What is the Quality of Care at Wide Way Surgery

Neutral

"Specific carers’ protocols were used on the electronic record system which included depression screening and if the carer was a child."

Positive

"• Patients were signposted to local psychological therapy services a local dementia hub and crisis cafes through GP referrals and social prescribing."

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."

Neutral

"• Multidisciplinary team meetings occurred every two months with attendance from the district nursing teams social worker and community pharmacist quarterly with the community mental health team and every two months with the dementia link nurse."

Positive

"People whose circumstances make them vulnerable: • The practice held a register of patients living in vulnerable circumstances including homeless people travellers those with a learning disability and those affected by Female Genital Mutilation FGM."

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 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

"The practice had analysed performance data and local population health data and implemented a project to improve treatment and monitoring for these patients which included working with the local community healthcare NHS trust to deliver an approved approach to diabetes care."

Positive

"• The practice had initiated and developed the proposal for an improved approach to diabetes care and worked with in the local community healthcare NHS trust to deliver this."

Positive

"Quality improvement projects included addressing lower uptake for cervical screening and childhood immunisations and diabetes performance indicators."

Positive

"• The practice was able to demonstrate how it identified patients with commonly undiagnosed conditions for example diabetes chronic obstructive pulmonary Are services effective?"

Positive

"However the practice had identified that performance for one of the diabetes indicators was lower than averages indicating that some patients with diabetes were not being reviewed effectively."

Neutral

"The project involved directly bookable diabetes clinics with a community specialist diabetic nurse via remote email telephone and joint consultations."

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 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."

Neutral

"• The practice were in line with local and national averages for antibiotic prescribing and they had actively worked to reduce antibiotic prescribing by in line with national guidance."

Positive

"• In additional to annual staff surveys the practice had led a staff engagement event for staff from all four PCH practices to discuss the benefits of primary care at scale and to gather initial staff feedback about collaborative working."

Positive

"• Leaders and managers engaged with external stakeholders and influenced change in the CCG by initiating proposals and providing leadership for GP at scale projects."

Positive

"People whose circumstances make them vulnerable: • The practice held a register of patients living in vulnerable circumstances including homeless people travellers those with a learning disability and those affected by Female Genital Mutilation FGM."

Positive

"• A practice newsletter was produced quarterly which promoted the range of services offered at the practice such as a carers event a back pain event flu immunisations and the walkin service and it raised awareness of community services within the borough and CCG area."

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

"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 mental health was above local and national averages."

Neutral

"• The mental health lead GP attended a quarterly multidisciplinary team meeting with the local community mental health team."

Neutral

"• Staff had appropriate knowledge for their role for example to recognise the signs of sepsis to carry out reviews for people with long term conditions older people people experiencing poor mental health and people requiring contraceptive reviews."

Neutral

"• Multidisciplinary team meetings occurred every two months with attendance from the district nursing teams social worker and community pharmacist quarterly with the community mental health team and every two months with the dementia link nurse."

Neutral

"• There was evidence that GPs provided weekly telephone consultations for patients with mental health needs who were awaiting input from mental health services."

Neutral

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

Neutral

"• Staff had appropriate knowledge for their role for example to recognise the signs of sepsis to carry out reviews for people with long term conditions older people people experiencing poor mental health and people requiring contraceptive reviews."