What is the Quality of Care at Parish Fields Practice

Positive

"Patients with learning disabilities and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

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

Positive

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

Positive

"The practice had arranged additional Saturday clinics for patients to attend for their flu vaccinations."

Positive

"We saw that flu and shingles vaccinations were routinely offered to older patients to help protect them against these viruses and associated illnesses."

Neutral

"The practice had recently held a coffee morning in conjunction with a flu immunisation clinic to encourage uptake."

Positive

"Referrals to the local mental health trust were actively followedup to ensure the best outcome for patients."

Positive

"Practice staff were proactive in challenging commissioning arrangements in order to improve outcomes for patients with mental health needs."

Positive

"The practice recognised that due to financial constraint significant gaps existed in local provision of mental health secondary care."

Positive

"The practice openly challenged the local commissioning arrangements for the provision of care for mental health patients."

Positive

"Patients experiencing poor mental health were invited to attend the practice for different physical health checks."

Positive

"Health promotion and prevention GPs we spoke with told us that regular health checks were offered to those patients with long term conditions learning disabilities and those experiencing mental health concerns."

Positive

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

Neutral

"An example of the range of patients discussed included palliative care patients children of concern to health visitors those experiencing poor mental health and ‘at risk’ patients including patients who had experienced unplanned admission to hospital."

Neutral

"We saw that the care plans used for patients with a learning disability and for those for patients with a mental health problem were comprehensive."

Neutral

"If the service was unable to meet the patient’s needs they could refer the patient to trained counsellors and mental health support."

Positive

"It had a system for calling patients with a learning disability to attend for an annual health check."

Neutral

"We saw that the care plans used for patients with a learning disability and for those for patients with a mental health problem were comprehensive."

Neutral

"These included child immunisation diabetes chronic obstructive pulmonary disease COPD asthma hypertension coronary heart disease CHD cervical screening smoking cessation support a health trainer service gym referrals a diabetes exercise project and travel vaccination appointments."

Neutral

"These included child immunisation diabetes chronic obstructive pulmonary disease COPD asthma hypertension coronary heart disease CHD cervical screening smoking cessation support a health trainer service gym referrals a diabetes exercise project and travel vaccination appointments."

Positive

"They met regularly with the lead GP for diabetes to review best practice guidelines and both regularly attended shared care meetings with secondary care services."

Positive

"For example the lead nurse for diabetes told us they had been supported in undertaking advanced training in diabetes."

Positive

"This included gestational diabetes dispensary services prescribing of analgesics including nonsteroidal antiinflammatory drugs NSAIDs and prescribing within a shared care protocol."

Positive

"The lead nurse for diabetes told us that three monthly shared cared meetings and attendance at an annual diabetes management conference provided opportunities for further updating of knowledge."

Neutral

"We saw evidence that clinical audit work around gestational diabetes had enabled the practice to identify more patients who were at risk and to support them with lifestyle changes during pregnancy."

Neutral

"The practice had appointed both GP and nurse leads for specialist clinical areas such as diabetes and respiratory conditions."

Neutral

"For example the practice had appointed a lead nurse for diabetes and a lead nurse for respiratory conditions."

Neutral

"All of the GPs within the practice had undergone training relevant to their lead roles such as diabetes management and child safeguarding."

Neutral

"These included child immunisation diabetes chronic obstructive pulmonary disease COPD asthma hypertension coronary heart disease CHD cervical screening smoking cessation support a health trainer service gym referrals a diabetes exercise project and travel vaccination appointments."

Positive

"For example we saw the practice had recently responded to NICE guidance relating to the prescribing of medicines to treat epilepsy by brand only."

Neutral

"These included child immunisation diabetes chronic obstructive pulmonary disease COPD asthma hypertension coronary heart disease CHD cervical screening smoking cessation support a health trainer service gym referrals a diabetes exercise project and travel vaccination appointments."

Positive

"We saw that flu and shingles vaccinations were routinely offered to older patients to help protect them against these viruses and associated illnesses."

Positive

"It had a system for calling patients with a learning disability to attend for an annual health check."

Neutral

"We saw that the care plans used for patients with a learning disability and for those for patients with a mental health problem were comprehensive."

Positive

"The practice had installed an electronic blood pressure monitor and weighing scales within the room."

Positive

"We noted that the vaccine handling and cold chain protocols were appropriate and that staff understood their significance."

Neutral

"Up to date records of the hepatitis B immunity status of all staff were held within the practice."