What is the Quality of Care at Avenham Surgery

Positive

"• Patients diagnosed with dementia had their care reviewed in a face to face meeting every year and patients diagnosed with schizophrenia bipolar affective disorder and other psychoses had a comprehensive agreed care plan documented each year."

Positive

"• Patients diagnosed with dementia had their care reviewed in a face to face meeting every year and patients diagnosed with schizophrenia bipolar affective disorder and other psychoses had a comprehensive agreed care plan documented each year."

Positive

"• Patients diagnosed with dementia had their care reviewed in a face to face meeting every year and patients diagnosed with schizophrenia bipolar affective disorder and other psychoses had a comprehensive agreed care plan documented each year."

Positive

"• The practice proactively identified those patients who were showing signs of dementia and referred them to secondary care when appropriate."

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

"• The practice offered annual health checks to patients with a learning disability and there were longer appointments for this."

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 told us that historically patient 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."

Neutral

"• The practice was able to demonstrate how they identified patients with commonly undiagnosed conditions for example diabetes COPD atrial fibrillation and hypertension."

Positive

"• The practice had arrangements for adults with newly diagnosed cardiovascular disease including the offer of highintensity statins for secondary prevention 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 arrangements for adults with newly diagnosed cardiovascular disease including the offer of highintensity statins for secondary prevention 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."

Positive

"It aimed to work more closely with services such as the local centre for homeless people Age UK local schools Disability Equality North West and the Pukar Centre a disability resource centre."

Positive

"• The practice offered annual health checks to patients with a learning disability and there were longer appointments for this."

Positive

"• The practice had arrangements for adults with newly diagnosed cardiovascular disease including the offer of highintensity statins for secondary prevention 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 practice specifically considered the physical health needs of patients with poor mental health and those living with dementia."

Positive

"For example the practice had audited whether the medicines prescribed for firstline treatment of patient urinary tract infections had been in line with best practice guidelines and although results of this showed good compliance reminded clinicians of the need to follow best practice."

Positive

"Clinicians knew how to identify and manage patients with severe infections including sepsis and all staff were trained in the possible signs and symptoms of sepsis."