What is the Quality of Care at Hatton Medical Practice

Positive

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

Positive

"However one patient was not happy with the follow up to a blood test and another to a dementia assessment."

Positive

"One patient was not happy with the follow up to a blood test and another to a dementia assessment."

Positive

"• The practice worked closely with district nurses care navigators and a dementia nurse to help in identifying patients at risk within this group."

Positive

"• Patients at risk of dementia were identified and offered an assessment."

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 participated in enhanced services for dementia and used screening tools to identify those patients at risk."

Positive

"For example the practice had signed up to a CCG led enhanced service for patients with dementia to promote early diagnosis and intervention."

Neutral

"Patients with a learning disability and mental health problems including those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

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

"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation and those in at risk groups including vulnerable children and adults patients with learning disabilities and mental health problems."

Positive

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

Positive

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

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

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

Neutral

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

Neutral

"• QOF performance was higher than the national average for mental health related indicators."

Neutral

"• The practice had information available for patients experiencing poor mental health about how they could access various support groups and voluntary organisations."

Positive

"These included patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation and those in at risk groups including vulnerable children and adults patients with learning disabilities and mental health problems."

Positive

"For example patients on the ‘at risk’ register including children and families vulnerable adults homeless patients those with learning disabilities and poor mental health and those receiving palliative care."

Positive

"• There were longer double appointments available for people with long term conditions and complex needs and vulnerable patients including those with a learning disability and mental health problems."

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

"• Patients experiencing poor mental health were referred to local mental health services and memory clinic where appropriate for example for support for anxiety and stress management."

Neutral

"The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health and sign posted patients to the appropriate services."

Neutral

"Patients with a learning disability and mental health problems including those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

"Indicators where performance was significantly below average included: osteoporosis secondary prevention of coronary heart disease and stroke and transient ischaemic attack."

Positive

"Indicators where performance was significantly below average included: osteoporosis secondary prevention of coronary heart disease and stroke and transient ischaemic attack."

Positive

"The practice had reviewed its QOF performance in the light data published by the CQC and had put an action plan in place to improve scores in general and for COPD cervical smear and flu immunisation uptake related indicators in particular."

Positive

"This included better advertising of the flu vaccination programme and early invitations and a system to identify when patients had gone elsewhere to better monitor overall uptake."

Neutral

"• We observed from the last four month’s vaccine fridge data that on one day the temperatures had not been recorded."

Neutral

"We saw that checks of fridge temperatures were carried out daily although the signature of the member of staff completing the checks was not recorded as required under national guidance on vaccine management and storage."

Positive

"• There were longer double appointments available for people with long term conditions and complex needs and vulnerable patients including those with a learning disability and mental health problems."

Neutral

"Patients with a learning disability and mental health problems including those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Neutral

"Patients with long term conditions were referred to the community matron respiratory nurse paediatric asthma service heart failure nurse local diabetic service and dietitians where appropriate."

Neutral

"• Patients with long term conditions were referred to the community matron respiratory nurse paediatric asthma service heart failure nurse local diabetic service and dietitians where appropriate."

Positive

"• There were longer double appointments available for people with long term conditions and complex needs and vulnerable patients including those with a learning disability and mental health problems."

Neutral

"Patients with a learning disability and mental health problems including those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."