The Manor Park Practice

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 monitored people’s care and treatment and supported them to live healthier lives. At our last assessment, we rated this key question as good. At this assessment, the rating remains the same.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control.

The service provided ongoing support for people living with long-term conditions. This included regular reviews for conditions such as diabetes, asthma, Chronic Obstructive Pulmonary Disease, heart failure, dementia, learning disabilities and mental health needs. People were offered education and advice to support self-management, and staff monitored patients’ health to help prevent complications and deterioration. There was a blood pressure monitoring machine with guidance for patients on how to use it in the reception area.

The service took a proactive approach to identifying health risks and opportunities for early intervention. Staff carried out case-finding activities, used clinical risk assessment tools and undertook opportunistic health checks to identify people who may benefit from additional monitoring, treatment or support.

People were supported to promote positive health outcomes and reduce the risk of avoidable illness through access to weight management services, smoking cessation support, vaccinations, NHS health checks and national screening programmes. Staff also signposted people to relevant services, including drug and alcohol support.

Social prescribing staff supported people with wider social and wellbeing needs. An audit demonstrated high engagement, with 67 of 70 patients attending appointments where they received practical support and were successfully connected to services such as occupational therapy, social services, welfare and employment support. Vulnerable people were identified and provided with additional follow-up and multidisciplinary team support where needed.

The service routinely monitored people’s care and treatment, and staff acted to continuously improve it.

Most of the practice’s published clinical performance indicators were comparable with or better than local and national averages and had met targets, except for a limited number of childhood immunisation uptake and cancer screening targets.

The practice had taken action to improve uptake of cancer screening. This included active monitoring of screening uptake, call and recall systems, text message reminders, opportunistic promotion during consultations, and follow-up of people who did not respond to invitations.

Staff worked with Primary Care Network (PCN) colleagues, health improvement leads and community link workers to identify and address barriers to patients’ uptake and encourage participation. In conjunction with other practices in its Primary Care Network (PCN), the practice delivered a breast cancer awareness presentation aimed at improving early recognition of symptoms and uptake of screening among women who may otherwise be reluctant or unaware of services available to them.

Unverified data provided by staff indicated that, during the latter part of the 2025/26 reporting year, uptake for bowel, breast and cervical cancer screening was similar to local averages in several areas. Performance was particularly positive for some eligible people with a serious mental illness or a learning disability. Unverified Quality and Outcomes (QOF) data from the practice for the full 2025/26 reporting year, indicated that cervical screening uptake exceeded the QOF target of 80% in both age groups, with uptake of 81% among women aged 25-49 and 89% among women aged 50-64.

The practice actions plan to improve childhood immunisation uptake included proactive identification of eligible and overdue children, follow-up of non-attendance, opportunistic vaccination during other appointments, and targeted support for vaccine-hesitant families. The practice monitored uptake data regularly and worked with health visitors where needed to identify and address barriers to vaccination to encourage and maximise childhood immunisation uptake. While these are not national targets, unverified Quality and Outcomes (QOF) data from the practice for the 2025/26 reporting year indicated that it achieved strong performance for childhood immunisations, achieving 63.43 out of 64 available points for vaccination and immunisation indicators.

The practice had a policy to support appropriate requesting, receiving, reviewing and actioning of patients test results to underpin the safe and consistent management of test results, including by ensuring clear staff roles and responsibilities. Systems were in place for managing patients’ test results and monitoring urgent referrals, including two-week wait (2WW) cancer referrals to support appropriate follow-up.

There were systems to ensure regular reviews for patients with frailty, complex needs and long-term conditions. Staff used benchmarking and clinical audits to monitor and improve the quality of care in line with local and national guidance. A range of audits including completed-cycle audits were undertaken, including to ensure and improve appropriate care in line with recognised best practice guidelines including antibiotic prescribing, to strengthen monitoring of patients prescribed the combined oral contraceptive pill, and to identify duplicate prescribing of medicines used to reduce stomach acid.

Appropriate systems were in place to educate and support people to identify and act rapidly in response to signs of sepsis. Education posters were displayed around the practice, and staff had received sepsis awareness training.

Systems were in place to support appropriate care for people approaching the end of their lives. This included regular reviews and coordinated multidisciplinary support involving health and social care professionals. Unverified practice data reviewed during the assessment showed all 42 patients on the practice's end of life register had received a documented review.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.