Queslett Medical Centre Also known as Queslett 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 staffmonitoredpeople’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 ratingremainsthe 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 focussed on identifying risks to people’s health, including those in the last 12 months of their lives and those with caring responsibilities.

Their social prescriber supported local community groups, such as cancer awareness. Patients could access a wide range of healthcare professionals such as dietician, physiotherapist and mental health practitioner through the West Birmingham Primary Care Network (PCN).

Leaders told us they were committed to improving health outcomes by working directly within their communities and alongside local partners. The service fully embraced collaborative working with their local PCN, SDSGP Federation and community partners to provide joined-up care. For example, as part of a wider Men’s Health Programme the practice had taken part in a targeted community health initiative to improve awareness, access and early detection of prostate cancer within underserved communities. The initiative successfully engaged men who may not routinely access healthcare services, helping to reduce healthcare inequalities and support earlier diagnosis. 119 men were screened and 5 cancers were identified as part of this joint initiative.

The service hosted a cancer awareness bus to help identify early diagnosis and raising cancer awareness within underserved communities.

Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity.

The service monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive, consistent and met the expectations of people themselves. There was a programme of regular clinical audit that focused on improving patient outcomes. For example, they had completed an audit of patients on asthma medicines, took action to address monitoring needs, and had implemented a system for ongoing management of asthma and reducing the need for ‘rescue’ inhalers.

The service had not met national targets for the uptake of childhood immunisations, several cancer screening programmes, including screening for breast, bowel and cervical cancer. For example, data showed for cervical cancer screening the practice achieved an uptake of 68% in the younger age indicator and 72% in the older age indicator, below the 80% target. Clinical staff told us they continued to promote uptake of this screening. They offered flexible early and late appointments to accommodate patient preferences. However, despite efforts many patients failed to attend their booked appointments. Arrangements were in place to follow up these patients.

The practice had exceeded the World Health Organisation (WHO)target of 95% in 1 of the 5 childhood immunisations indicators, had met the national minimum target in 3 indicators and were below target in 1indicator.Thepractice told us they had more recent unverified data to show that uptake had improved. Clinical staff told us they made efforts promoting immunisation uptake. This included offering parents who were anxious about vaccinating their children the opportunity for discussion and education. Through surveys, the practice identified there were barriers to attending their appointments for screening. In response to this, the practice was implementing direct GP endorsements to safely encourage uptake. Leaders told us they had provided educational sessions in local schools to promote uptake of childhood immunisation.

The practice offered NHS Health checks for patients aged 40 – 74 in addition to carer health checks on request.

The practice had a cancer awareness board located in the waiting area providing a wide range of information and materials about cancers.

The practice completed regular audits to ensure care was provided for patients who required regular monitoring or were prescribed high risk medicines. The outcomes of the audits were discussed at clinical meetings and learning was shared.

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.