North Chelmsford NHS Healthcare Centre

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 staff involved people in decisions about their care and treatment and provided them with advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this. 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 supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff focused on identifying risks to people’s health, including those in the last 12 months of their lives and those with caring responsibilities. Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity. The service had effective arrangements in place to provide a range of health checks, including NHS Health Checks for eligible people, physical health checks for people with a severe mental illness, and annual health checks for people with a learning disability. The service had a system to regularly validate their carer’s list and to provide identified carers with support as needed. Additionally, the service supported people by signposting or referring them to a social prescriber, care-coordinator and health and well-being coach based on their individual needs. The service also offered focused health awareness days with volunteer organisations and charities, such as monthly dementia awareness days. As part of their Primary Care Network the practice took part in a campaign to help identify local people with dementia. A range of information was available in the waiting room and on the service’s website which signposted people to local and national support groups to encourage healthier living.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive, consistent and met the expectations of people themselves.

The service met national targets for the uptake of childhood immunisations except in 1 area which was slightly below (89%) the national average of 90%. Staff told us this had increased, and the service provided unverified live data which showed us the target had been achieved at 90%. Cervical screening data showed uptake was slightly below the 80% target in the 25 to 49 age group at 76% and in the 50–64 age group at 79%. The service told us they had taken significant action to address this shortfall and documents we reviewed confirmed this. Staff told us the practice had worked to improve attendance at screening appointments by ensuring they had effective recall systems, and flexible appointment times. This included every weekday late evening appointment from 6:30pm to 8pm via their Primary Care Network, with member practices providing evening appointments and Saturday appointments from 9am to 5pm every 3 weeks. The service had appointed a dedicated team to support improvement in patient safety and quality of care and manage patient screening and recall invitations. Screening for breast and bowel cancer was slightly better than the national average.

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.