Latest Snippet(s)
Positive
"• The practice sign posted patients to the local depression and anxiety service."
2015-08-06 Snippet(s)
Positive
"The services each had a specific focus including depression and anxiety and addictions."
Latest Snippet(s)
Positive
"• 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."
Neutral
"• The practice had staff who were skilled mental health and dementia practitioners."
2015-08-06 Snippet(s)
Positive
"Good ––– People experiencing poor mental health including people with dementia The practice is rated as outstanding for the care of people experiencing poor mental health including people with dementia."
Positive
"The practice had received a National Patient Safety Award in relation to dementia care and advance planning."
Positive
"Comprehensive mental health assessments were completed and the practice had a dementia practitioner working at the practice to support patients and their carers."
Positive
"For example nursing staff told us about a patient they suspected may have early onset dementia due to subtle changes seen in conversation; the patient was referred to the GP and assessed that same day."
Latest Snippet(s)
Positive
"The nurses held diploma qualifications covering the management of patients with diabetes and respiratory conditions such as asthma and chronic pulmonary disease."
Positive
"Performance was above average for quality indicators covering respiratory conditions – asthma and chronic pulmonary disease."
2015-08-06 Snippet(s)
Positive
"These included those for the treatment of cardiac arrest anaphylaxis suspected meningitis hypoglycaemia severe asthma overdose nausea and vomiting and epileptic fit."
Positive
"The practice had a long history of promoting nurse led chronic disease management success in the work done with patients suffering from asthma had resulted in an award from a nationally known organisation."
Positive
"For example two of the practice nurses held a diploma in asthma and chronic respiratory disease were responsible for managing the care of patients with these long term conditions."
Positive
"Similarly annual assessment of patients with asthma were not undertaken during the hay fever season."
Positive
"The nurses had received extensive training for their roles for example seeing patients with longterm conditions such as asthma COPD diabetes and coronary heart disease as well as the administration of vaccines and undertaking cervical smears."
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
"For example a designated GP and practice nurse champion were involved with the Peninsular Cancer Alliance transformation for the purpose of improving the care available in Primary Care for patients living with and beyond cancer."
Positive
"• The practice’s uptake for breast and bowel cancer screening was above the national average."
2015-08-06 Snippet(s)
Positive
"Educational meetings with clinical staff were reviewing all patients newly diagnosed with cancer so that any potential learning was brought to the meeting."
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 nurses held diploma qualifications covering the management of patients with diabetes and respiratory conditions such as asthma and chronic pulmonary disease."
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."
2015-08-06 Snippet(s)
Positive
"The GPs told us they lead in specialist clinical areas such as respiratory disease end of life care diabetes and dementia."
Positive
"The nurses had received extensive training for their roles for example seeing patients with longterm conditions such as asthma COPD diabetes and coronary heart disease as well as the administration of vaccines and undertaking cervical smears."
Neutral
"They also checked that all routine health checks were completed for longterm conditions such as diabetes and that the latest prescribing guidance was being followed."
Latest Snippet(s)
Positive
"There were some areas where there was a statistically significant positive variation for example monitoring patients with hypertension and diabetes."
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."
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."
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."
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."
2015-08-06 Snippet(s)
Positive
"The practice had also completed a review of case notes for patients with high blood pressure which showed all were receiving appropriate treatment and regular review."
Neutral
"A schedule of testing was in place and certain types of equipment were calibrated for accuracy for example weighing scales spirometers blood pressure measuring devices and the fridge thermometer."
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
"• Patients in mental health crisis were dealt with as a medical emergency and flagged as urgent to their named or duty GP."
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
"• The practices performance on quality indicators for mental health was in line with local and national averages."
Neutral
"• The practice had staff who were skilled mental health and dementia practitioners."
2015-08-06 Snippet(s)
Positive
"It was also good for providing services for all the population groups with exception of people with mental health which is rated as outstanding."
Positive
"Good ––– People experiencing poor mental health including people with dementia The practice is rated as outstanding for the care of people experiencing poor mental health including people with dementia."
Positive
"There was a good skill mix across the team with the GPs each having their own specialist interests areas such as teachingtraining child care learning disabilities and complex mental health care."
Positive
"Comprehensive mental health assessments were completed and the practice had a dementia practitioner working at the practice to support patients and their carers."
Positive
"Shared care arrangements were in place for patients with complex mental health needs."
Positive
"Flexible services and appointments were available which enabled patients experiencing poor mental health to have longer appointments up to an hour at quieter times of the day avoiding times when they might find this stressful."
Positive
"Staff were skilled in recognising and responding to patients experiencing mental health crisis providing support to access emergency care and treatment."
Positive
"The practice worked collaboratively with the community mental health team and consultant psychiatrists from the mental health partnership trust."
Neutral
"The practice worked closely with the community mental health team and regularly reviewed each patient."
Neutral
"The team had a close working relationship with community mental health professionals who attend multidisciplinary meetings at the practice."
Neutral
"This included the multidisciplinary team such as physiotherapists occupational therapists health visitors district nurses community matrons and the mental health team."
2015-08-06 Snippet(s)
Positive
"Families were given choice and flexibility for appointment times in order to increase baby vaccination rates notification of the need for vaccine was given from birth and appointments given four weeks later."
2015-08-06 Snippet(s)
Positive
"It offered longer appointments for people with a learning disability and their carers for reviews."
Positive
"For example a register of patients with learning disability was held."
Neutral
"The practice liaised with the learning disability nurse specialist to ensure information was communicated in a person centred way for example in easy read or picture formats."
2015-08-06 Snippet(s)
Positive
"The nurses had received extensive training for their roles for example seeing patients with longterm conditions such as asthma COPD diabetes and coronary heart disease as well as the administration of vaccines and undertaking cervical smears."
2015-08-06 Snippet(s)
Neutral
"For patients within the relevant age range a vaccination against shingles was also available and information about this highlighted in the practice newsletter and website."
2015-08-06 Snippet(s)
Positive
"It offered longer appointments for people with a learning disability and their carers for reviews."
Positive
"For example a register of patients with learning disability was held."
Neutral
"The practice liaised with the learning disability nurse specialist to ensure information was communicated in a person centred way for example in easy read or picture formats."
2015-08-06 Snippet(s)
Positive
"The practice offered a full range of immunisations for children travel vaccines and flu vaccinations in line with current national guidance."
Positive
"The annual flu vaccination programme was underway."
Positive
"During the current flu vaccination campaign additional clinics had been held."
Positive
"The practice had targeted the population living in and around Polruan and ran a tea party with Age Concern to raise awareness and offer flu vaccinations for older people in the area."
Positive
"Staff told us this had increased patient uptake of flu vaccination but the final outcome of the campaign would not be known for a month or so."
Positive
"Initiatives such as holding a tea party in conjunction with a charity to raise awareness of flu vaccination had proven successful."
2015-08-06 Snippet(s)
Positive
"These included those for the treatment of cardiac arrest anaphylaxis suspected meningitis hypoglycaemia severe asthma overdose nausea and vomiting and epileptic fit."