Almondsbury Surgery Also known as Hanham Health

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 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 told us when completing long-term conditions reviews, they took a holistic view and focused on lifestyle as well as management of the condition. They worked with people to help them understand how their lifestyle impacted on their condition. Staff shared an example of the positive impact made on a person’s life when they worked with them on correct medicine usage and lifestyle changes.

Staff supported local and national priorities and initiatives to improve population health, including stopping smoking and tackling obesity. The service had established a local health and happiness hub with a variety of support groups for people to access and help them to manage and improve their health and wellbeing.

The service and the patient participation group (PPG) planning to run a series of health education events, designed to educate patients and empower them to manage their own health. The first event was planned for July 2026 and would focus on living with chronic kidney disease, with other events proposed later in the year.

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 used a software system which applied national best practice for prescribing and patient safety. This enabled the service to identify people at higher risk and deliver targeted, proactive interventions. This supported improved care planning, admission avoidance, and safer prescribing, contributing to better outcomes for people using the service. We saw evidence of improved care, and where areas for improvement were identified, the service had developed clear action plans to address these.

The service met the World Health Organisation (WHO) target for childhood immunisations, with 4 out of 5 indicators achieving over 97% (2024/2025). Follow up systems for non-attendees, implementing Saturday clinics and flexibility around appointment times supported the high level of uptake.

Uptake of cervical screening (June 2024) for women aged 50 to 64 years old was 83%, comparable to the national target of 80%, although for women aged 25 to 49 years old uptake was below target at approximately 76%. The service had taken action to improve uptake through a range of measures. These included taking part in a complex cervical screening pilot programme to implement strategies to address people’s hesitancy for cervical screening and improve uptake. Results recorded following this pilot programme showed 92 complex people were invited for their cervical screening, and of these, 12 responded.

The service performed better than the England average in relation to other cancer screening programmes, such as achieving approximately 84% for breast cancer and 83% for bowel cancer screening.

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.