What is the Quality of Care at Thornbrook Surgery

Positive

"For example the practice had submitted a successful bid to fund mental health and dementia support workers in partnership with a nearby practice."

Positive

"The bids for a dementia support worker and a mental health worker were successful and each practice was allocated one of the workers."

Positive

"• Staff had undertaken dementia awareness training and the practice had applied for ‘Dementia Friends’ status to enhance their knowledge of support available to patients and their carers."

Positive

"For example the practice had contributed to a bid which had led to the piloting of a dementia support worker being based in a nearby GP practice."

Neutral

"However the practice contributed to the dementia Are services wellled?"

Positive

"• Longer appointments and home visits were offered to vulnerable patients including patients with a learning disability when required."

Positive

"For example a patient with a learning disability could sit with their carer in the car whilst waiting for their appointment as they felt calmer in doing this."

Positive

"• The practice funded a specialist respiratory nurse who attended the practice once a fortnight to monitor and review patients with breathing difficulties such as those with chronic obstructive airways disease and patients with more complex asthma problems."

Positive

"For example screening uptake for cervical bowel and breast cancer was in line with local and national averages."

Positive

"The practice also encouraged its patients to attend national screening programmes for bowel and breast cancer screening and uptake was generally in line with local and national averages."

Positive

"• We reviewed a full cycle audit on the care pathway used for the diagnosis and treatment of deep vein thrombosis Thornbrook Surgery is one of only four practices in North Derbyshire CCG to provide this service."

Positive

"• Annual reviews for diabetes consisted of coordinated appointments with the health care assistant followed by an appointment with the nurse or GP in one visit to discuss patients’ needs."

Positive

"The majority of diabetes care was provided inhouse and this included the initiation of insulin."

Positive

"GPs had clinical lead areas of responsibility including diabetes and prescribing and acted as an expert resource for their colleagues."

Positive

"• Longer appointments and home visits were offered to vulnerable patients including patients with a learning disability when required."

Positive

"For example a patient with a learning disability could sit with their carer in the car whilst waiting for their appointment as they felt calmer in doing this."

Positive

"A range of seating was available and this had been introduced in response to a patient with a disability who was noted at having difficulties manoeuvring in the previous seating."

Positive

"For example the previous flu campaign was reviewed and it was decided that more satellite clinics would be provided in rural areas the following year to enhance patient experience."

Positive

"This was assisted by the excellent access to mental health support within the practice."

Positive

"For example the practice had submitted a successful bid to fund mental health and dementia support workers in partnership with a nearby practice."

Positive

"The bids for a dementia support worker and a mental health worker were successful and each practice was allocated one of the workers."

Positive

"• The practice provided access to a range of mental health support that included a psychotherapist; a counsellor; a consultant psychiatrist for older people; and a cognitive behavioural therapist to support patients with mental health needs."

Positive

"• Appointments were usually booked with the same GP to ensure continuity of care for patients experiencing mental health difficulties."

Positive

"Outcomes for mental health care were above local and national averages."

Positive

"• Access to a range of professionals for mental health support was provided on site each day."

Positive

"• Support for patient with mental health difficulties was enhanced by regular clinics held by a counsellor cognitive behavioural therapist and a psychotherapist."

Neutral

"• The practice was able to demonstrate high achievement in terms of outcomes for patients experiencing mental health difficulties."

Neutral

"This included a number of NHS outpatient clinics; a physiotherapy clinic; services for patients with mental health problems; and a Citizens Advice Bureau session to assist patients with benefits advice."

Neutral

"• A GP had been involved in developing the mental health strategy for the region as part of a role with the CCG."

Neutral

"• A community psychiatric nurse CPN worked with the practice and usually attended weekly multidisciplinary meetings to review and discuss any patients with ongoing mental health needs."

Neutral

"Thornbrook Surgery had the mental health worker but unfortunately the funding was withdrawn prior to the individual’s appointment."

Neutral

"• The practice had initially funded the input of a psychotherapist on site to help patients with mental health problems."

Positive

"• We saw evidence that staff had received vaccinations to protect them against hepatitis B. • We reviewed three staff files and found that recruitment checks had been undertaken prior to employment."