What is the Quality of Care at Five Elms Medical Practice

Positive

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

Positive

"People experiencing poor mental health including people with dementia: This population group was rated good for effective because: • 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 inadequate for providing responsive services requires improvement for providing caring and wellled services and good for providing safe and effective services."

Positive

"People experiencing poor mental health including people with dementia The provider was rated as inadequate for providing responsive services requires improvement for providing effective caring and wellled services and good for providing safe services."

Positive

"However it was not yet clear whether these improvements were fully embedded in the practice culture and there were areas where further improvements were needed for instance outcomes for some patients including those diagnosed with dementia were still below local and national averages."

Positive

"This population group was rated requires improvement however we did identify areas of good practice: • Staff interviewed had a good understanding of how to support patients with mental health needs and those patients living with dementia."

Positive

"People experiencing poor mental health including people with dementia: This population group was rated good for effective because: • Patients at risk of dementia were identified and offered an assessment to detect possible signs of dementia."

Neutral

"People experiencing poor mental health including people with dementia: Although we recognise the practice had taken steps to improve patient satisfaction patient feedback around access remained below the local and national averages."

Positive

"Requires improvement ––– People experiencing poor mental health including people with dementia The provider was rated as inadequate for providing responsive services requires improvement for providing caring and wellled services and good for providing safe and effective services."

Neutral

"• The cervical screening uptake rate by eligible patients with mental health conditions was in line with local and national averages."

Neutral

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

Neutral

"• Performance for mental health related indicators was comparable to the national average."

Positive

"People experiencing poor mental health including people with dementia The provider was rated as inadequate for providing responsive services requires improvement for providing effective caring and wellled services and good for providing safe services."

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 with dementia."

Positive

"• Performance data for patients experiencing mental health indicated that most patients had received an annual review but individual care plans were not always produced."

Neutral

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

Neutral

"• Performance for some mental health related indicators was comparable to the national average."

Positive

"• 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’s uptake for breast cancer was in line with the national average but the uptake rate for bowel cancer screening was below the national average."

Positive

"The clinical audits undertaken concerned audits of palliative care diabetes cancer and chronic obstructive pulmonary disorder COPD."

Positive

"For instance the audit of patients with COPD had been completed jointly by a GP and the practice nurse whilst an audit of patients diagnosed with cancer had been undertaken by a GP and the practice manager."

Positive

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

Positive

"• 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

"This meant that more patients with diabetes now had their conditions reviewed and were receiving treatment for the disease."

Neutral

"• Performance for diabetes related indicators was comparable to local and national averages."

Positive

"The clinical audits undertaken concerned audits of palliative care diabetes cancer and chronic obstructive pulmonary disorder COPD."

Neutral

"• Performance for diabetes related indicators was comparable to local and national averages."

Neutral

"However we asked the practice about the higher than average QOF exception reporting specifically for diabetes related indicators."

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 demonstrated how they encouraged uptake of the screening programme by using information in different languages and for those with a learning disability and they ensured a female sample taker was available."

Neutral

"The practice demonstrated how they encouraged uptake of the screening programme by using information in different languages and for those with a learning disability and they ensured a female sample taker was available."

Neutral

"• Outcomes for patients with asthma were comparable to CCG and national averages."

Positive

"COPD is the name for a collection of lung diseases including chronic bronchitis emphysema and chronic obstructive airways disease."

Positive

"COPD is the name for a collection of lung diseases including chronic bronchitis emphysema and chronic obstructive airways disease."

Positive

"For example following a published guideline on the appropriate use of a medicine used to treat epilepsy we noted that the practice had audited the practice list to identify patients using the medicine and had taken steps to contact ensure these patients were provided with appropriate advice."

Neutral

"The practice demonstrated how they encouraged uptake of the screening programme by using information in different languages and for those with a learning disability and they ensured a female sample taker was available."

Neutral

"The practice demonstrated how they encouraged uptake of the screening programme by using information in different languages and for those with a learning disability and they ensured a female sample taker was available."

Positive

"In addition patients newly diagnosed or who have recently registered with the practice who should have measurements made within three months and delivery of clinical standards within nine months e.g. blood pressure or cholesterol measurements within target levels or patients for whom prescribing a medication is not clinically appropriate."

Positive

"For example following a published guideline on the appropriate use of preventative antiviral medicines during the annual flu season the practice conducted a search to identify patients who would benefit from using these medicines."