason for the delay will be explained and a revised date will be given for the completion of the investigation.
If, following the Practice’s explanation the complaint is not resolved there is still a right to complain to PALS.
PALS complaints procedure leaflets will be available to all registered patients. This is available for complaints which cannot be settled within the Practice.
The arrangements for respecting the privacy and dignity of patients
The consulting rooms are completely segregated away from the Reception area.
Patients are consulted on a one-to-one basis in the surgery setting. The whole ambience is of relaxation and comfort. The examination couch is fully screened. The windows have full blinds and complete confidentiality is retained. Great respect is given to the dignity of each patient. If the patient wishes, it is possible to have a chaperone. This aspect of care is covered during registration. No patient is ever examined without their full consent.
For those patients who do not speak English, consent has to be obtained via a third party, who is usually a family member, and who can translate.
Everyone working for Ilkley & Wharfedale Medical Practice must keep information about patients confidential, so that the patient can feel able to talk to anyone in the Practice freely. Also by law, we must protect information about you.
All staff at Ilkley & Wharfedale Medical Practice have signed a confidentiality agreement within their contract.
The Practice can supply information to other people or organisations only:
- With the Patient’s consent, or
- In accordance with the principles of medical confidentiality here described.
This does not apply if the Patient cannot be identified from the information. There are strict rules to prevent people being identified by mistake.
The Practice has to comply with court orders. If they require us to break confidentiality, we will resist this as strongly as legally possible.
What information does the Practice hold?
When the patient receives care the Practice will ask for information which is recorded in computerised health records. This helps the Practice to give relevant care and treatment. The Practice keeps this information and details of the treatment, because it may be needed if the patient is seen again. Usually information is stored on the Practice computer system and medical records systems so that it can be traced more easily when needed. It also helps the Practice to keep statistics. These systems are kept highly secure.
How may information about the Patient be used?
It will be used by the members of staff treating the Patient. Some information, such as name and address, may be used to make arrangements for care, such as to make an appointment. The Patient may be receiving care from other people as well as Ilkley & Wharfedale Medical Practice. To work together for the benefit of the Patient, the Practice may need to share some information. The Practice only does this with organisations providing care for the Patient and only when it is known it will be used under the same restrictions that the Practice applies to itself.
Anyone who receives information from the Practice is also under a legal duty to keep it confidential, unless the Patient agrees otherwise.
The Practice will regularly check that the care it offers is the best it can give by conducting patient surveys, audits, comparing against other Practices in the CCG and QoF points. Unless the Patient objects, medical records may be used by other medical professionals. If the Patient makes a complaint about their care, those investigating the complaint will be able to see those records. Sometimes the law requires doctors to pass on information, for example, to notify a birth or death, notify infectious diseases or in child protection cases. The Practice can also release information in certain circumstances for the protection of the public. For example, to help the investigation of violent crime but not of routine non-violent crime.