What is the Quality of Care at Tunstall Primary Care

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

"The practice’s dementia diagnosis rate was above the national target rate."

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

"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 practices’ uptake for breast and bowel cancer screening was in line the national average."

Positive

"The other GP was the CCG cancer lead and also involved in the appraisal of GPs as part of their revalidation Are services wellled?"

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

"The percentage of patients experiencing poor mental health that had received discussion and advice about alcohol consumption was comparable to the CCG and national averages."

Neutral

"• Physical or mental health assessments."

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 experiencing poor mental health received an annual health review to ensure appropriate treatment and support was in place."

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 had told patients experiencing poor mental health about how to access various support groups and voluntary organisations including MIND and Healthy Minds."

Positive

"The GPs told us they had visited a patient at home who had mental health needs as they had been unable to contact them by telephone to arrange their annual review."

Positive

"The practice kept a register of patients who were experiencing poor mental health to monitor and inform service provision."

Positive

"The practice also worked closely with MIND Healthy Minds and Child and Adolescent Mental Health Services CAMHs to provide support for adults and children experiencing poor mental health."

Positive

"There was a system in place to ensure that patients with mental health difficulties received an annual health review."

Neutral

"The practice held registers of patients with mental health needs including depression and dementia."

Neutral

"This included children who were looked after by the local authority people who lived on nearby narrow boats who are classed as having no fixed abode asylum seekers and people with mental health needs."

Neutral

"Staff told us the practice cared for looked after children in the care of the local authority people who lived on nearby narrow boats who are classed as having no fixed abode and asylum seekers as well as patients with learning disabilities mental health needs and dementia."

Positive

"• Not all female patients of child bearing age prescribed a medicine used for the treatment of epilepsy and bipolar disorder had a pregnancy prevention plan in place."

Positive

"• Not all patients of child bearing age prescribed a medicine used for the treatment of epilepsy and bipolar disorder had a pregnancy prevention plan in place."

Positive

"• Not all female patients of child bearing age prescribed a medicine used for the treatment of epilepsy and bipolar disorder had a pregnancy prevention plan in place."

Positive

"• Not all patients of child bearing age prescribed a medicine used for the treatment of epilepsy and bipolar disorder had a pregnancy prevention plan in place."

Positive

"• Not all female patients of child bearing age prescribed a medicine used for the treatment of epilepsy and bipolar disorder had a pregnancy prevention plan in place."

Positive

"• Not all patients of child bearing age prescribed a medicine used for the treatment of epilepsy and bipolar disorder had a pregnancy prevention plan in place."

Neutral

"• Patients prescribed a medicine used in the treatment of depression had been monitored in line with national guidance."

Neutral

"The practice held registers of patients with mental health needs including depression and dementia."

Positive

"• Patients with a learning disability were offered annual health checks."

Positive

"• Patients with a learning disability were offered longer appointments."

Neutral

"The practice held a register of patients with a learning disability and had developed individual care plans for each patient."

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 identify patients with commonly undiagnosed conditions for example diabetes chronic obstructive pulmonary disease COPD atrial fibrillation and hypertension."

Positive

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

Positive

"The practice provides a number of clinics for example long term condition management including asthma diabetes and high blood pressure."

Neutral

"We found that the nursing staff had the knowledge skills and competency to respond to the needs of patients with a long term condition such as diabetes and asthma."

Neutral

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

Neutral

"The practice referred patients who had been newly diagnosed with diabetes to a diabetes management programme."

Neutral

"Patients with atrial fibrillation an irregular heart beat were assessed for the risk of stroke and treated appropriately."

Positive

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

Positive

"• Patients with a learning disability were offered annual health checks."

Positive

"• Patients with a learning disability were offered longer appointments."

Neutral

"The practice held a register of patients with a learning disability and had developed individual care plans for each patient."

Positive

"• The practice offered people with suspected high blood pressure ambulatory blood pressure monitoring."

Positive

"We saw evidence of calibration of relevant equipment; for example weighing scales and blood pressure monitoring equipment."

Positive

"The QIF shows how improvements have been made across the area for example in the in the area of blood pressure control."

Neutral

"The shingles vaccine was offered according to the national guidance for older people."

Positive

"Clinicians knew how to identify and manage patients with severe infections including sepsis however administrative staff had not received training in identification of the rapidly deteriorating patient."

Positive

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

Positive

"The practice provides a number of clinics for example long term condition management including asthma diabetes and high blood pressure."

Positive

"Other examples included audits to check if the practice was delivering consistently good quality care for patients with confirmed or suspected chronic kidney disease."

Positive

"For example: infection control chronic kidney disease and chronic obstructive pulmonary disease."

Positive

"The practice held a register of patients with long term conditions which included patients with coronary heart disease; diabetes; chronic obstructive pulmonary disease and asthma."

Neutral

"Influenza and shingles vaccinations were offered to older patients according to national guidance."

Neutral

"The shingles vaccine was offered according to the national guidance for older people."

Positive

"The percentage of eligible patients receiving the flu vaccination was above the national average."