What is the Quality of Care at Ludham and Stalham Green Surgeries

Positive

"There were staff in various champion roles including dementia champion and carers champion."

Positive

"There was an administration team staff member who was dementia champion to provide further support for carers of and patients with dementia."

Positive

"This included ongoing support onetoone meetings clinical supervision and facilitation and support for revalidating GPs and nurses; and training on topics based on the needs of the patient demographics for example deaf awareness and dementia awareness training."

Positive

"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 was also a dementia friendly practice."

Positive

"Each had different care specialities for patients including elderly people with medication needs and specialist dementia units."

Positive

"This was amongst others driven by the practice providing personal bereavement visits with GPs being a dementia friendly practice and all staff being trained as chaperones."

Positive

"• A management assistant in the practice had attended a specialist course run by a local charity and presented by people with learning disabilities and sensory impairment in order to improve the practice’s accessible information standards."

Positive

"• Nationally reported data showed that outcomes for patients for conditions commonly found in older people including rheumatoid arthritis and heart failure were above local and national averages."

Positive

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

Positive

"• ALLHEART – this interventional study was due to start shortly after our inspection and looks into the use of allopurinol used to treat gout or kidney stones and to decrease levels of uric acid in certain cancer patients in patients with heart disease."

Positive

"• ALLHEART – this interventional study was due to start shortly after our inspection and looks into the use of allopurinol used to treat gout or kidney stones and to decrease levels of uric acid in certain cancer patients in patients with heart disease."

Neutral

"• The practice provided inhouse DDimer testing a blood test that measures a substance that is released when a blood clot breaks up and use of a Doppler machine used to check for deep vein thrombosis at both sites."

Positive

"Exception reporting for diabetes related indicators was below local and national averages exception reporting is the removal of patients from QOF calculations where for example the patients are unable to attend a review meeting or certain medicines cannot be prescribed because of side effects."

Neutral

"Performance for diabetes related indicators was lower compared to the CCG and national average."

Positive

"• The practice provided text message services for patients including reminders for appointments annual reviews flu vaccinations and health campaigns."

Neutral

"PPG members assisted during flu clinics and carer events which the clinical team claimed was supportive to the team."

Positive

"• Staff 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

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

Neutral

"• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations some of which visited the practice on a regular basis."

Neutral

"• A wide range of patient information leaflets were available in the waiting area including NHS health checks services for carers and promotion of mental health awareness."

Positive

"• Nationally reported data showed that outcomes for patients for conditions commonly found in older people including rheumatoid arthritis and heart failure were above local and national averages."