Latest Snippet(s)
Positive
"Annual reviews included help and support for carer s. • Weekly GP visits were undertaken to a specialist dementia nursing home by a named GP."
Positive
"• Patients at risk of dementia were identified and offered an assessment to detect possible signs of dementia."
Positive
"• The practice held GP led dedicated mental health and dementia clinics."
Positive
"When dementia was suspected there was an appropriate referral for diagnosis."
2015-04-09 Snippet(s)
Positive
"We saw evidence that elderly patients with a diagnosis of dementia had advance care planning in place as well as referrals to speech and language therapists and psychological Are services effective?"
Positive
"• The practice had worked towards being a dementia friendly practice."
Positive
"Patients with a learning disability and those with a diagnosis of a dementia were supported to make decisions Are services effective?"
Positive
"The practice kept a register of patients who were identified as being at high risk of hospital admission had a diagnosis of dementia or who were nearing the end of their life."
Positive
"The practice had worked towards being a dementia friendly practice."
Positive
"The GPs told us they had lead roles in specialist clinical areas such as coronary heart disease dermatology neo natal checks dementia vasectomy and asthma and the practice nurses supported this work particularly in regard to long term conditions."
Latest Snippet(s)
Positive
"For example a patient with a learning disability had open access as they had difficulty describing symptoms."
2015-04-09 Snippet(s)
Positive
"For example those with end of life care needs patients with a learning disability or children on the at risk register."
Positive
"Patients with a learning disability and those with a diagnosis of a dementia were supported to make decisions Are services effective?"
Positive
"For example the practice kept a register of all patients with a learning disability and all were offered an annual physical health check."
Positive
"All patients on the learning disability register were offered an annual review to assess their needs and encourage all aspects of health promotion as appropriate."
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 and personality disorder by providing access to annual health checks interventions for physical activity obesity diabetes heart disease cancer and access to ‘stop smoking’ services."
Positive
"For example an audit to review whether women receiving preventative medicines for breast cancer were taking antidepressants which reduces efficacy."
Positive
"The GPs provided a nonmelanoma skin cancer clinic and a dermatology clinic reducing patient need to travel for the service."
2015-04-09 Snippet(s)
Positive
"They were seen by two GPs in the practice who specialised in cancer care and were referred and seen within two weeks."
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 and personality disorder by providing access to annual 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 they identified patients with commonly undiagnosed conditions for example diabetes chronic obstructive pulmonary disease COPD atrial fibrillation and hypertension."
Neutral
"• The practice engaged in national projects such as the national diabetes prevention programme."
2015-04-09 Snippet(s)
Positive
"Those with extended roles for example seeing patients with longterm conditions such as asthma chronic obstructive pulmonary disease COPD diabetes and coronary heart disease; were also able to demonstrate they had appropriate training to effectively fulfil these roles."
Positive
"Patients with long term conditions such as diabetes heart failure of multiple conditions received regular and annual reviews."
Positive
"Disease management clinics were run by multiskilled nurses and included diabetes asthma and chronic obstructive pulmonary disease COPD."
Neutral
"They also ensured that all routine health checks were completed for longterm conditions such as diabetes and that the latest prescribing guidance was being used."
Neutral
"Patients with diagnosed diabetes received regular monitoring and had access to an annual foot check and could be referred to a local chiropody service."
Neutral
"The most recent event provided patients with information about diabetes and was well received by those who attended."
Latest Snippet(s)
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."
Latest Snippet(s)
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."
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."
Positive
"For example a local audit of appropriate antibiotic prescribing."
2015-04-09 Snippet(s)
Neutral
"One of the GP partners showed us data from the local federation of the practice’s performance for antibiotic prescribing which was comparable to similar practices locally."
Latest Snippet(s)
Positive
"For example a patient with a learning disability had open access as they had difficulty describing symptoms."
2015-04-09 Snippet(s)
Positive
"For example those with end of life care needs patients with a learning disability or children on the at risk register."
Positive
"Patients with a learning disability and those with a diagnosis of a dementia were supported to make decisions Are services effective?"
Positive
"For example the practice kept a register of all patients with a learning disability and all were offered an annual physical health check."
Positive
"All patients on the learning disability register were offered an annual review to assess their needs and encourage all aspects of health promotion as appropriate."
Latest Snippet(s)
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."
2015-04-09 Snippet(s)
Positive
"We saw evidence of calibration of relevant equipment; for example weighing scales blood pressure monitoring equipment weight monitoring scales and the fridge thermometer."
Positive
"Health checks were offered when these patients attended routine appointments as were cervical smears and blood pressure checks."
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 and personality disorder by providing access to annual 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 held GP led dedicated mental health and dementia clinics."
2015-04-09 Snippet(s)
Positive
"A named accountable GP was available to patients who experienced poor mental health with flexible appointment times including same day emergency appointments and telephone consultations."
Positive
"Staff gave examples of how they responded to patients who experienced a mental health crisis or who were drug and alcohol users."
Positive
"Patients who experienced poor mental health were provided with a range of services through referrals to locally based services for example Child & Adolescent Services CAMHS and Adult mental health services."
Positive
"The practice provided a range of lifestyle information for this group of patients including how to get support for managing stress at work depression and other mental health problems."
Neutral
"Referrals were made to a range of local services including Talking therapies MIND community mental health teams and Alcoholics Anonymous."
Neutral
"Records showed there were annual reviews for patients on the mental health register."
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."
Latest Snippet(s)
Positive
"For example early identification of sepsis where emergency treatment was given by the GP and admission avoided and other examples where an early visit allowed for hospital treatment and same day discharge."
Latest Snippet(s)
Positive
"The GPs provided a nonmelanoma skin cancer clinic and a dermatology clinic reducing patient need to travel for the service."
2015-04-09 Snippet(s)
Positive
"The practice provided a range of lifestyle information for this group of patients including how to get support for managing stress at work depression and other mental health problems."
2015-04-09 Snippet(s)
Positive
"There were emergency processes in place for identifying acutely ill children and young people and staff gave us examples of referrals made for example a child diagnosed with asthma who developed chronic breathing problems."
Positive
"Those with extended roles for example seeing patients with longterm conditions such as asthma chronic obstructive pulmonary disease COPD diabetes and coronary heart disease; were also able to demonstrate they had appropriate training to effectively fulfil these roles."
Positive
"Disease management clinics were run by multiskilled nurses and included diabetes asthma and chronic obstructive pulmonary disease COPD."
Positive
"The GPs told us they had lead roles in specialist clinical areas such as coronary heart disease dermatology neo natal checks dementia vasectomy and asthma and the practice nurses supported this work particularly in regard to long term conditions."
2015-04-09 Snippet(s)
Positive
"Those with extended roles for example seeing patients with longterm conditions such as asthma chronic obstructive pulmonary disease COPD diabetes and coronary heart disease; were also able to demonstrate they had appropriate training to effectively fulfil these roles."
Positive
"The GPs told us they had lead roles in specialist clinical areas such as coronary heart disease dermatology neo natal checks dementia vasectomy and asthma and the practice nurses supported this work particularly in regard to long term conditions."
2015-04-09 Snippet(s)
Positive
"The practice offered a full range of immunisations for children travel vaccines and flu vaccinations in line with current national guidance."
Positive
"Home diabetic checks and flu vaccinations were provided for housebound patients."
Neutral
"All GPs and nurses who administered flu vaccines in a dedicated clinic were allocated a clerical officer to do the routine administration associated with vaccinations."
2015-04-09 Snippet(s)
Neutral
"However we saw that the record of hepatitis B immunity had not been maintained and did not reflect the current status for all staff."