Latest Snippet(s)
Positive
"The clinical team also includes an advanced nurse practitioner a practice nurse and a health care assistant."
2017-02-16 Snippet(s)
Positive
"Where a patient’s mental capacity to consent to care and treatment was unclear the GP or advanced nurse practitioner assessed the patients capacity and where appropriate recorded outcomes of the assessment on the template provided on the system."
Positive
"For those patients with the most complex needs the GPs and advanced nurse practitioner worked with relevant health and care professionals to deliver a multidisciplinary package of care."
Positive
"There was a flag on the computer system to identify vulnerable patients that had had a hospital admission these were discussed at the district nurse meeting."
Positive
"The practice held monthly palliative care meetings attended by community nurse and hospice staff."
Positive
"There are two long term locum GPs an advanced nurse practitioner one practice nurse and a healthcare assistant."
Positive
"• The advanced nurse practitioner was the lead for safeguarding."
Positive
"The advanced nurse practitioner and the long standing locum GP held monthly safeguarding meetings with health visitors to discuss children on the ‘at risk’ register."
Positive
"• The advanced nurse practitioner was an Independent Prescriber and could therefore prescribe medicines for specific clinical conditions."
Positive
"For example the advanced nurse practitioner had diplomas in COPD diabetes and asthma management and they had annual expert tuition discussing dementia."
Neutral
"During our visit we: • Spoke with a range of staff which included the GP director practice manager assistant practice manageradvanced nurse practitioner the healthcare assistant and reception staff."
Latest Snippet(s)
Positive
"In addition the provider should: • Continue monitoring appointment and phone access to increase patient satisfaction."
Neutral
"It is based on a combination of what we found when we inspected information from our ongoing monitoring of data about services and information given to us from the provider patients the public and other organisations."
2017-02-16 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice used the information collected for the Quality and Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."
Positive
"For example customer care training for all staff communication via the practice website and face book page to raise awareness regarding appointment booking facilities and monitoring of clinic appointment times."
Positive
"There were procedures in place for monitoring and managing risks to patients’ and staff safety."
Neutral
"It is based on a combination of what we found when we inspected information from our ongoing monitoring of data about services and information given to us from the provider patients the public and other organisations."
Neutral
"• We reviewed the process for the prescribing of high risk medicines and checked a sample which indicated that the monitoring and follow up was appropriately managed and blood results reviewed."
Latest Snippet(s)
Neutral
"Onsite parking is available with designated parking for cyclists and patients who display a disabled blue badge."
Latest Snippet(s)
Positive
"The surgery has automatic entrance doors and is accessible to patients using a wheelchair and push chairs."
2017-02-16 Snippet(s)
Positive
"The GP director was the contracting lead for the CCG a member of the accident and emergency delivery board and chair for the urgent and primary care demand management group."
2017-02-16 Snippet(s)
Positive
"• The practice maintained a palliative care register and held monthly palliative care meetings that included reviews of patients with conditions such as dementia and heart failure."
Positive
"The practice held monthly palliative care meetings attended by community nurse and hospice staff."
Positive
"• There were clinical leads for Safeguarding and palliative care."
2017-02-16 Snippet(s)
Positive
"• The practice used clinical audit to improve patient outcomes."
2017-02-16 Snippet(s)
Positive
"This included ongoing support onetoone meetings mentoring clinical supervision and facilitation and support for revalidating GPs and nurses ."
2017-02-16 Snippet(s)
Positive
"• There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."
Neutral
"There was a health and safety policy and the practice had risk assessments in place to monitor safety of the premises."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-02-16 Snippet(s)
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-02-16 Snippet(s)
Neutral
"We saw cleaning records and completed cleaning specifications within the practice."
Neutral
"• There were records to reflect the cleaning of medical equipment such as the equipment used for ear irrigation."
2017-02-16 Snippet(s)
Positive
"Exception reporting is used to ensure that practices are not penalised where for example patients do not attend for review or where a medicine cannot be prescribed due to a contraindication or sideeffect which was similar to the CCG and national averages."
Neutral
"There had been five clinical audits and additional medicine audits in conjunction with the CCG completed in the last two years."