John Street Medical 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 79 (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 always supported people to manage their health and wellbeing to fully 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 held regular small patient consultation groups where patients were invited to attend who were at risk of developing or were receiving treatment for the same condition. The groups were kept small so that people were confident to take part and ask questions. They were run by the GP assistant, practice nurse and health care assistant. Groups were held covering diabetes, chronic kidney disease, cancer awareness, healthy living and exercise.

Each group meeting was supported by the medical translator and focused care worker. All relevant tests such as blood tests, cholesterol, urine tests and blood pressure were taken on the day. Speakers were often invited to discuss the condition and how to manage it.

A new liver pathway had been set up to support people who were at risk of fatty liver disease. Previously the patient would see a doctor or nurse between 8 and 10 times throughout the pathway. The GP assistant now co-ordinates all appointments and has been trained to carry out the consultations and take all blood tests and refer patients for an ultra-sound scan in one longer appointment. In a 12-month period this has saved 632 appointments and reduced the number of patients who did not attend.

The practice works with The Crib which is a support organisation for homeless women, children and refugees and includes a mental health team and focused care practitioner.

The practice worked with the local Mosques to encourage people to attend for cancer screening.

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.

The service performed lower than the England average in relation to several cancer screening programmes, including screening for breast, bowel and cervical cancer. To improve uptake of cancer screening the practice had appointed a cancer care co-ordinator who contacted people by telephone and text and when patients contacted the practice, opportunity was taken to offer an appointment convenient to the patient.

Regular small patient consultation groups were held to discuss the benefits of cancer screening and where tests for cervical cytology could be given by a nurse on the day. A doctor is also available to carry out prostate cancer tests on the men’s health days. The medical translator also attends for patients whose first language is not English.

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.