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Teams Medical Practice Outstanding

Inspection Summary

Overall summary & rating


Updated 1 March 2019

Previous inspection January 2015 – rated at outstanding overall (outstanding for the provision of safe, effective, caring and well-led services; good for the provision of responsive services).

We carried out an announced comprehensive inspection at Teams Medical Practice on 17 December 2018 as part of our inspection programme.

We based our judgement of the quality of care at this service is on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as outstanding overall.

We rated the practice as outstanding for effective services because:

  • Quality Outcome Framework (QOF) attainment rates were higher than local and national averages. Although some clinical exception reporting was also higher than local and national averages the practice were doing all they could to encourage patients to attend long term condition reviews.
  • The provider had also introduced the Year of Care approach to caring for and reviewing patients with musculoskeletal (MSK) conditions such as osteoarthritis, osteoporosis, inflammatory arthropathies, fibromyalgia, connective tissue disorders and gout as well as coeliac disease and on-diabetic hyperglycaemia.
  • Patients received effective care and treatment that met their needs
  • The practice offered e-consultations.

We rated the practice as outstanding for caring services because:

  • Feedback from patients was consistently positive and was higher than local and national averages.
  • There was a strong person-centred culture.
  • The practice placed a significant importance on community engagement and collaborative working to make the area a better place to live for local residents.
  • Then practice website was easy to navigate and online services easy to use.

We rated the practice as outstanding for providing responsive services because:

  • Services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care.
  • There were innovative approaches to providing integrated person-centred care.
  • The practice had identified areas where there were gaps in provision locally and had taken steps to address them. For example, the practice had a fibro scanner and were able to screen patients for fatty liver of those at high risk of cirrhosis

We rated the practice as outstanding for providing well-led services because:

  • The culture of the practice and the way it was led and managed drove the delivery and improvement of sustained high-quality, person-centred care.

These outstanding areas benefitted all population groups which has resulted in all population groups being rated as outstanding. .

We also rated the practice as good for providing safe services because:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.

We saw several areas of outstanding practice including:

  • The practice had established excellent links with the local community and strove to promote health and wellbeing within the local area
  • The practice was involved in developing a foodbank in the local community centre. In addition, practice staff were collecting and distribute sanitary products to women unable to afford these products as part of a period poverty project.
  • The practice had a fibro scanner and were able to screen patients for fatty liver of those at high risk of cirrhosis
  • The practice had recruited practice health champions who were actively involved in the running of the practice and in promoting health and wellbeing initiatives including a weekly well-established walking group.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice

Inspection areas










Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable