What is the Quality of Care at Grays Inn Medical Practice

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."

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 was in line with local CCG averages but below the national average."

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

"Clinicians had reviewed the records of all patients on the diabetes register and identified any patients whose records indicated they were most at risk for instance because their blood sugar levels were not well controlled."

Positive

"A named member of the administration team had been given responsibility for ensuring that all patients on the diabetes register were invited for regular health reviews."

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 • The practice’s performance on quality indicators for long term conditions was in line and national averages for most clinical indicators."

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

"• 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 • The practice’s performance on quality indicators for long term conditions was in line and national averages for most clinical indicators."

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

"Monitoring care and treatment The practice leadership had changed within the previous twelve months and the new leadership team had not yet developed a programme of quality improvement activity although it had taken part in CCGled prescribing audits and could demonstrate a lower than average antibiotic prescribing."

Positive

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

Positive

"Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten."

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

"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 were told that the practice had improved the patient recall system by nominating separate administrative leads for each clinical indicator and had reemployed a nurse who had significance experience of supporting patients with mental health conditions."

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."

Neutral

"Where results were lower than average for instance some mental health clinical indicators we saw evidence of actions taken by the practice and found that these had brought about improvements."

Neutral

"• The practice signposted patients experiencing poor mental health towards counselling services and local support organizations."

Neutral

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