Maidstone Road Rainham 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 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 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. For example, they carried out routine NHS health checks on eligible people.They had taken part in a local initiative to support cardiovascular disease prevention and management.

Staff focussed on identifying risks to people’s health, including those in the last 12 months of their lives, people at risk of developing a long-term condition and those with caring responsibilities. Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

UK Health Security Agency data showed between April 2024 and March 2025, the service met the World Health Organisation target for 4 out of 5 childhood immunisation indicators, achieving between 95% and 97%. The service met the minimum threshold target for 1 indicator. Although this was below the WHO target, it was above the national minimum standard of 90%.

NHS England data showed the service met the national target for cervical cancer screening uptake as of June 2024. It showed it had achieved 80% coverage for women aged 25-49 and 84% for women aged 50-64. The service carried out regular recall audits, routinely inviting people and holding conversations to explore concerns and offer reassurance.

The service had a programme of targeted quality improvement and used information about care and treatment to drive changes. In September 2025, the service conducted an audit to review whether people prescribed hormone replacement therapy were receiving appropriate doses. This included all people issued oestrogen in August 2025. Two were identified as being on an incorrect progesterone dose (without significant clinical concern), and 6 had unclear prescriptions. Findings were discussed with prescribers to reinforce national guidance and improve prescribing clarity. A re-audit in January 2026 confirmed all people were on appropriate therapy and prescriptions clearly stated dosages.

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.