Types of Care

Dementia

Latest Snippet(s)

Positive

"• Patients at risk of dementia were identified and offered an assessment to detect possible signs."

Positive

"• The practice held GP led dedicated monthly mental health and dementia clinics."

Positive

"When dementia was suspected there was an appropriate referral for diagnosis."

2015-03-19 Snippet(s)

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 patients experiencing poor mental health including people with dementia."

Positive

"They were able to describe how they followed the law in respect of patients with dementia and patients with a learning disability who might not have the capacity to understand treatment options and make decisions in their own best interests."

Neutral

"Patients with a learning disability and those with dementia were supported to be involved in developing care plans which set out their health and social care needs and checked that they were not being harmed or exploited in any way."

Cancer

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’s uptake for breast and bowel cancer screening was in line with local and national averages."

Diabetes

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 was able to demonstrate how it identified patients with commonly undiagnosed conditions for example diabetes chronic obstructive pulmonary disease COPD atrial fibrillation and hypertension."

2015-03-19 Snippet(s)

Positive

"The practice provided regular diabetes clinics and was able to provide ‘insulin starts’ so that patients who progressed to using insulin could do so with support from the primary medical care team rather than transfer to hospital care."

Positive

"We saw that a nurse practitioner and practice nurses held a range of qualifications appropriate to their roles in the practice including diplomas in diabetes care and asthma care."

Positive

"We were told that two GPs had a particular interest in patients with diabetes and were supported by nurses trained in diabetes care."

Positive

"For example the practice met all the minimum standards for QOF in diabetes care asthma care and chronic obstructive pulmonary disease lung disease care."

Positive

"We saw a range of records which confirmed that clinicians reviewed their patterns of prescribing to ensure they were following the most recent guidance for example in respect of medicines for diabetes and for antibiotics."

Positive

"The GPs told us they took lead roles in specialist clinical areas such as diabetes heart disease women’s health and minor surgery."

Neutral

"They also checked that all routine health checks were completed for patients with longterm conditions such as diabetes and that the latest prescribing guidance was being used."

Epilepsy

Latest Snippet(s)

Positive

"For example the practice audited and actioned the Medicines and Healthcare products Regulatory Agency MHRA about the risks associated with a medicine used for epilepsy in pregnancy."

Hypertension

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."

Stroke

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."

2015-03-19 Snippet(s)

Neutral

"For example they had recalled all their patients who had had a stroke to check that their medication followed the most recent guidance."

Antibiotic

Latest Snippet(s)

Positive

"The practice had reviewed its antibiotic prescribing and acted to support good antimicrobial stewardship in line with local and national guidance."

Blood Pressure

Latest Snippet(s)

Positive

"• The practice provided a blood pressure monitoring device in reception areas for patients to monitor their own blood pressure."

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."

2015-03-19 Snippet(s)

Positive

"For example we looked at the protocol for diagnosing high blood pressure which had been written by the senior nurse at the practice."

Positive

"We saw that it was part of a set of comprehensive guidance about diagnosing and managing high blood pressure and high cholesterol in line with national standards."

Mental Health

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 had a system in place to manage repeat prescribing and the follow up of patients with poor mental health who did not attend for appointments."

Positive

"• The practice held GP led dedicated monthly mental health and dementia clinics."

Neutral

"People experiencing poor mental health including people with dementia: Are services responsive to people’s needs?"

2015-03-19 Snippet(s)

Positive

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

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."

Neutral

"Staff worked with multidisciplinary teams including community nurses and mental health workers."

Neutral

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

Sepsis

Latest Snippet(s)

Positive

"The practice had appointed a sepsis lead and nonclinical staff had received training that enabled them to act if they encountered a deteriorating or acutely unwell patient."

Learning disabilities

2015-03-19 Snippet(s)

Positive

"• Review the use of manual record keeping for patients with a learning disability who attended health reviews."

Positive

"They were able to describe how they followed the law in respect of patients with dementia and patients with a learning disability who might not have the capacity to understand treatment options and make decisions in their own best interests."

Positive

"We were told that follow up of patients who missed two appointments was organised by a lead nurse for people with a learning disability through the Clinical Commissioning Group CCG."

Neutral

"Patients with a learning disability and those with dementia were supported to be involved in developing care plans which set out their health and social care needs and checked that they were not being harmed or exploited in any way."

Asthma

2015-03-19 Snippet(s)

Positive

"We saw that a nurse practitioner and practice nurses held a range of qualifications appropriate to their roles in the practice including diplomas in diabetes care and asthma care."

Positive

"For example the practice met all the minimum standards for QOF in diabetes care asthma care and chronic obstructive pulmonary disease lung disease care."

Positive

"They also provided specialised clinics for patients with heart disease and asthma and those needing family planning and immunisations."

High Cholesterol

2015-03-19 Snippet(s)

Positive

"We saw that it was part of a set of comprehensive guidance about diagnosing and managing high blood pressure and high cholesterol in line with national standards."

Shingles

Disability

2015-03-19 Snippet(s)

Positive

"• Review the use of manual record keeping for patients with a learning disability who attended health reviews."

Positive

"They were able to describe how they followed the law in respect of patients with dementia and patients with a learning disability who might not have the capacity to understand treatment options and make decisions in their own best interests."

Positive

"We were told that follow up of patients who missed two appointments was organised by a lead nurse for people with a learning disability through the Clinical Commissioning Group CCG."

Neutral

"We saw that all staff had received a range of training appropriate to their role including disability awareness for nurses and information governance for reception staff."

Neutral

"Patients with a learning disability and those with dementia were supported to be involved in developing care plans which set out their health and social care needs and checked that they were not being harmed or exploited in any way."

Flu

2015-03-19 Snippet(s)

Positive

"They provided flu vaccinations to vulnerable groups of patients."

Positive

"The practice offered a full range of immunisations for children travel vaccines and flu vaccinations in line with current national guidance."