Bishop's Close Medical Practice

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• 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 provider supported people to manage their health and wellbeing to maximise their independence, choice and control. The provider 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. Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity.

Staff were able to refer people with social needs, such as those experiencing social isolation, housing difficulties and wider well-being concerns to a social prescriber who worked for the Primary Care Network (PCN). The PCN also employed a wellbeing coach and 2 cancer care coordinators. These staff attended the monthly palliative care multidisciplinary meetings, and the cancer care coordinators met separately each month with a GP partner and the practice business manager. Staff told us these arrangements promoted effective joint working and improved coordination of care, helping to ensure patients received appropriate support tailored to their needs. Cancer care coordinators had access to a range of third sector and specialist support services, including Macmillan Cancer Support, Butterwick Hospice, Willow Foundation and Angels Trust. This enabled them to signpost and refer patients to additional sources of practical, emotional and specialist support, helping to ensure people affected by cancer received coordinated care tailored to their individual needs.

The practice was proud to be an Armed Forces accredited practice, to support serving and veteran patients in the area.

The provider 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 practice exceeded 1 national target for childhood immunisation uptake. The indicator for children aged 1 year was 96%, exceeding the national target of 95%. A further 4 indicators were slightly below the target level, with 3 achieving 94.7% and 1 achieving 90.8%. The lowest uptake related to the percentage of children aged 5 years who had received 2 doses of the measles, mumps and rubella (MMR) vaccine. Overall, performance demonstrated high levels of immunisation uptake, with most indicators meeting or closely approaching the national target.

The provider performed better than the England average in relation to several cancer screening programmes, including screening for breast, bowel and cervical cancer.

The practice had 85 patients aged 18 years and over with a learning disability registered at the time of our assessment. In the previous 12 months, 72 patients (84%) had received an annual learning disability review, and all eligible patients had been invited to attend. Most reviews were undertaken at the surgery by the Practice Nurse Associate and 1 of the GP partners. For housebound patients with a learning disability, annual health checks were undertaken either by the Practice Nurse Associate or the PCN long-term conditions nurse, alongside a GP partner.This collaborative approach helped to ensure patients' health and wellbeing needs were comprehensively assessed. The reviews also included patients living in 2 supported living houses within the community, with these reviews being carried out in the patients' residences. This helped to improve accessibility and enabled care to be delivered in a familiar environment for patients.

Clinical audit and quality improvement activity was well established within the provider's governance arrangements and was used to improve the quality and safety of care. Staff had completed a wide range of clinical and prescribing audits, including audits of medicines safety, long-term condition management and medicines requiring enhanced monitoring. Audit outcomes were used to identify opportunities for improvement, inform action plans and monitor the effectiveness of changes made.

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.