What is the Quality of Care at Wells Park 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

"Requires improvement ––– People experiencing poor mental health including people with dementia The provider was rated requires improvement for effective and responsive."

Positive

"• Reception staff had dementia awareness training so that they could better support patients with dementia."

Positive

"• The practice also completed audits of their records to make sure that coding was accurate and that patients were on the correct treatment for example to check that all patients recorded as having dementia were on appropriate medicine."

Positive

"There was however good practice for this population group: • 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

"There was no documented action plan in place to address breast or bowel cancer screening rates."

Positive

"The areas where the provider should make improvements are: • Take action to improve the uptake of cancer screening."

Neutral

"• The practice’s uptake for breast and bowel cancer screening was below the national average although the difference was not statistically significant."

Positive

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

Positive

"There was however good practice in relation to this population group: • Staff interviewed had a good understanding of how to support patients with mental health needs and those patients living with dementia."

Positive

"People experiencing poor mental health including people with dementia: This population group was rated as requires improvement for effective because of overarching issues including staff training."

Positive

"• The practices performance on quality indicators for mental health was in line with local and national averages."

Positive

"People experiencing poor mental health including people with dementia: This population group was rated as requires improvement for responsive because of overarching issues including access."

Positive

"• Performance for mental health related indicators was worse than the national average."

Neutral

"• Performance for mental health related indicators was below the national average."

Neutral

"• According to data from the practice the rate of exception reporting for mental health indicators remained well below the national average with zero patients excepted for most indicators."

Positive

"Requires improvement ––– People experiencing poor mental health including people with dementia The provider was rated requires improvement for effective and responsive."

Positive

"• Staff had a good understanding of how to support patients with mental health needs and dementia."

Positive

"• Performance for mental health related indicators was worse than the CCG and national average."

Neutral

"• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations."

Neutral

"However the practice believed that their performance in other areas including diabetes and mental health would still be below average."

Positive

"• Longer appointments were available for patients on the learning disability register."

Neutral

"The practice demonstrated how they encouraged uptake of the screening programme by using information in different languages and for those with a learning disability and they ensured a female sample taker was available."

Neutral

"• The practice held asthma and diabetes patient education forums."

Positive

"There was however good practice for this population group: • 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 held twice yearly open clinics for patients with diabetes and chronic obstructive pulmonary disorder."

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 with local and national averages."

Neutral

"• The practice held asthma and diabetes patient education forums."

Neutral

"• Performance for diabetes related indicators was below the national average."

Neutral

"• Performance for diabetes related indicators was still below than the national average."

Positive

"The last published results showed: • Performance for diabetes related indicators was worse than the CCG and national average."

Neutral

"However the practice believed that their performance in other areas including diabetes and mental health would still be below average."

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 with local and national averages."

Positive

"• Older patients were invited for shingles pneumococcal and seasonal flu immunisations and these were also offered opportunistically."

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 had reviewed its antibiotic prescribing and taken action to support good antimicrobial stewardship in line with local and national guidance although the practice had not verified that changes made had resulted in improved prescribing."

Positive

"• Longer appointments were available for patients on the learning disability register."

Neutral

"The practice demonstrated how they encouraged uptake of the screening programme by using information in different languages and for those with a learning disability and they ensured a female sample taker was available."

Positive

"• Older patients were invited for shingles pneumococcal and seasonal flu immunisations and these were also offered opportunistically."

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

"One of the GPs had cowritten a paper on patient and clinician views on the quality of foot health care for rheumatoid arthritis patients."

Positive

"A hip and knee service had been introduced to improve the treatment of patients with osteoarthritis and reduce the number of patients needing to attend hospital for treatment."

Positive

"One of the GPs had cowritten a paper on patient and clinician views on the quality of foot health care for rheumatoid arthritis patients."