The Willow Tree Surgery

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.

At our last assessment, we rated this key question as requires improvement. The service was in breach of legal regulation in relation to providing safe care and treatment.

Since the last assessment, the practice has made sufficient improvements and is no longer in breach of regulation 12 safe care and treatment. However, due to previous ratings in other quality statements, the overall rating for this key question remains requires improvement.

This service scored 54 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

At the comprehensive assessment in February 2025, we found that care plans were not always completed and reviewed regularly and health check reviews were not always completed for people eligible for them. At this assessment we found improvements in this regard. Care plans for people experiencing poor mental health were completed and regularly reviewed and care plans for people with long-term conditions such as asthma were completed. We also noted that the number of NHS health checks completed had increased throughout 2025.

Our clinical searches identified some concerns similar to the issues identified at the comprehensive assessment in February 2025. However, overall improvements had been made with many fewer patients identified for follow-up. For example:

There were 225 patients on the asthma register, 12 of whom were identified as having been prescribed 2 or more courses of rescue steroids in the last 12 months. We sampled 5 of the 12 patients and found 2 patients had not had an adequate assessment during exacerbation.

We sampled 5 of the 6 patients and found that 4 had blood glucose levels that met the criteria for inclusion on the diabetes register; however, they had not been added.

Following the clinical searches the provider took action to mitigate the risks. They provided evidence that each patient had been contacted or other appropriate action taken.

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.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.