This practice is rated as Good overall. (Previous inspection March 2016 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires Improvement

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Requires Improvement

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Dr R D Gilmore and Partners on 15 March 2018. We carried out this inspection as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice had good systems in place to safeguard children and adults from abuse and were proactive in working with other organisations.
• The practice ensured that care and treatment was delivered according to evidence- based guidelines.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Review and improve systems and processes to assure themselves that action is taken as a result of all complaints and relevant learning is shared.
• Continue to work to address any issues identified as a result of their management and support services being transferred.
• Review and improve systems for Quality and Outcomes Framework patient recalls.
• Engage with staff to provide effective communication and work to address any concerns.
• Engage with patients to improve satisfaction rates.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Our inspection of this practice on 17 December 2013 found that the systems in place for reducing the risks associated with the spread of infections was not robust. We inspected on the 30 September 2014 to check whether changes had been made to ensure that these risks were minimised.

We found that there were now effective arrangements in place to reduce these risks.

We spoke with six patients who were visiting the practice They were complimentary about the practice and the staff. One told us the staff were, “Always courteous and respectful.” Others described the practice as “Very good” and the receptionists “Polite and helpful”. One patient told us they had a, “Brilliant experience today.”

Patients understood the care and treatment choices available to them. Health advice and information leaflets were available in the practice entrance and waiting areas. One notice board was reserved for the Patent Participation Group.

The patients we spoke with had not experienced any difficulty in obtaining an appointment at the practice. They told us they had seen an improvement in the appointments system. One patient said being able to telephone and speak to a doctor was “Really helpful.”

The consulting and treatment rooms were visibly clean. However the standard of cleaning in the patient toilets was poor. Cleaning equipment had not been used or stored correctly. The practice was unable to provide assurance that cleaning and infection control procedures were effective.

The staff told us they felt, “Very well supported”. They spoke positively about the practice and their colleagues and one said, “I love my job.”

The practice had supported the establishment of a Patient Participation Group. The group felt well supported by the practice. They said their comments were listened to and their suggestions acted upon. The group had worked with the practice to improve the appointments system.

We carried out an announced comprehensive inspection at Dr R D Gilmore and Partners on 15 March 2018. The overall rating for the practice was good, with a rating of requires improvement for providing well led services. The full comprehensive report on the March 2018 inspection can be found by selecting the ‘all reports’ link for Dr R D Gilmore and Partners on our website at

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In addition to the areas for improvement identified under the key question of providing well led services, we also identified areas for improvement for providing effective services for the population group people with long term conditions. We said the practice should consider improving the following areas:

• Review and improve systems for Quality and Outcomes Framework (QOF) patient recalls.

This inspection was an announced focused inspection carried out on 8 November 2018 to review the improvements made by the practice following our previous inspection in March 2015.

At this inspection we found:

• The practice had signed up to the Productive General Practice quick start programme to review their QOF recall processes. This involved clinical and non-clinical staff to get a good understanding of the process from start to finish. As a result of the review, the practice had agreed a common approach and implemented the new recall system in August. We saw a number of improvements to the recall system including:

• Patients were recalled by month of birth, offering a single approach to booking appointments.
• All necessary blood tests were carried out by health care assistant in preparation for review.
• Patients with more complex symptoms of diabetes were booked in with lead diabetes nurse who was also an independent prescriber.

• In addition, the practice was proactively trying to engage with patients during routine appointments to book reviews and additional nursing appointments had been allocated for reviews. However; the changes implemented had not been in place for long enough to demonstrate effective care for people with a long-term condition.

• The practice had introduced a new system for management of complaints. All complaints were reviewed at the clinical meeting to ensure appropriate learning was identified and action implemented.

• The practice was working with the NHS Leeds Clinical Commissioning Group to review capacity and demand planning in order to improve access for patients. This was a continuing area of focus for staff at the practice.

• Following our inspection in March 2018, the practice had introduced local leadership via a front-line services manager to improve communication and support for staff.

• The practice had commissioned an independent staff engagement survey to obtain feedback and address issues raised by staff.

The area where the practice should make improvements are:

• Continue to monitor and improve performance against Quality and Outcomes Framework performance for patients with long-term conditions.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.