Types of Care

Bipolar

Schizophrenia

Dementia

Latest Snippet(s)

Positive

"When dementia was suspected there was an appropriate specialist referral and an annual holistic assessment of health and social care needs."

Neutral

"• Patients at risk of dementia were identified and screened by a health care assistant to detect possible signs of dementia."

2015-02-19 Snippet(s)

Positive

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

Neutral

"Three members of staff were to attend dementia friends training as well as the staff team to conduct elearning on this subject."

Neutral

"The practice had recently arranged for three members of staff to attend dementia friends training as well as the staff team to conduct elearning on this subject."

Neutral

"Three members of staff were due to attend a dementia friends training course."

Learning disabilities

Latest Snippet(s)

Positive

"• Staff worked with the mental health and learning disability teams to respond to the needs of patients."

Positive

"• The practice offered annual health checks to patients with a learning disability and used easy to read material to help people understand tests and procedures."

2015-02-19 Snippet(s)

Positive

"The practice offered longer appointment times for patients with a learning disability and for annual health checks."

Asthma

Latest Snippet(s)

Positive

"Given that these prescriptions included antidepressants and an inhaler for use with asthma the lack of monitoring could be a potential risk to patients."

Positive

"• GPs followed up patients who had received treatment in hospital or through out of hours services for an acute exacerbation of asthma or chronic obstructive pulmonary disease."

Positive

"It ran clinics for asthma COPD heart disease atrial fibrillation hypertension and diabetes."

Positive

"• In conjunction with Fleetwood Neighborhood team patients accessed local clinics in management of asthma COPD heart disease atrial fibrillation hypertension and diabetes."

Cancer

Latest Snippet(s)

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’s uptake for breast and bowel cancer screening were in line with the national average."

Diabetes

Latest Snippet(s)

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 it identified patients with commonly undiagnosed conditions for example diabetes chronic obstructive pulmonary disease COPD atrial fibrillation and hypertension."

Neutral

"However exception reporting was high for diabetes and well above local and national averages."

2015-02-19 Snippet(s)

Positive

"A coding system on the computer system in the practice maintained registers of patients with particular conditions or vulnerabilities for example diabetes mental health issues and learning disabilities."

Neutral

"For example the nurse actively screened patients for diabetes and monitored their long term conditions."

Hypertension

Latest Snippet(s)

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Positive

"It ran clinics for asthma COPD heart disease atrial fibrillation hypertension and diabetes."

Positive

"• In conjunction with Fleetwood Neighborhood team patients accessed local clinics in management of asthma COPD heart disease atrial fibrillation hypertension and diabetes."

Stroke

Latest Snippet(s)

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Antibiotic

Latest Snippet(s)

Positive

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

Scale

Latest Snippet(s)

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."

Disability

Latest Snippet(s)

Positive

"• Staff worked with the mental health and learning disability teams to respond to the needs of patients."

Positive

"• The practice offered annual health checks to patients with a learning disability and used easy to read material to help people understand tests and procedures."

2015-02-19 Snippet(s)

Positive

"Clinical staff also conducted home visits to patients whose illness or disability meant they could not attend an appointment at the practice."

Positive

"One patient told us that the staff at the practice do not see the illness or disability they see the whole person."

Positive

"The practice offered longer appointment times for patients with a learning disability and for annual health checks."

Flu

Blood Pressure

Latest Snippet(s)

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Mental Health

Latest Snippet(s)

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

"We saw several areas of outstanding practice : • The practice delivered a mental health service jointly with another practice in Fleetwood Neighbourhood team."

Positive

"It also allowed other services to offer support as a one stop shop such as mental health and benefits advice."

Positive

"People experiencing poor mental health including people with dementia: • Staff interviewed had a good understanding of how to support patients with mental health needs and those patients living with dementia."

Positive

"• Through Healthy Fleetwood the practice had been involved in initiatives to support the wellbeing of children and families struggling with mental health and social needs."

Positive

"• Staff worked with the mental health and learning disability teams to respond to the needs of patients."

Neutral

"• An inhouse mental health team worked across this practice and another practice which was part of Fleetwood Neighbourhood Team."

Neutral

"• The practice mental health team responded quickly to referrals and delivered cognitive behavioral therapy."

2015-02-19 Snippet(s)

Positive

"The practice maintained an electronic alert system of patients who experienced mental health problems."

Positive

"The practice could refer patients for support to the in house mental health team which was accessible via a separate entrance."

Positive

"The practice maintained a register of patients who experienced mental health problems."

Positive

"A coding system on the computer system in the practice maintained registers of patients with particular conditions or vulnerabilities for example diabetes mental health issues and learning disabilities."

Positive

"For example to ensure that those with long term conditions learning disabilities or mental health issues attended for regular review."

Positive

"The practice had systems in place to ensure people experiencing poor mental health had received an annual physical health check."

Neutral

"Patients who were referred to mental health services could access this inhouse."

Neutral

"The practice had access to an inhouse mental health team."

Vaccine

Latest Snippet(s)

Neutral

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

2015-09-03 Snippet(s)

Positive

"A system has been implemented in the event of a power failure to the surgery and there is a vaccine contact line for the surgery in the event of any incident."

2015-02-19 Snippet(s)

Positive

"We found that for two of these fridge temperatures were appropriately recorded and monitored and vaccine stocks were well managed."

Sepsis

Latest Snippet(s)

Positive

"Clinicians knew how to identify and manage patients with severe infections including sepsis and nonclinical staff had been trained to identify signs of sepsis in order to alert the GP."

Hearing Impairment

2015-02-19 Snippet(s)

Neutral

"For example if a patient had carer support hearing impairment or learning difficulties."