Rochester Road Surgery Also known as Dr Jawad Ahmad Saad

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this.

This is the first assessment for this service since its registration with CQC. This key question has been rated as good.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Feedback received through CQC’s ‘Give Feedback on Care’ online form was positive. People felt involved in assessments of their needs and felt confident that staff understood their individual and cultural needs. Reception staff were aware of the needs of the local community. Reception staff used digital flags within the care records system to highlight specific individual needs, such as the requirement for longer appointments or for a translator to be present. Staff checked people’s health, care, and wellbeing needs during health reviews. Clinical staff used templates when conducting care reviews to support the review of people’s wider health and wellbeing.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Systems were in place to ensure staff were up to date with evidence-based guidance and legislation.

Our remote clinical searches showed that people with long‑term conditions were being effectively monitored. For example, we reviewed a sample of clinical records and saw there was appropriate monitoring for people with asthma who had received two or more rescue steroid courses in the last 12 months; people with diabetes whose latest pathology result showed blood sugar levels were above recommended levels; people with hypothyroidism; and people with chronic kidney disease stages 4 or 5.

The service worked well across teams and services to support people.

It collaborated with other services to maintain continuity of care, including when clinical tasks were delegated, with consideration given to people who may be vulnerable due to their circumstances. For example, staff liaised with community nursing teams and social services to share relevant information, coordinate treatment plans and ensure people received timely follow-up care.

Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff focussed on identifying risks to people’s health, including those in the last 12 months of their lives, people at risk of developing a long-term condition and those with caring responsibilities.

Staff were aware of local population health needs. They recognised the increased risk of nutritional deficiencies due to alternative diet choices among their patient population. These could include, low iron and vitamin D levels, including among younger people. The service took opportunities to provide appropriate advice, assessment and support to help maintain good health and wellbeing.

The service did not always achieve positive outcomes in relation national immunisation and screening programmes.

UK Health Security Agency data showed between April 2024 and March 2025, the service uptake for 3 out of 5 childhood immunisation indicators was between 58% and 88%. This was below the below the national target of 90%. However, for the remaining 2 indicators, the service had achieved 90% and 94%. The service had implemented measures to improve uptake. This included regularly monitoring immunisation data and managing recall processes for children who were due or overdue vaccinations. Clinicians also took the opportunity during consultations for other health concerns to review immunisation status and offer any outstanding vaccinations when appropriate.

NHS England data showed the service was performing below the 80% national target for cervical cancer screening uptake as of June 2024. It showed it had achieved 55% coverage for women aged 25-49 and 72% for women aged 50-64.

However, unverified data from the service, dated 6 August 2026, showed an improvement in uptake had been achieved. The service had achieved 85% coverage for women aged 25-49 and 81% for women aged 50-64. (Unverified data refers to data that has been provided by the service and has not been published, therefore has not been verified by the data owner, for example, UK Health Security Agency, NHS Digital, NHS England and Improvement).

The service had a programme of targeted quality improvement. For example, an audit conducted in February 2026 reviewed people receiving a contraceptive injection to check whether discussions around potential risks had been recorded. The review found that these discussions and assessments were being documented appropriately. The service planned to repeat the audit within 12 months to monitor ongoing compliance and support continuous improvement.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood and applied legislation relating to consent. As part of our assessment, we reviewed a sample of Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions and found they were appropriate and made in accordance with relevant legislation and best practice guidance.

The service had completed training on their roles and responsibilities under the Mental Capacity Act (2005).