Latest Snippet(s)
Positive
"• Patients at risk of dementia were identified and offered an assessment to detect possible signs of dementia."
Positive
"The practice advised that the care coordinator and the paramedic worked with the GPs to manage dementia patients."
Positive
"When dementia was suspected there was an appropriate referral for diagnosis."
Neutral
"• Similarly performance for routinely reviewing patients with dementia was above average."
2015-06-04 Snippet(s)
Positive
"The practice offered a range of enhanced services for example in dementia and end of life care."
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 with the nurse and reviewed annually by their individual GPs."
Positive
"The practice had a register of patients with dementia who were invited for yearly review and care plans were in place."
Positive
"People experiencing poor mental health including people with dementia The practice is rated as good for the care of people experiencing poor mental health."
2015-06-04 Snippet(s)
Positive
"It had carried out annual health checks for people with a learning disability and these patients received a followup."
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 with the nurse and reviewed annually by their individual GPs."
Positive
"For example the practice kept a register of all patients with a learning disability and invited patients for an annual physical health check."
Latest Snippet(s)
Neutral
"For example nurses received advanced training in chronic obstructive pulmonary disease COPD insulin initiation and asthma management."
2015-06-04 Snippet(s)
Positive
"These included areas such as chronic obstructive pulmonary disease asthma heart disease and diabetes Following discussions with staff and looking at minutes from meetings we found that the team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
Positive
"We saw that nurses with extended roles for long term conditions such as diabetes and asthma were also able to demonstrate that they had appropriate training to fulfil these roles."
Latest Snippet(s)
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 twoweek referral rate for suspected cancer diagnosis was lower than the England average with a higher cancer detection rate."
Positive
"• Continue with efforts to encourage uptake of cancer screening services in particular cervical screening."
Positive
"• The practice’s uptake for breast and bowel cancer screening was in line with the national average."
2015-06-04 Snippet(s)
Positive
"The practice told us that one trainee planned to be involved with a research project concerning cancer diagnosis."
Latest Snippet(s)
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."
Neutral
"• The practice had two diabetes nurses trained to initiate insulin."
Neutral
"• The practice was able to demonstrate how it identified patients with commonly undiagnosed conditions for example diabetes COPD atrial fibrillation and hypertension."
2015-06-04 Snippet(s)
Positive
"We noted a good skill mix among the doctors and nurses and saw that nurses had additional training in areas such as diabetes cytology minor injury smoking cessation and wound care."
Positive
"These included areas such as chronic obstructive pulmonary disease asthma heart disease and diabetes Following discussions with staff and looking at minutes from meetings we found that the team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
Positive
"We saw that nurses with extended roles for long term conditions such as diabetes and asthma were also able to demonstrate that they had appropriate training to fulfil these roles."
Positive
"From discussion with staff we found that GPs each had specific clinical areas on which they were the lead specifically for the Quality and Outcomes Framework domains QOF for example diabetes chronic heart disease and asthma."
Latest Snippet(s)
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."
Latest Snippet(s)
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."
Latest Snippet(s)
Positive
"The practice had reviewed its antibiotic prescribing and taken action to support good antimicrobial stewardship in line with local and national guidance."
2015-06-04 Snippet(s)
Positive
"For example antibiotic prescribing and management suspected urinary tract infections."
Neutral
"For example patterns of antibiotic prescribing within the practice."
Neutral
"We discussed data from the local CCG of the practice’s performance for antibiotic prescribing which had been higher compared to similar practices."
Latest Snippet(s)
Positive
"Information published by Public Health England rates the level of deprivation within the practice population group as five on a scale of one to ten."
2015-06-04 Snippet(s)
Positive
"It had carried out annual health checks for people with a learning disability and these patients received a followup."
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 with the nurse and reviewed annually by their individual GPs."
Positive
"For example the practice kept a register of all patients with a learning disability and invited patients for an annual physical health check."
Latest Snippet(s)
Neutral
"Both the paramedic and the care coordinator visited the six sheltered accommodations on a regular basis and the practice had provided flu vaccinations to all tenants in the last year."
2015-06-04 Snippet(s)
Positive
"The practice offered a full range of immunisations for children travel vaccines and flu vaccinations in line with current national guidance and the practice had a good uptake for these services."
Latest Snippet(s)
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 a ‘surgery pod’ to enable selfchecking of patients’ blood pressure weight and completion of health surveys."
2015-06-04 Snippet(s)
Positive
"This included equipment such as blood pressure monitors and spirometers."
Positive
"The practice had a ‘pod’ situated in the surgery which allowed patients to record their blood pressure and weight in the waiting room and this was transferred to their care record."
Latest Snippet(s)
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
"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."
Positive
"• The practices performance on quality indicators for some areas of mental health was above local and national averages."
Positive
"• The practice was piloting a scheme which provided onsite facilities once a week for a mental health nurse to support patients with mild to moderate mental health issues."
Positive
"For example the practice was facilitating a mental health nurse once a week as part of a pilot scheme to improve access to mental health services."
Neutral
"• Patients suffering from ongoing mental health conditions were offered ongoing support and structured annual reviews with the GPs."
2015-06-04 Snippet(s)
Positive
"Specifically we found the practice to be good for providing effective caring safe wellled and responsive services specifically for older people those with long term conditions patients with mental health problems and those whose circumstances make them vulnerable."
Positive
"They were involved in a variety of pilot projects one of which provided an indepth wellbeing assessment by a social worker of patients at high risk of admission to hospital which included older patients those from vulnerable groups those with mental health problems and those with long term conditions."
Positive
"Patients with mental health problems were invited for health checks but the practice reported that uptake was poor."
Positive
"They engaged with MIND and worked on specific projects which were proactive in providing wellbeing checks for patients with depression or mental health diagnosis."
Positive
"The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health including those with dementia."
Positive
"Staff had received training on how to care for people with mental health needs and dementia."
Positive
"The practice also worked closely with other agencies and hosted a monthly drop in session from Carers Milton Keynes the local MIND organisation and AgeUK for carers those with mental health issues and the elderly to access support and advice."
Positive
"People experiencing poor mental health including people with dementia The practice is rated as good for the care of people experiencing poor mental health."
Positive
"The practice had written to patients suffering with depression or a mental health diagnosis to invite them for wellbeing checks asking."
Neutral
"There were also proactive in identifying patients in this group who may have been experiencing mental health problems and offered a wellbeing assessment."
Neutral
"The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations including MIND."
Neutral
"The practice manager and senior partner told us that they were trying to undertake more preventative work and had become involved in a mental health project with MIND where wellbeing assessments were offered."
Latest Snippet(s)
Neutral
"• The practice had systems to inform eligible patients to have the meningitis vaccine for example before attending university for the first time."
2015-06-04 Snippet(s)
Positive
"They engaged with MIND and worked on specific projects which were proactive in providing wellbeing checks for patients with depression or mental health diagnosis."
Positive
"There was also an example of referral to support services for patients who had suffered bereavement and subsequent depression and not felt able to seek help themselves."
Positive
"The practice had written to patients suffering with depression or a mental health diagnosis to invite them for wellbeing checks asking."
2015-06-04 Snippet(s)
Positive
"The practice had also completed a review of case notes for patients with conditions such as epilepsy and heart failure to ensure the appropriate treatments were in place."
2015-06-04 Snippet(s)
Positive
"These were broken down into specific topics weekly."
2015-06-04 Snippet(s)
Positive
"For example antibiotic prescribing and management suspected urinary tract infections."