What is the Quality of Care at Thornbury Medical Practice

Positive

"People experiencing poor mental health including people with dementia: • The practice assessed and monitored the physical health of people with mental illness severe mental illness and personality disorder by providing access to health checks interventions for physical activity obesity diabetes heart disease cancer and access to ‘stop smoking’ services."

Positive

"The areas where the provider should make improvements are: • The provider should continue to review and take steps to improve the uptake of cancer screening at the practice including bowel breast and cervical screening."

Positive

"• The practices’ uptake for breast and bowel cancer screening was comparable to CCG averages but lower than the England average."

Positive

"• Continue to take steps to improve their cancer screening uptake rates within their population including breast and bowel screening."

Positive

"• The practice took account of the needs and preferences of patients with lifelimiting conditions including patients with a condition other than cancer and patients living with dementia."

Positive

"The practice also encouraged its patients to attend national screening programmes for bowel and breast cancer screening."

Positive

"Information published by Public Health England rates the level of deprivation within the practice population group as one on a scale of one to ten."

Positive

"Information published by Public Health England rates the level of deprivation within the practice population group as one on a scale of one to ten."

Positive

"People experiencing poor mental health including people with dementia: • The practice assessed and monitored the physical health of people with mental illness severe mental illness and personality disorder by providing access to health checks interventions for physical activity obesity diabetes heart disease cancer and access to ‘stop smoking’ services."

Positive

"• Groups supported by the health champions and the PPG such as the ‘knit and natter’ group were available to all patients and there was a range of information available in the patient waiting area to support patients with mental health issues."

Positive

"• The provider should continue to review and improve where possible access to health care for patients with mental health needs."

Neutral

"• The practice hosted mental health counselling sessions for families children and young people."

Neutral

"• Exception rates for QOF indicators relating to mental health were significantly above CCG and national averages."

Positive

"Requires improvement ––– People experiencing poor mental health including people with dementia The provider was rated as requires improvement for responsive and well led care."

Positive

"• The practice worked with the local multidisciplinary mental health team in the case management of patients experiencing poor mental health and in the follow up of patients who had attended accident and emergency when they had been mentally unwell."

Positive

"The population groups are: • older people • people with longterm conditions • families children and young people • working age people including those recently retired and students • people whose circumstances may make them vulnerable • people experiencing poor mental health including people living with dementia."

Positive

"• There were longer appointments available for patients with a learning disability and patients with mental health needs."

Neutral

"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"• Performance for mental health related indicators was also similar to the CCG and national averages."

Positive

"• Staff had a good understanding of how to support people with mental health needs and dementia."

Positive

"Good ––– People experiencing poor mental health including people with dementia The practice is rated as good for the care of people experiencing poor mental health including people with dementia."

Positive

"• The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health including those with dementia."

Positive

"Information about patients’ outcomes was used to make improvements such as; improving mental health service counselling access at the practice."

Neutral

"• The practice had told patients experiencing poor mental health how to access various support groups and voluntary organisations."

Positive

"• The practice made use of a recognised dementia screening tool to help identify early signs of dementia these results would be reviewed with the GPs and made referrals to appropriate services when necessary."

Positive

"• Patients at risk of dementia were identified and offered an assessment to detect possible signs of dementia."

Positive

"When dementia was suspected there was an appropriate referral for diagnosis."

Positive

"Requires improvement ––– People experiencing poor mental health including people with dementia The provider was rated as requires improvement for responsive and well led care."

Positive

"• Patients at risk of dementia were identified and offered an assessment using a recognised assessment tool."

Positive

"Good ––– People experiencing poor mental health including people with dementia The practice is rated as good for the care of people experiencing poor mental health including people with dementia."

Positive

"People experiencing poor mental health including people with dementia: • The practice assessed and monitored the physical health of people with mental illness severe mental illness and personality disorder by providing access to health checks interventions for physical activity obesity diabetes heart disease cancer and access to ‘stop smoking’ services."

Positive

"• The practice was able to demonstrate how they identified patients with commonly undiagnosed conditions for example diabetes chronic obstructive pulmonary disease COPD atrial fibrillation and hypertension."

Neutral

"• Patients with complex diabetes could be seen in the ‘Level Two’ clinic at the practice."

Neutral

"• Outcomes for patients with diabetes were comparable to or lower than CCG and national averages."

Neutral

"• The practice offered a level two diabetes clinic twice per month where a screening coordinator was also in attendance."

Neutral

"For example the practice had recently formulated and implemented a protocol for the review of diabetes and the follow up of blood results."

Positive

"• The practice was managing some of the most common chronic diseases e.g. diabetes coronary heart disease and chronic obstructive pulmonary disease."

Positive

"The practice had reviewed its antibiotic prescribing and taken action to support good antimicrobial stewardship in line with local and national guidance."

Neutral

"• The practice had systems to inform eligible patients to have the meningitis vaccine for example before attending university for the first time."

Neutral

"We saw that the topic of recognising the signs of sepsis was due to be discussed at the practice meeting on the day of inspection."

Positive

"• The practice had carried out annual health checks for patients with a learning disability and offered support and flu vaccinations to patients who were carers."

Positive

"• There were longer appointments available for patients with a learning disability and patients with mental health needs."

Positive

"• It had carried out annual health checks for people with a learning disability but there was no evidence that these had been followed up."

Neutral

"A bronchodilator is used by almost all people with asthma as a way to open the airway passages."

Positive

"• The practice had carried out annual health checks for patients with a learning disability and offered support and flu vaccinations to patients who were carers."

Positive

"• There were longer appointments available for patients with a learning disability and patients with mental health needs."

Positive

"• It had carried out annual health checks for people with a learning disability but there was no evidence that these had been followed up."

Positive

"Pregnant women were proactively offered a flu vaccination when they were referred to the midwife."

Positive

"• The practice had carried out annual health checks for patients with a learning disability and offered support and flu vaccinations to patients who were carers."

Positive

"Appointments were made by receptionist via phone and sending appointment letters to patients to attend flu clinics."

Positive

"DMARDS are a range of medicines used to treat pain swelling and stiffness associated with rheumatoid arthritis."

Positive

"• The practice was managing some of the most common chronic diseases e.g. diabetes coronary heart disease and chronic obstructive pulmonary disease."