Barrow Health Centre

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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 71 (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 service planned and delivered people’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 the practice was working in line with national guidance.
Staff had access to relevant clinical guidance and were supported to keep their knowledge up to date through training, meetings and governance processes. Clinical searches undertaken as part of this assessment found that care and treatment was delivered in line with national guidance. Searches reviewing patients with a potential diagnosis of diabetes found no evidence of missed diagnoses. Patients meeting diagnostic criteria were appropriately coded and receiving care and treatment in line with recognised guidance.
The service used clinical audits, prescribing reviews, searches and monitoring processes to support clinical decision making and identify areas for improvement.
 

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 were kept up to date with relevant guidance and best practice through regular communications and updates shared via the service's electronic management system. The service operated effective recall systems for patients with long term conditions, using text messages, telephone calls and letters to encourage attendance for reviews and monitoring.
The service also had processes to identify patients who were eligible for immunisations and vaccinations in line with national guidance. Regular searches were completed to identify patients’ due vaccinations, and reminder systems were used to support uptake, including for childhood immunisations and seasonal vaccination programmes.

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 also performed well in relation to childhood immunisations. Uptake for the pneumococcal booster, Hib/MenC booster and first MMR vaccination exceeded the World Health Organisation target of 95%, achieving 99%, 99% and 98% respectively. Uptake for the second dose of MMR at age five was 94%, exceeding the national minimum target of 90%.
Data showed that 81% of eligible women aged 50 to 64 years and 79% of eligible women aged 25 to 49 years had received appropriate cervical screening. The older age group met the national target of 80%, while uptake in the younger age group was slightly below the target and monitored by the service.
Clinical searches demonstrated that patients with chronic kidney disease (CKD) generally received appropriate monitoring and referral where required. Searches reviewing hypothyroidism monitoring showed that the service had systems to identify patients who were overdue monitoring and had generally taken appropriate action to recall them. Clinical searches relating to diabetes and asthma identified some inconsistencies in follow-up and monitoring processes; however, the service undertook detailed reviews of affected patients. [SS2.1]and implemented actions to strengthen monitoring, recall and safety-netting arrangements.
The service worked collaboratively with the primary care network to improve uptake following a reduction in breast screening attendance and continued to monitor participation rates to support positive population health outcomes.

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.