Toddington 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 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.

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.

The practice had systems in place to monitor and improve the uptake of preventative health checks and screening programmes. Patients aged 40 to 74 are eligible for an NHS Health Check, and the service had clear processes in place to identify and invite eligible patients for review. During the period from April 2025 to February 2026, the practice had achieved 98.3% of its commissioned annual delivery target.

The practice website contained a range of health promotion and wellbeing resources. Whilst the information was available and accessible, some people told us they struggled at times to navigate certain aspects of the website. There was a selection of leaflets and information available in the service for people to access.

Care home representatives told us the practice supported residents to maintain their health and wellbeing through regular ward rounds, timely reviews and follow-up. They described how clinicians involved residents in decisions about referrals, investigations and treatment options, helping people to make informed choices about their care. Representatives also gave examples of staff adapting their approach to meet the needs of people living with dementia and sensory impairment. Staff worked proactively with the care home to help prevent avoidable hospital admissions.

The practice was part of Titan Primary Care Network (PCN), which provided access to additional services that supported people to manage their health and wellbeing. This included social prescribing, care coordination and physiotherapy services. These services helped people access appropriate support within their local community, manage long-term conditions and maintain their independence and wellbeing.

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 service was close to achieving the national targets of 95% for the uptake of childhood immunisations. The most recent data from the UK Health Security Agency (UKHSA) showed uptake was:
• 90% for children aged 1 who had completed the recommended course of immunisations for Diphtheria, Tetanus, Polio, Pertussis, Haemophilus influenza type b (Hib) and Hepatitis B.
• 93% for children aged 2 who had received a Pneumococcal booster.
• 93% for children who had received a Hib and Meningitis C booster.
• 90% for children who had received their first dose of the measles, mumps and rubella (MMR) vaccine.

However, the service was aware they had not met the target for children aged 5 who had received 2 doses of the MMR vaccine. Uptake was 84.3% and was below the national target of 95%. Leaders told us they had investigated the lower uptake and believed that parental decisions not to vaccinate had contributed to this. They described measures such as clinicians contacting parents directly to help increase vaccine uptake. Wider work in partnership with other organisations and the community to address misinformation was being considered.

The service was above the NHS England averages for breast and bowel cancer screening, with 80% breast screening in 53 to 70 years old (national average is 70%), and 77% for bowel cancer screening for 60 to 74 years old (national average 72%).

The service had met the national targets for cervical screening. For women aged 25 to 49 years old the observed number was 81% and was above the national target of 80%. For women aged 50 to 64 years old, the observed number was 82%, which was above the national target of 80%.

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.