Churchill Medical 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. 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.

Staff supported people to manage their health and wellbeing. They focused on prevention and early intervention to help reduce future care needs. Staff identified health risks such as end-of-life needs, frailty, carer responsibilities and supported national health priorities, including stopping smoking and obesity reduction.

The practice was working with the PCN across Waltham Forest communities to reduce health inequalities and promote preventative healthcare. They had taken part in a PCN Healthy Heart wellbeing event in February 2025 designed to help patients better understand their cardiovascular health and demonstrate how small lifestyle changes can positively impact long-term outcomes. The practice team had worked in partnership with an external community outreach organisation providing Family Hub sessions. The service had signed up to the Prostate Cancer Risk Awareness Project being delivered by North East London Cancer Alliance to raise awareness of prostate cancer risk among high-risk populations.

Staff would refer patients to the PCN social prescriber who contacted patients with complex needs or who were vulnerable to ensure their needs were being met. Staff told us patients had access to a community mental health specialist nurse.

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 provider demonstrated quality improvement activity by auditing patient outcomes and sharing findings with staff to identify areas for improvement. For example, an audit of Patient Health Questionnaire-9 (PHQ-9) use—a depression screening tool—found low awareness and uptake among patients. The service identified a need to increase utilisation to improve assessment and outcomes.

The National GP Patient Survey results showed that 97% of respondents felt the healthcare professional they saw had all the information they needed about them during their last GP appointment. This was above local and national results. Results showed 91% felt involved as much as they wanted to be in decisions about their care and treatment.This was above the local ICS average (88%) and in line with the national average (91%).

The service had not achieved the world health organisation (WHO) based national target of 95% for five of the childhood immunisation uptake indicators (01 April 2024 to 31 March 2025) but had met the minimum 90% rate in one area measured; children aged 1 who have completed a primary course of immunisation 93.6%. However, the practice had an action plan to improve uptake, including using the CEG toolkit to recall children for routine immunisations. Four experienced practice nurses addressed parental concerns and referred to the local immunisation team or Health Visitor when needed. Appointments were available at both sites. The service shared unverified data which indicated improved uptake over the last 12 months.

The service had not achieved the required and recommended uptake for cervical cancer screening. Cervical screening uptake was below national averages (65% for ages 25–49; 74% for ages 50–65). Between November 2025 and April 2026, the practice implemented a targeted improvement programme, strengthening recall systems, enhancing follow-up for non-responders, and offering text invitations with self-booking links. Additional clinics were provided through the PCN extended access hub. As a result, coverage improved, with unverified data indicating the practice met the 80% national target (80% for ages 25–49; 83% for ages 50–65). The service’s performance was in line with the England average in relation to the number of new cancer cases treated resulting from an urgent suspected cancer referral.

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.