Branch End Surgery

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 provider supported people to manage their health and wellbeing to maximise their independence, choice and control. The provider 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. The provider supported national health priorities and initiatives aimed at improving population health, including weight management and smoking cessation, and signposted patients to relevant support services where appropriate.

Staff were able to support people with their health and wellbeing through a range of social prescribing initiatives, including support for those experiencing social isolation, housing difficulties, and wider wellbeing concerns.

One of the GP partners was the clinical lead for the Primary Care Network (PCN) and also chaired a wider Palliative Care Partnership. This group met regularly and included representatives from local GP practices, nursing teams, the local NHS hospital trust, social care services, hospice services, community matrons and a palliative care consultant. The partnership promoted collaborative working and a joined-up approach to care, enabling professionals to share knowledge, coordinate support and improve outcomes for patients receiving palliative and end-of-life care. This helped to support patients' preferences where possible, including enabling them to remain at home and avoid unnecessary hospital admissions.

The practice was proud to be an Armed Forces accredited practice, to support serving and veteran patients in the area.

The provider routinely monitored people’s care and treatment in an attempt to continuously improve it. They ensured outcomes were positive, consistent and met the expectations of people themselves.

The practice exceeded 4 of the 5 national targets for the uptake of childhood immunisations with 1 of the indicators at 100% against an expected level of 95%. This was for children aged 5 who have received immunisation for measles, mumps and rubella (2 doses of MMR).

The provider performed better than the England average in 3 of 4 national cancer screening programmes, including breast, bowel and 1 of the cervical cancer screening indicators. Performance for cervical screening among women aged 25 to 49 years was slightly below the expected rate, achieving 79.2% against a target of 80%.

We saw there were 50 patients aged 18 years and over with a learning disability registered at the practice. Staff had completed 38 annual learning disability reviews, representing 76% of eligible patients. Records showed that all patients had been invited to attend for a review on multiple occasions, demonstrating the practice's efforts to encourage uptake and support patients to access appropriate care.

Clinical audit and quality improvement were in place and used to review care and drive improvements in patient outcomes. Audit activity covered a range of areas, including medicines safety and long-term condition management. Prescribing audits formed part of this programme, helping to identify prescribing risks, improve prescribing practice and support patient safety and care.

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.