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Application for Practice Boundary Change at Oakenhall Medical Practice (C84095)

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OAKENHALL MEDICAL PRACTICE DR N M S GILMORE DR H C ROUGHTON DR S M STURROCK DR S WEBSTER Bolsover Street, Hucknall, Nottingham, NG15 7UA Tel: 0115 963 3511 Fax: 0115 968 0947 9 March 2017 Application for Practice Boundary Change at Oakenhall Medical Practice (C84095) Proposal Oakenhall Medical Practice wishes to apply to remove Bestwood Village from the practice’s current agreed practice boundary area. The practice intention is to provide NHS Services to patients currently registered with the practice who live in Bestwood Village, but would like to cease future registrations of patients who move into Bestwood Village, with the exception of babies born, fostered and adopted children who become resident in the household to patients currently registered with the practice. This would mean overtime a natural reduction of patients registered with the practice who resided in the area of Bestwood Village. Reasons • Geography • Increasingly untenable list size • Inability to expand due to restricted premises 1 Current Practice Boundary Oakenhall Medical Practice is located in Hucknall, serving a growing population. This is due to National/Government planning for housing. Oakenhall Medical Practice current boundary includes Hucknall, Linby, Papplewick and Bestwood Village. 2 3 Information on Hucknall, the Surrounding Areas and its Population Hucknall is located 7 miles north west of Nottingham in the district of Ashfield with a population of 32000 (2011 census). This population is increasing. In relation to Hucknall, Bestwood Village lies to the furthest most point of the Practice Boundary and is only accessible by vehicle via one main road through the Village (there are no connecting roads accessible to a driver/vehicle. In the event of the closure of this one road, the visiting clinician would have no option to travel into Bulwell to obtain access to Bestwood Village. Patients travelling to Hucknall would require vehicle transportation. On researching public transportation there is only one bus available hourly. Whereas, both Linby and Papplewick are within walking distance to Hucknall (20 minutes). The current population in the present practice boundary are as per 2011 National Census is: Hucknall: 32117 (increasing): Local Authority – Ashfield (population 119,497) Linby: 232 : Local Authority – Gedling (113,543) Papplewick: 756 : Local Authority Gedling (113,543) Bestwood Village: 1969: Local Authority Gedling (113,543) The population of Hucknall is served by four General Practices. Oakenhall Medical Practice covers ten care homes including the Nottingham Brain Injury Unit (Neurological Care Centre) which has 3 units and also two additional residential homes for people with learning disabilities. Currently there is capacity for 383 beds within the 10 care homes. There are two care homes in Bestwood Village, Eden Lodge Care Home (60 bed capacity) and Hawthorne Nursing Home (36 bed capacity) of which to the best of our knowledge from discussions with other GP practices that the registered population is as follows: Eden Lodge: Torkard Medical Practice: 5 Registered Patients Whyburn Medical Practice: 0 Registered Patients Om Surgery: 0 Registered Patients Oakenhall Medical Practice: 0 Registered Patients Hawthornes: Torkard Medical Practice: 17 Registered Patients Whyburn Medical Practice: 0 Registered Patients Om Surgery: 0 Registered Patients 4 Oakenhall Medical Practice: 1 Registered Patient Hucknall has a higher proportion of permanently sick/disabled people - 7% of the population (5% nationally. As a consequence there are a higher percentage of the population claiming benefits – 17.3 % (13.5 % nationally). The population of Hucknall is predominantly White British. Current Practice Population The population (32117 2011 Census) of Hucknall is served by Four GP Practices: Oakenhall Medical Practice: 7,190 Om Surgery: 2,005 Torkard Hill Medical Practice: 14,570 Whyburn Medical Practice: 11,887 The current population for patients registered in Oakenhall Medical Practice is: Hucknall: 6788 (Population total of 32117 – 2011 Census - 21%) Linby: 62 (Population total of 232 - 2011 Census -26%) Papplewick: 94 (Population total of 756 – 211 Census – 12%) Bestwood Village: 246 (Population total of 1969 - 2011 Census – 12%) Total: 7,190 Therefore only 3% of patients registered with this practice reside in Bestwood Village. Whyburn Medical Practice does not currently register any patients from Bestwood Village and Torkard Hill Medical Practice has already placed an application to reduce Bestwood Village from their registered practice boundary. Om Surgery currently registers patients from Bestwood Village and does not have plans at present to change their practice boundary area. National and Local Housing Plans The National plans for local housing have resulted in a policy plan to increase housing by a predicted 15,000 population. This figure is based on residential occupation of (2.8) persons per household and is based upon local planning for housing in the Ashfield District Council area which includes, Hucknall, Linby and Papplewick. Oakenhall Medical Practice in addition is required to consider local planning housing policies also in the Gedling area which aligns with Hucknall which includes Bestwood Village. 5 Local Housing requirements for the Ashfield District for a plan period of 15 years (2013 – 2033) are documented as 9120 dwellings required, with Hucknall housing trajectory plan for a total of 2242 dwellings. Local Housing planning for the Gedling District includes proposed dwellings of 7250 (2011 - 2028) and includes: • Land North of Papplewick Lane (within current Practice boundary) – 600 dwellings • Top Wighay Farm (within current Practice boundary – 1,000 dwellings • Bestwood Village – 579 dwellings Total 2,179 dwellings Predicted Growth in Hucknall (Ashfield District): 15,000 Predicted Growth for Linby, Papplewick, and Bestwood Village (Gedling District): 6,100 (Calculated at 2.8 persons per dwelling) Total Predicted Growth 15 year plan: 21,100 (Potential patient registrations for Hucknall). In addition, there are planning applications for three new care homes in the Hucknall area, one application includes 70 beds. Oakenhall Medical Practice currently covers ten care homes which included 383 beds. Oakenhall Medical Practice Oakenhall Medical Practice is served by four part-time General Practitioners (three whole time equivalent) working in a partner owned premises. Oakenhall Medical Practice is the only practice located within this building. Oakenhall Medical Practice has a rising practice patient register of 7190. Oakenhall Medical Practice opens between the hours of 08:00 to 18:30 Monday to Friday. The practice does not shut with the exception of Protected Learning Event arranged or agreed to by Nottingham North and East Clinical Commissioning Group. In addition to the full range of General Medical Services the Oakenhall Practice also provides the following services to its patients: • Minor Surgery • Contraception Services • Smoking Cessation - in conjunction with Smokefreelife The practice staff includes: • Four GP Partners (3 whole time equivalent) • Three Practice Nurses (2 ¾ whole time equivalent) • One Healthcare Assistant • 9 Administration Team (including Practice Manager) 6 The Whole Time Equivalent for the four GP Partners is equal to Three Whole Time Equivalent. Oakenhall Medical Practice is currently over capacity by approximately 1790 patients, in relation to the number of GP’s, i.e. 2404 per three WTE which is significantly over the recommended list size per WTE GP. We are severely limited by our building size so cannot expend team further, as we are already using consulting rooms to capacity. Oakenhall Medical Practice is a member of the Nottingham North And East Clinical Commission Group. All GP partners equal engage within the NNE CCG, in relation to meetings, service specification, and work streams deliveries. All the four GP Partners are involved and engage within leadership areas with the practice e.g. Safeguarding Lead, Prescribing Lead etc. to provide a practice ethos in line with the Care Quality Commissioning Inspection Requirements. Oakenhall Medical Practice received a CQC inspection on the 16 th of June 2016 and was rated as “GOOD” in all areas. Oakenhall Medical Practice employs three Practice Nurses and One Healthcare Assistance to deliver nursing care within the practice. All four members of the Nursing team are experienced in their individual roles. The Whole Time Equivalent for the Nursing team is equal to two and three quarter’s Whole time equivalent. Oakenhall Medical Practice employs nine administrative staff (including Practice Manager) – the Whole Time equivalent is seven and three quarter WTE. The members of staff have various levels of experience. We have recently recruited a part time receptionist, in addition to confirming a permanent employment of our apprentice. The staffing Rota ensures that there is a mix of experience staff from 08:00 until 18:00 to ensure all staff has supervision, support (mentorship) and ongoing training in place throughout the working day. All staff are also trained in multiple roles to ensure that all aspects of administration of the practice can fully function throughout the working day – to ensure whether ever possible, that patient enquiries are dealt within one patient contact. Practice Forward Planning Oakenhall Medical Practice is located in a converted and much extended former Victoria dwelling house set within a terrace of similar properties. Parking
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