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Belgrave Surgery closure

We asked

Leicester City Clinical Commissioning Group (CCG) is the NHS organisation responsible for arranging for health services to be delivered in GP practices in Leicester.

GP practices are issued with a contract by the NHS to provide health services for patients.

We were informed by Dr Bapodra and Dr Singh, the partners at Belgrave Surgery, that they wished to resign from their contract to provide medical services on 30th April 2018.

As a result the CCG explored alternative options for patient care but, after careful consideration, concluded that the only possible option was for all patients to register with another GP practice. The building was to no longer be available for use as a GP practice and would therefore close on 30th April 2018.

We wanted to hear from the registered patients of Belgrave Surgery of any concerns or comments they had about this change so that we could limit the impact of the surgery closure and support patients with the change in the best way possible.

An engagement phase opened on the 8th January 2018 and closed on the 4th February 2018.

Patients were invited to have their say as part of the engagement in one of the following ways;

  • Fill in a survey online
  • Pick up a paper copy of the survey from the surgery and put it into the secure collection box provided in reception;
  • Visit one of the drop-in sessions to complete a survey; or
  • Call a member of the CCG Primary Care Team on 0116 295 1469 (between 9am and 5pm) and they would fill in the survey for them over the phone.

You said

During the engagement period, a total of 100 surveys were completed. The majority of respondents (82.93.2%) were patients, and most surveys were completed in hard copy (some during one of the three drop-in sessions).

In terms of characteristics of the patients:

  1. There was a fairly even split between male (48%) and female (52%) respondents
  2. Pregnancy/maternity responses are void as both female and male respondents answered this question
  3. There was a good spread across all age groups, with 6.3% under 16, 10.5% aged 16 to 24, 16.8% aged 25 to 34, 44.2% aged 35 to 59, 11.6% aged 60 to 75, and 10.5% aged 76 or over
  4. 92% of respondents were Asian or British Asian, all of whom were Indian, 5% were White British, 2% were Irish and 1% were Caribbean
  5. 79% of respondents indicated that they were of Hindu background and faith, 10.4% were Muslim, 7.3% were Christian, 2.1% were Sikhs, and 1% indicated they were of no religion
  6. Only 11 respondents indicated that they had a disability; however, 21 respondents indicated types of disability and ill health conditions. Of these 13 stated that they had physical disabilities, 6 stated partial or total hearing loss, and 5 that they had a long standing illness or disease. Other medical conditions or impairments indicated include, limited mobility, high blood pressure, diabetes, heart attack, mental health condition, speech impediment, and partial or total loss of vision
  7. 4% of respondents came from LE4 postcodes and 20.2% from LE5 localities

Respondents were asked to indicate if they had any concerns about the closure of this practice, and fifty-seven responses were received.

  • Eighteen people indicated that they had no concerns about the closure of the surgery.
  • Of the remainder, ten respondents were unhappy about the surgery’s closure and another eight had concerns about registering at a different surgery. Eighteen stated that they were now of old age, had multiple complex health conditions and limited mobility, and were concerned about consistency, access and continuity of service. They also indicated that receiving home visits when required were important for them.

Respondents were also asked for any suggestions they may have for patients of this practice that we should consider. Fifty responses were received.

  • Of the fifty responses received, twenty-eight were comments from respondents confirming that they felt that the Belgrave surgery/ GP service was very good and it met their needs.
  • Fourteen respondents (28%) stated that the new practice that they register with should/must have open surgery sessions. Other suggestions included the need for dedicated GPs and Gujarati speaking staff.

In relation to what respondents thought were the most important things when choosing a new GP practice 61% indicated that it was the distance from their home, 48.2% stated it was the range of services provided, and 45.3% indicated it was the opening hours of the practice. Other factors identified by patients include having an ‘open surgery’, Gujarati speaking GPs and staff, and a walk-in centre/surgery. In this section 11 patients stated that staying with this GP was the most important thing for them.

Patients were asked how far they would travel to a new practice, and were requested to choose one option from a range of five. However, 93 respondents made 128 selections. Therefore the results need to be treated with some caution. In terms of options chosen

45.2% (42) of the 93 respondents stated less than half a mile and 33.3% (31) of respondents indicated half a mile to one mile.

We did

These are the main points that patients made:

What patients told us What we will do / Our response
Patients want to be registered with a GP practice that is nearby. There are 13 GP practices within 0.9 miles of Belgrave Surgery, all are accepting new patients.
Some patients, especially those who have been with the practice for a long time, or who have complex health needs, are concerned about consistency and continuity of service when they move to another practice. Patient’s medical records would automatically be transferred to the new practice once they had registered, so the new GP would be able to see the patient’s medical history.
Some patients were concerned about access – being physically able to get to the surgery and being able to get appointments when they need them. A list of GP practices was provided which included information on accessibility and parking arrangements and surgery times, to help patients choose the practice that would best meet their needs.
Some patients told us it is important they can have home visits when necessary. All practices are required to offer home visits, when the doctor decides the patient needs one.
Patients would like to have open surgery and walk-in sessions available at their new practice, with a good range of opening hours. It is for each practice to decide how to organise their appointments, but most practices now offer some appointments outside of normal working hours. A list of GP practices as provided with details of their opening times.

Once the patient had registered with a new GP practice, if they needed to see a GP or nurse but the practice had no convenient appointments available, they can go to one of Leicester’s four healthcare hubs. These are open during evenings and weekends. They are located at Merlyn Vaz, Health and Social Care Centre, Saffron Health,  Westcotes Health Centre and Belgrave Health Centre.

GP practices can give details of the healthcare hubs.

Patients would like to see a good range of services provided at their new practice. A list of the practices with this information was provided in the patient letter.
A number of patients want their new practice to have Gujarati speakers available. Some of the other local GP practices have speakers of other languages (a list of the practices was enclosed in the patient letter).

 

You can read the full report about the survey here: Belgrave Surgery – public engagement report Feb 2018

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