Types of Care

Dementia

2016-02-18 Snippet(s)

Positive

"The carer support worker employed by the practice could refer carers to specialists such as occupational therapists dementia advisers health trainers and advice on benefits from dedicated agencies."

Positive

"For example in dementia and end of life care."

2014-10-16 Snippet(s)

Positive

"For example letters to dementia patients informing them they were identified as vulnerable patients were sent to carers rather than patients to avoid unnecessary anxiety."

Positive

"The practice had a dementia support worker who covered two of the Torquay practices who spoke to the GPs about their services and how they can work together."

Positive

"Other patients with a diagnosis of dementia also had their medicines reviewed at the same time as their annual health care reviews."

Positive

"Information and advice was also available for patients about mental wellbeing dementia managing stress bereavement and psychological support."

Positive

"The wards comprised of patients with a certain condition for example patients with a diagnosis of dementia and other patients who GPs saw regularly."

Neutral

"Examples of long term conditions are diabetes dementia CVD musculoskeletal conditions and COPD this list is not exhaustive."

Mental Health

2016-02-18 Snippet(s)

Positive

"• Staff had a good understanding of how to support people with mental health needs and dementia."

Positive

"• The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health including those with dementia."

Neutral

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

Neutral

"Patients using the practice also had access to community nurses mental health teams and health visitors with the latter based at the practice."

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Positive

"The population groups are: • Older people • People with longterm conditions • Mothers babies children and young people • The workingage population and those recently retired • People in vulnerable circumstances who may have poor access to primary care • People experiencing a mental health problem."

Positive

"The practice explained how they had been concerned about the quality of local mental health services particularly with access to the crisis team."

Positive

"Our findings We heard how the practice worked closely with the mental health service to refer patients to appropriate services including the mental health assessment teams mental health and recovery teams and psychosis and recovery teams."

Positive

"The registered manager sits on the South Devon and Torbay Mental Health Redesign group and over the last two years had seen improvements in the quality and access of local mental health services."

Positive

"Leadership and culture The practice had eight partners each of who had lead roles in areas such as palliative care dermatology clinical governance mental health and safeguarding vulnerable patients."

Neutral

"At present they were working on a proposal to have mental health link workers attached to all practices."

Neutral

"This provided details of organisations that patients or staff could contact if physical health emergencies or mental health crises occurred either during or outside of practice opening times."

Neutral

"Locally initiatives were in place for a mental health link worker for each practice to be initiated during the current year."

Neutral

"There are various examples of where Chilcote Surgery had been a local innovator for people with mental health issues as well as other groups."

Depression

2016-02-18 Snippet(s)

Neutral

"The practice provided support such as referrals to befriending services walking groups depression and anxiety services."

Neutral

"In response the practice had introduced a young person’s information board including items on sexual health depression and mental health."

2014-10-16 Snippet(s)

Positive

"This may range from depression including post natal depression to severe mental illnesses such as schizophrenia."

Learning disabilities

Cancer

2016-02-18 Snippet(s)

Positive

"The practice also encouraged its patients to attend national screening programmes for bowel and breast cancer screening."

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Positive

"They told us the treatment they were receiving had controlled the cancer and had enabled them to retain a good quality of life."

Positive

"One patient told us about the treatment they received following the identification of cancer and how the practice liaised with consultants and specialists to ensure they received the most effective treatment."

Neutral

"We saw similar monitoring and management programs for people with diabetes iron deficiency heart conditions prostate cancer arthritis and nearpatient testing medical testing at or near the site of patient care for patients on certain medicine types."

Diabetes

2016-02-18 Snippet(s)

Positive

"The audits included inadequate smear audits significant event audits medicine audits such as warfarin diabetes audits blood pressure audits and unplanned admissions to hospital audits."

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Positive

"The QOF awards practice achievement points for managing some of the most common chronic diseases e.g. asthma diabetes how well the practice is organised how patients view their experience at the practice and the amount of extra services offered such as child health and maternity services."

Positive

"Conditions supported by the nursing team included child immunisations asthma diabetes falls prevention weight management and phlebotomy blood tests."

Positive

"The GPs were also involved in the management of diabetes to ensure action was taken in response to any areas of concern."

Positive

"One of the nurses had her knowledge and awareness of diabetes developed and promoted insulin initiation a service which had been provided by the practice for some years without the need for referral to the hospital."

Positive

"The services provided by the practice include: antenatal asthma monitoring cardiovascular disease screening diabetes monitoring family planning child health clinics child development checks specialist nurse service and health visiting."

Positive

"One of the nurses has had her knowledge and awareness of diabetes developed and promoted insulin initiation a service which had been provided by the practice for some years without the need for referral to the hospital."

Neutral

"Other examples included vaccination services diabetes services extended opening hours and access to a GP of choice and gender through GPs providing services at two practice locations."

Neutral

"We saw similar monitoring and management programs for people with diabetes iron deficiency heart conditions prostate cancer arthritis and nearpatient testing medical testing at or near the site of patient care for patients on certain medicine types."

Neutral

"Examples of long term conditions are diabetes dementia CVD musculoskeletal conditions and COPD this list is not exhaustive."

Hypertension

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Disability

Flu

2016-02-18 Snippet(s)

Positive

"Other improvements in response to feedback included participation in flu vaccination parties for two three and four year olds and increased communication of waiting times and delays to patients."

Neutral

"• The practice had organised and participated in an annual flu vaccination party in order to encourage a higher take up of these vaccinations."

2014-10-16 Snippet(s)

Positive

"The practice ensured children and pregnant women who were eligible for flu immunisation were invited to attend the practice for vaccination."

Positive

"The practice also offered vaccinations and provided child seasonal flu and travel immunisations and advice."

Positive

"Children and pregnant women who are eligible for flu immunisation were invited to attend the practice for vaccination."

Positive

"This is a flu party with other practices in the Torbay area."

Neutral

"We heard from group members about how they supported the practice at busy times for example during flu vaccination clinics where they helped organise and direct patients to the nurses providing the vaccinations."

Neutral

"The flu party will include entertainment for the children and was based on the success of a model led by a Penzance practice last year."

Blood Pressure

2016-02-18 Snippet(s)

Positive

"The audits included inadequate smear audits significant event audits medicine audits such as warfarin diabetes audits blood pressure audits and unplanned admissions to hospital audits."

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Positive

"We saw that equipment such as the weighing scales blood pressure monitors and the electrocardiogram ECG machine were routinely available serviced and calibrated where required."

Psychosis

2014-10-16 Snippet(s)

Positive

"Our findings We heard how the practice worked closely with the mental health service to refer patients to appropriate services including the mental health assessment teams mental health and recovery teams and psychosis and recovery teams."

Arthritis

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Neutral

"We saw similar monitoring and management programs for people with diabetes iron deficiency heart conditions prostate cancer arthritis and nearpatient testing medical testing at or near the site of patient care for patients on certain medicine types."

Asthma

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Positive

"The QOF awards practice achievement points for managing some of the most common chronic diseases e.g. asthma diabetes how well the practice is organised how patients view their experience at the practice and the amount of extra services offered such as child health and maternity services."

Positive

"Conditions supported by the nursing team included child immunisations asthma diabetes falls prevention weight management and phlebotomy blood tests."

Positive

"The services provided by the practice include: antenatal asthma monitoring cardiovascular disease screening diabetes monitoring family planning child health clinics child development checks specialist nurse service and health visiting."

Positive

"Our findings The practice’s nursing team consisted of a lead nurse nurse clinician specialist nurse for four hours each week and respiratory nurse specialist for conditions such as asthma and chronic obstructive pulmonary disease COPD."

Kidney Disease

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Coronary Heart Disease

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Epilepsy

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Positive

"This information was shared with the reception team where patients were vulnerable for example through poor mobility or where epilepsy was diagnosed."

Stroke

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Thyroid Disease

2014-10-16 Snippet(s)

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis kidney and liver disease and falls."

Positive

"Conditions which required special attention included coronary heart disease heart problems hypertension high blood pressure stroke and transient ischemic attack TIA mini stroke diabetes asthma chronic obstructive pulmonary disease mental health problems epilepsy thyroid disease cancer arthritis and kidney and liver disease."

Prostate Cancer

2014-10-16 Snippet(s)

Neutral

"We saw similar monitoring and management programs for people with diabetes iron deficiency heart conditions prostate cancer arthritis and nearpatient testing medical testing at or near the site of patient care for patients on certain medicine types."