Urban Village Medical Practice

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 involved people in decisions about their care and treatment and provided them with advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this.

At our last assessment, we rated this key question as outstanding. At this assessment the rating has changed.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Urban Village Medical Practice made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Health screening for people accessing the Homeless service had been expanded. New patient screening automatically included specific conditions which effected people sleeping rough, in shared accommodation and experiencing the associated lifestyle choices more than other groups. This was managed in keeping with best practice recommendations and ongoing research.

Feedback from people using the service was positive. People felt involved in any assessment of their needs and felt confident that staff understood their individual and cultural needs.

Reception staff were aware of the needs of the local community. Reception staff used digital flags within the care records system to highlight specific individual needs, such as the requirement for longer appointments or for a translator to be present.

Staff checked people’s health, care, and wellbeing needs during health reviews.

Clinical staff used templates when conducting care reviews to support the review of people’s wider health and wellbeing.

Urban Village Medical Practice had robust systems to identify people with previously undiagnosed conditions.

Urban Village Medical Practice planned and delivered people’s care and treatment in line with legislation and current evidence-based good practice and standards.

Systems were in place to ensure staff were up to date with evidence-based guidance and legislation. When clinical records were detailed, they demonstrated care was provided in line with current guidance.

The service worked with educational institutions to check how current practice could be improved through researching and reviewing outcomes for their patients including how best to ensure access and ongoing cooperation with treatment plans.

Urban Village Medical Practice worked well across teams and services to support people.

Systems were in place to ensure people only needed to tell their story once by sharing assessment needs and medical information when people moved between different services. Specialist staff were commissioned to facilitate this in the Homeless service.

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

There was clear evidence the practice worked with other services to ensure continuity of care, including where clinical tasks were delegated to other services such as GP extended hours.

Urban Village Medical Practice 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 focused on identifying risks to patients’ health, including those in the last 12 months of their lives, patients at risk of developing a long-term condition and those with caring responsibilities.

Staff supported national priorities and initiatives to improve population health. The practice provided specialist staff training and championed initiatives to raise awareness of these priorities. We saw initiatives targeted at: improving childhood immunisation uptake; smoking cessation; sexual health; improving the support and care for terminally ill patients who were homeless.

The Homeless people service provided this group with individual, direct support to access the services needed to promote and enable better access to health checks, treatment; activities and services to support the best chance of a positive outcome.

Staff could refer mainstream patients to the social prescribing link worker for support with social needs, such as those experiencing social isolation or housing difficulties.

The leaders were proactive and keen to pioneer the development new ancillary roles in response to the evolving needs of the homeless which also benefited other peoples at risk of health inequalities.

The service also employed a health coach who provides direct contact supporting and removing barriers so people could engage with making healthy lifestyle choices. This service made a difference to people’s lives and was exceptional.

Urban Village Medical Practice routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were as positive as possible and consistent, and aimed to meet both clinical expectations and the expectations of people themselves.

People told us they were called in for health monitoring and stated the information provided was helpful and easy to understand.

The practice had not met cervical screening or World Health Organisation childhood immunisation targets. These were issues being looked at and reviewed at a primary care network level with other GP practices in the area as these matters were of concern to many practices in the Ancoats area.

Patients using Urban Village Medical Practice were told about their rights concerning consent and this was respected when delivering person-centred care and treatment. People gave examples of doctors and nurses gaining consent.

Staff understood and applied legislation relating to consent. Capacity and consent were clearly recorded. Records reviewed indicated consent was gained for treatment and care for people who visited the practice.

Staff had completed specialist training about consent and mental capacity as related to adults and children.

Discussion with staff and feedback from patients confirmed information was given to help people to make an informed decision about their care.

In relation to do not attempt cardiopulmonary resuscitation (DNACPR) forms, records showed more attention to detail was needed, in some instances, to make sure peoples wishes not to receive additional care and treatment was plainly recorded. Leaders took immediate action to review and begin the process to ensure all forms provided unambivalent information and was completed correctly and in line with relevant legislation.