Warmdene Surgery

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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 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 people at risk of developing a long-term condition. The service had pathways for the early recognition of diabetes, respiratory and cardiac conditions. For example, the service ran audits looking at the clinical records for people who were presenting with recurrent chest infections for potential asthma. Referrals for further investigation were made to support people including children.

Nurses completed long term health reviews for respiratory and diabetes health checks for people who had already been identified. Nurses also provided care for childhood immunisations, wound care, cervical smears and ear irrigation. Nurses had opportunities to support GPs with minor surgery which they received additional training for.

The service completed regular palliative care and frailty visits. All people designated as housebound were recorded on the service’s clinical system so that they could be prioritised if they contacted the service. All requests for a home visit were reviewed and triaged by a GP. Carers could call to book these slots and after the triage process the reception team had a carer’s champion who provided support. The service had an active palliative care register which was monitored and updated daily alongside a palliative and frailty multi-disciplinary meeting which took place once a month.

The service had a carers board in reception that could be accessed for additional resources and information.

The service could refer people to a local community nursing service who also assisted with nursing care for housebound people.

Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity. Staff completed healthcare checks and advertising for health campaigns were available in the reception area. Staff told us they promoted these services alongside their social prescribers who they could refer people to when individual guidance was requested.

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 practice met national targets for screening and immunisations.

The service exceeded the World Health Organisation (WHO) targets for 4 of the 5 target groups for childhood immunisations according to the most recently published indicators (2024/2025) with uptake above 95%. For the remaining indicator, the service was above the national target of 90% having achieved 92.3% uptake for 5-year-olds who had received both booster immunisations for Measles, Mumps, Rubella (MMR).

The service had achieved 79.2% uptake for cervical screening for women aged 25-49 and 83.8% for women aged 50-64. The national target for cervical screening is 80%.

The service encouraged the uptake of cervical screening and childhood immunisations and followed up people who did not attend (DNA) appointments with telephone calls and electronic messages.

The service had a clinical audit schedule which was run throughout the year.. For example, the service aimed to improve compliance with anti-biotic prescribing by reducing dose periods from 7 days to 5 days. An audit in December 2023 found 7-day prescribing was at 83%. Following several cycles of the audit, the most recent audit in March 2026 showed the service had reduced prescribing for 7 days antibiotics to between 10-20%.

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.