What is the Quality of Care at The Medici Medical Practice

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

"The practice offered proactive personalised care to meet the needs of the older people in its population and had a range of enhanced services for example in dementia and end of life care."

Positive

"Good ––– People experiencing poor mental health including people with dementia The practice is rated as good for the care of people experiencing poor mental health including people with dementia."

Positive

"Patients with a learning disability and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

"Care plans were recorded on SystmOne for patients with dementia learning disabilities and those patients at high risk of admission to hospital."

Positive

"The practice had identified a lead GP for dementia and there were care plans being developed for those patients on the register as well as for those with learning disabilities and those at risk of unplanned admission."

Neutral

"The practice had GP leads for specific areas such as dementia and mental health until recently when some doctors had left."

Positive

"Patients with mental health problems were seen by GPs only but there was no formal system for monitoring the physical health of patients with severe mental illness."

Positive

"Management monitoring and improving outcomes for people The practice demonstrated an effective general approach to care although had identified some issues with the physical care of patients with mental health problems and diabetes."

Positive

"Good ––– People experiencing poor mental health including people with dementia The practice is rated as good for the care of people experiencing poor mental health including people with dementia."

Positive

"For example the practice were aware that they had not achieved the optimum outcomes for patients with diabetes and mental health problems and were an outlier in some areas of diabetes blood pressure and mental health clinical targets."

Positive

"• Develop a more systematic approach to conditions such as diabetes mental health including physical health depression and hypertension to achieve and demonstrate improved health outcomes in these areas."

Positive

"Whilst the practice were aware that a more systematic approach is required to address the physical health of people experiencing poor mental health they were addressing this and had developed links with other services to improve care for this patient group."

Positive

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

Positive

"• The practice should develop a more systematic approach to conditions such as diabetes mental health including their physical health depression and hypertension to gain a higher achievement of health outcomes in these areas."

Positive

"The practice had recently become involved in a pilot scheme for patients with mental health problems."

Positive

"This involved the practice being able to refer patients to receive a counselling service alcohol and substance misuse advice and support from the community mental health team and referral to improving access to psychological therapies IAPT."

Positive

"For example the practice told us that when a patient with mental health problems requested a repeat prescription for antipsychotic medicines then this would trigger a review."

Positive

"The GPs told us that they had now allocated a lead to mental health and diabetes roles to improve outcomes for those patients."

Positive

"For example we saw that GPs had visited called or sent letters to mental health patients who had become homeless."

Positive

"The practice had access to an outreach service from a mental health consultant who attended the practice once a month to see patients requiring specialist treatment."

Positive

"Patients experiencing mental health problems were identified on a register that allowed the practice to identify those patients taking medicines requiring regular review."

Positive

"The practice told us that the consultant psychiatrist visited the practice monthly to see patients with mental health problems."

Positive

"The practice had input from the specialist diabetes nurse who attended the surgery and the local psychiatrist for those patients with mental health problems."

Positive

"We saw evidence of signposting to other agencies such as the drug and alcohol advisory service British Pregnancy Advisory service and mental health support services."

Neutral

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

Neutral

"The practice had GP leads for specific areas such as dementia and mental health until recently when some doctors had left."

Positive

"• Develop a more systematic approach to conditions such as diabetes mental health including physical health depression and hypertension to achieve and demonstrate improved health outcomes in these areas."

Positive

"• The practice should develop a more systematic approach to conditions such as diabetes mental health including their physical health depression and hypertension to gain a higher achievement of health outcomes in these areas."

Positive

"It had carried out annual health checks for people with a learning disability and offered longer appointments for people with a learning disability."

Positive

"Patients with a learning disability and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

"For example the practice were aware that they had not achieved the optimum outcomes for patients with diabetes and mental health problems and were an outlier in some areas of diabetes blood pressure and mental health clinical targets."

Positive

"• Develop a more systematic approach to conditions such as diabetes mental health including physical health depression and hypertension to achieve and demonstrate improved health outcomes in these areas."

Positive

"• The practice should develop a more systematic approach to conditions such as diabetes mental health including their physical health depression and hypertension to gain a higher achievement of health outcomes in these areas."

Positive

"The GPs told us that they had now allocated a lead to mental health and diabetes roles to improve outcomes for those patients."

Positive

"We spoke with the practice nurses who told us that they carried out care specifically in diabetes and chronic obstructive pulmonary disease COPD and supported the doctors in their work in chronic disease management which allowed the practice to focus on specific conditions."

Positive

"A diabetes specialist nurse also attended the practice to provide advice to staff and support patients whose condition was more complex."

Positive

"The practice had input from the specialist diabetes nurse who attended the surgery and the local psychiatrist for those patients with mental health problems."

Positive

"The practice used computerised tools to identify patients with complex needs such as diabetes and respiratory diseases and developed care plans using their own template."

Neutral

"All these patients had a named GP and a structured annual review to check that their health and medication needs were being met for some conditions although for conditions such as diabetes achievement had been recorded as below average for the CCG."

Neutral

"For example diabetes and mental health."

Neutral

"The practice QOF data showed some areas where it was below the CCG average for example diabetes and mental health."

Positive

"There was evidence that a GP had addressed issues regarding raised blood pressure and high cholesterol arising from health checks."

Positive

"• Develop a more systematic approach to conditions such as diabetes mental health including physical health depression and hypertension to achieve and demonstrate improved health outcomes in these areas."

Positive

"• The practice should develop a more systematic approach to conditions such as diabetes mental health including their physical health depression and hypertension to gain a higher achievement of health outcomes in these areas."

Positive

"It had carried out annual health checks for people with a learning disability and offered longer appointments for people with a learning disability."

Positive

"Patients with a learning disability and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

"Travel vaccines and flu vaccinations were also offered in line with current national guidance."

Positive

"The practice visited those patients who were housebound to provide them with their flu vaccination."

Positive

"For example the practice were aware that they had not achieved the optimum outcomes for patients with diabetes and mental health problems and were an outlier in some areas of diabetes blood pressure and mental health clinical targets."

Positive

"We saw evidence of calibration of relevant equipment; for example electrocardiograph machines and blood pressure measuring devices."

Positive

"The practice completed a review of case notes for patients with high blood pressure which was triggered by repeat prescription requests."

Positive

"There was evidence that a GP had addressed issues regarding raised blood pressure and high cholesterol arising from health checks."