Fleet 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 that staff monitored patient’s care and treatment and supported them to live healthier lives. At our last inspection, we rated this key question as good. At this inspection, 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.

The practice planned and delivered patient’s care and treatment with them, including what was important to them. They did this in line with legislation and current evidence-based good practice and standards. A review of clinical searches identified practice was in line with national guidance.

The provider had systems in place to ensure staff kept up to date with evidence-based guidance and legislation. As part of our inspection, we conducted a detailed review of patient’s care records. These demonstrated that care and treatment were delivered in line with current national guidance and best practice, helping to ensure patients received safe and effective care.

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 focussed on identifying risks to patient’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.

In response to patient feedback regarding Power of Attorney processes, the practice supported the development of a 'Planning Ahead' booklet, providing clear information on Power of Attorney, ReSPECT plans (Recommended summary plan for emergency care and treatment), living wills and how to access support from the practice and patient participation group (PPG). The resource was piloted within the local community and made available to patients through the practice.

The practice acted on feedback received through the PPG by developing dedicated menopause support sessions, led by the Head of Nursing. The PPG and practice also explored opportunities to develop support for new mothers and their babies.

The practice and PPG worked together to support patients to live healthier lives. For example, the PPG helped at vaccination clinics, NHS App promotion events, patient information sessions and community outreach activities. PPG members also acted as Community Ambassadors, helping the practice engage with local organisations, identify community needs, promote services and signpost patients to appropriate support.

The practice routinely monitored patient’s care and treatment to continuously improve it. They ensured outcomes were positive, consistent and met the expectations of patients themselves.

The practice met national targets for the uptake of childhood immunisations. The practice had systems in place to improve attendance and support patients to access screening. Systems were in place to identify patients who were overdue for screening, with invitations and follow-up reminders sent. Where patients did not attend appointments, staff reviewed individual needs, considered reasonable adjustments and offered opportunistic screening where appropriate.The practice performed better than the England average in relation to several cancer screening programmes, including screening for breast, bowel and cervical cancer.

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.