Catterick Village 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 staff involved people in decisions about their care and treatment and provided advice and support. We checked that staff regularly reviewed people’s care and worked with other services to achieve this.

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.

Catterick Village Surgery made sure the care and treatment of its patients was effective by assessing and reviewing people’s health, care, wellbeing and communication needs with them.

When patients registered with the practice, staff checked people’s communication and other specific needs with them, then added relevant information to their patient record.

Staff were aware of the needs of their local community. They signposted patients towards appropriate support routes. Patients with social needs (such as those experiencing social isolation or housing difficulties) were referred to a social prescribing link worker who agreed a personalised support plan to help them.

Staff tried to proactively identify patients with caring responsibilities to offer targeted support. These patients were given an information pack which contained details of both practical and emotional support routes. Where possible, patients with caring responsibilities were offered flexibility to access appointments.

The practice ensured relevant patients were contacted to attend an appropriate review. Patients with a learning disability were encouraged to attend their annual health check. Patients aged 75 years and over were invited for an annual review of their needs.

Feedback from people using the service was mostly very positive. Patients felt involved in any assessment of their needs.

The practice delivered care and treatment to patients in line with legislation and current evidence-based good practice and standards.

As part of our assessment, a CQC GP Specialist Advisor completed a series of patient clinical record searches. This included reviewing the management of patients with long-term conditions.

Our searches showed Catterick Village Surgery effectively monitored patients taking medicine for hypothyroidism (a common condition where an underactive thyroid slows the body’s metabolism) to ensure doses were appropriate and effective.

The practice also effectively monitored patients with chronic kidney disease (stage 4 or 5) to try and slow further kidney damage and improve the quality of life of patients.

The practice ensured patients with diabetes were supported to manage their condition well. We reviewed the records of 5 patients with diabetes in detail. We found all these patients had received an appropriate annual review within the past 12 months. Patients with prolonged raised blood sugar levels had been followed-up appropriately.

The practice was good at helping patients manage their asthma. Our searches identified 26 patients with asthma. We reviewed 5 patient records in detail which showed these patients had received an appropriate asthma review within the past 12 months. When patients had experienced an asthma attack and needed extra medicine to help them, we found patient consultations were documented well and the clinical decisions made were appropriate.

The practice worked well across teams and services to support patients. They shared their assessment of needs when patients moved between different services.

Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support.

Leaders held a community multi-disciplinary meeting every month to discuss patient care and any concerns. These included GPs, clinical pharmacists, district nurses, as well as well as other key patient support roles (such as a social prescribing link worker). Local authority social care staff sometimes attended these meetings.

The practice worked with other services to ensure continuity of care, including where clinical tasks were delegated to other services.

We received highly positive feedback from a patient who outlined how the practice had worked well with a range of other specialist services to ensure the patient received swift and effective care which worked best for them.

Catterick Village Surgery was an established training practice for new GPs. Students and training doctors spent time shadowing all areas of the practice (including with administrative staff, clinical pharmacists, and the nursing team). This ensured a greater understanding of all the key roles involved in running an effective GP practice.

The practice supported patients to manage their health and wellbeing to maximise their independence, choice and control. Staff proactively made patients aware of health checks available to them.

Staff supported people to live healthier lives and (where possible) reduce their future needs for care and support. They signposted patients to any local support which could help them. The practice used social media to advertise additional help for patients, such as mental health support.

Catterick Village Surgery supported national priorities and initiatives to improve people’s health, including stopping smoking and tackling obesity. They sent patients information about help to stop smoking. Staff opportunistically talked to patients about stopping smoking during consultations for other health issues. The practice provided a weekly weighing service for patients keen to lose weight. Staff referred people to specific weight management support if they needed more in-depth help.

Staff identified risks to patients’ health, including patients at risk of developing a long-term condition, those with caring responsibilities, and those nearing the end of their life. They ensured these patients were reviewed and supported, as necessary.

To improve the uptake of cervical screening, all staff had been supported to confidently promote this important check for women, ensuring consistent messaging across the practice.

Catterick Village Surgery routinely monitored the care and treatment of its patients to continuously improve it. They ensured outcomes were positive, consistent, and met both clinical expectations and the expectations of patients.

As part of our assessment, a CQC GP Specialist Advisor completed a series of patient clinical record searches. Patients were well monitored by the practice.

We found patients received appropriate monitoring for high-risk medicines to ensure the effectiveness of the medicines and identify any adverse reactions.

The practice ensured the use of medicines for patients was appropriate. Patients received good quality medication reviews. Staff ensured reviews were documented appropriately.

Patients with long-term conditions received effective annual monitoring.

The practice correctly recorded results in patient records. We did not find any evidence of patients not being diagnosed properly.

The practice worked to ensure patients were immunised and received appropriate screening.

Based on the latest verified UK Health Security Agency data (from 1 April 2024 ~ 31 March 2025), Catterick Village Surgery met the 90% minimum uptake target for all 5 childhood vaccinations. The practice tried to encourage any parents who had not yet done so to ensure their children were immunised.

The latest verified NHS England data (from 30 June 2024) showed the practice was slightly below the national (80%) target for adequate cervical screening of women. However, leaders provided us with their latest (unverified) data which showed they had exceeded the 80% target. The practice achieved this by strengthening their recall system. Staff persistently tried to contact patients who did not respond, encouraging and supporting them to attend this vital screening. Staff took time to try and understand and address individual barriers, including anxiety and misconceptions. The practice increased appointment availability and flexibility, making it easier for patients to attend.

Catterick Village Surgery told patients about their rights around consent. Staff respected these rights when delivering person-centred care and treatment.

We found do not attempt cardiopulmonary resuscitation (DNACPR) decisions were made in line with relevant legislation.

Staff appropriately considered the capacity of each patient to make specific decisions about their care. They involved patients, their families, carers, and advocates in the decision-making process when appropriate.

A recent audit relating to consent by patients with dementia, frailty, and / or a learning disability showed that the assessment of a patient’s mental capacity and their ability to consent to or decline treatment was an integral part of the patient review and discussions.

Another recent audit relating to the fitting of intrauterine devices (IUDs) evidenced that an appropriate consent process was in place before this procedure was undertaken with patients. Staff discussed the procedure with a patient beforehand, gained written consent, and ensured the correct information was recorded in the patient’s record.

Administrative staff ensured any patients attending surgeries with students and / or training doctors gave appropriate consent. They made sure decisions regarding training encounters were recorded appropriately.

The practice also considered non-clinical consent. Staff ensured patients consented to being contacted via text message to their mobile phone before using this method to contact them.