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Neutral
"• The PPG chair was a volunteer Health Walk team leader and led the practice Health Walking Group which met fortnightly under the umbrella of the County Council’s Walking for Health."
Neutral
"Maintained membership and representation of the Cambridge Health Patient Forum Group this was a meeting of chair representatives from Cambridge PPGs and maintained membership of the National Association of Patient Participation."
Neutral
"The PPG chair was a volunteer Health Walk team leader and led the practice Health Walking Group which met fortnightly under the umbrella of the County Council’s Walking for Health."
Latest Snippet(s)
Positive
"• Other indicators such as atrial fibrillation cancer chronic obstructive pulmonary disease dementia epilepsy heart failure learning disability and palliative Are services effective?"
Positive
"• The practice worked closely with multidisciplinary teams to improve the quality of service provided to vulnerable and palliative care patients."
Positive
"In addition to this the practice liaised with the locality MDT coordinator who organised monthly local meetings of GPs district nurses palliative care nurses and administrative staff."
2014-12-15 Snippet(s)
Positive
"This included multidisciplinary discussions for particular patients such as those receiving palliative care."
Positive
"Patients approaching the end of their lives were identified on a palliative care register."
Positive
"This was in addition to those patients who were receiving palliative care or were approaching the end of their lives."
Latest Snippet(s)
Positive
"During our visit we: • Spoke with a range of staff which included GPs the advanced nurse practitioner practice nurses the practice manager health care assistants members of the dispensing and receptionadministration teams visiting health care professionals and spoke with patients who used the service."
Positive
"• The practice held monthly meetings to discuss vulnerable or at risk children where the school nurse health visitor and nursery nurse were invited."
Positive
"The practice held monthly meetings to discuss vulnerable or at risk children where the school nurse health visitor and nursery nurse were invited."
Positive
"The nurse practitioner was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"• Where a patient’s mental capacity to consent to care or treatment was unclear the GP or practice nurse assessed the patient’s capacity and recorded the outcome of the assessment."
Positive
"• The nurse prescriber provided spirometry and asthma reviews and worked closely with the GPs to highlight any concerning results."
Positive
"• The practice liaised with the community school nurse who was based at the practice; we were told this strengthened the collaborative working between the practice and community teams."
Positive
"A practice nurse had undertaken a foundation Are services responsive to people’s needs?"
Neutral
"There is a team of practice nurses which includes two nurse prescribers one practice nurse and one health care assistant phlebotomist who run a variety of appointments for long term conditions minor illness and family health."
2014-12-15 Snippet(s)
Positive
"The needs of patients with type II diabetes were discussed quarterly with the lead GP and practice nurse from Bottisham and a specialist diabetic nurse and diabetic consultant from the local hospital to ensure consistent best management and practice."
Positive
"The school nurse health visiting team and community nursing team were based at Bottisham Medical Practice which enabled effective joint working."
Neutral
"In order to support this process the practice held monthly meetings when the few children known to be at risk were discussed with the health visiting team school nurse and community nursing team."
Positive
"These included GP nurse and bloodtaking appointments that were prebookable up to four weeks in advance appointments that were released ‘on the day’ and minor illness or injury appointments."
2014-12-15 Snippet(s)
Positive
"Although the practice manager told us that a room could be made available for private conversations if necessary the layout of the reception area meant that it was not always easy to ensure patients could speak to a receptionist in private."
Latest 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
"• There were procedures in place for monitoring and managing risks to patient 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
"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
2014-12-15 Snippet(s)
Positive
"Management monitoring and improving outcomes for people We saw that the practice made use of a NHS information tool called the ‘urgent care dashboard’ UCD a NHS computerised information tool to help them to identify and support patients who were most at risk of unscheduled hospital admissions."
Positive
"Learning and improvement from safety incidents The practice had a system in place for reporting recording monitoring and learning from significant events a process known as significant event analysis SEA."
Positive
"This was mirrored in the practice’s approach to monitoring quality and performance through the use of clinical audits and the review of significant events."
Positive
"The practice had a proactive approach to monitoring performance through clinical audits and the analysis of data on a regular basis."
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."
Latest Snippet(s)
Positive
"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."
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Positive
"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."
Neutral
"It covered topics such as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Neutral
"It covered topics such as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"We were told this was also reflective of the large elderly practice population where certain recommended treatments were not appropriate."
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Positive
"Additionally the practice worked with both the nursing and residential homes and through an agreement dispensed urgent medicines and end of life medicine to support patient care."
Neutral
"Systems were in place to action any medicine recalls."
Neutral
"We also saw that the dispensary team informed patients in a timely manner if they were unable to get a medicine and would coordinate with the GPs to supply a substitution if appropriate."
Neutral
"The practice also worked with the CCG medicines management team and together undertook regular medicine and oral nutrition reviews for patients at the nursing and residential homes."
2014-12-15 Snippet(s)
Positive
"Although the correct medicine had been prescribed the GP concerned recognised the recording error considered that this might have influenced faulty repeat prescribing and so recorded the incident as a ‘near miss’."
Positive
"The practice operates a medicine dispensing service from its own dedicated onsite dispensary."
Positive
"Feedback we received from patients about their medicine supplies was good and they reported no delays in obtaining their medicines."
Neutral
"For example we reviewed an incident with one of the GP partners where a particular medicine prescribed to a patient had been incorrectly noted in a patient’s records."
Neutral
"In addition to the audits on prescribing practices for antibiotics and of the use of a particular medicine for patients with diabetes that we discussed in ‘safe’ above we also looked at a number of others."
2014-12-15 Snippet(s)
Positive
"There were safe processes and systems in place such as those for responding to a medical emergency and those for ensuring the practice was clean and operated hygienically."
2014-12-15 Snippet(s)
Positive
"Such initiatives included improving a voluntary transport scheme that was linked to the appointment booking arrangements to help less mobile patients get to the practice."
Positive
"The patient group had worked alongside a receptive management team on a number of initiatives to improve outcomes for patients such as a voluntary transport scheme a ‘walking group’ and ‘heart start’ sessions to help patients deal with life threatening situations."
2014-12-15 Snippet(s)
Positive
"This contraceptive service was also subject of a clinical audit to ensure best practice was followed."
Positive
"For example we reviewed completed clinical audit cycles on the effectiveness of minor surgery and on the use of long acting reversible contraception."
2014-12-15 Snippet(s)
Positive
"We saw each contract had a clear and specific cleaning schedule in place which was regularly monitored."
Neutral
"This was through a formal contract with a commercial cleaning company for both the clinical and public areas of the building."
Neutral
"There was a separate contract for cleaning within the administration and office areas."
2014-12-15 Snippet(s)
Positive
"The records of all such contacts with other providers such as information about attendances at the accident and emergency department hospital discharge letters and test results were reviewed by a GP each day."