Honeypot Medical Centre

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 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 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.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Feedback from people using the service was positive. Reception staff were aware of the needs of the local community. Reception staff used codes within the care records system to highlight any specific individual needs, such as the requirement for longer appointments or for a translator to be present. The provider had systems to identify people with previously undiagnosed conditions. We saw this was the case in the records we reviewed. The practice had a variety of registers which included a Serious Mental Illness (SMI) register complex common mental illness register, a Learning Disability register, a Dementia register, a Carers register and a Frailty register. Carers and support workers were encouraged to attend annual health checks.

Staff could refer people with social needs, such as those experiencing social isolation or housing difficulties, to the practice’s own social prescriber.

End of life care was a monthly agenda item during practice clinical meetings where active palliative care cases were reviewed. They also had regular care home multi-disciplinary team meetings, for the nursing and residential home patients, where end of life care cases were discussed with nursing home staff, residential home staff, local borough Care Home Team staff and their paramedic.
 

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. The practice carried out several quality improvement activities and audits which aimed at enhancing patient care and treatment. This included a quality improvement project focused on access as well as a two-cycle cold chain management audit. All staff we spoke knew how to keep up to date with evidence-based guidance and legislation. The clinical records we reviewed demonstrated that care was provided in line with current guidance. For example, a sample of 5 patient records were looked at for medication reviews, and these were found to be comprehensive.

The practice had a monthly prescribing newsletter sent out to all clinicians by a practice pharmacist. The newsletter mentioned any changes in alerts or prescribing issues.The practice had a rolling clinical audit programme which audited 80 prescribing and medicines safety audits. These were run on 3-monthly cycles. This included DMARD monitoring, high-risk anticoagulants, teratogenic drug safety, high-risk Long Term Condition medicines, prescribing quality and missed diagnoses.
 

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. The practice worked with other services to ensure continuity of care. The practice supported a residential and a nursing care home, providing weekly visits led by a GP and paramedic. The practice was a part of Harrow East Primary Care Network (PCN). Primary Care Networks are a group of practices which share resources. PCN staff working at the practice had access to clinical systems and internal messaging platforms. All staff told us everyone at the practice was supportive. The practice held monthly Children and Young People Joint Clinics with the PCN and Local Acute Trust, Monthly Diabetes MDT which involved a Diabetologist, and Monthly Palliative Care Meetings with a community palliative care nursing team and community nursing team.

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. They referred patients to a variety of services and referrals which included a focus on diabetes, mental health, smoking cessation and obesity. For example, for patients who smoked, a smoking status was coded on their system and smoking cessation advice was given and reviewed at every opportunistic clinical contact.

The practice in recognising its population, has made diabetes management one of their highest-priority areas given the high prevalence in our South Asian patient population.
 

The service regularly monitored people’s care and treatment to continuously improve it. The Office for Health Improvement and Disparities data from June 2024 showed that the percentage of persons eligible for cervical cancer screening who were screened adequately within 3.5 years for persons aged 25 to 49 was 57% which was below the 80% national target. The number of women aged 50 to 64 years old who had had an adequate screening test within the last 5.5 years as a percentage of the eligible population, was 68% which was below the 80% target.

The percentage of children aged 5 who had received immunisation for measles, mumps and rubella (two doses of MMR) was 62% in comparison to the WHO (World Health Organisation) target of 95%.

The practice recognised that they were below target in these categories and took action as a result. The practice sought to understand their local population such as the Romanian population, by meeting with a local Romanian councillor. This led to the practice building authentic relationships with its Romanian patient population. They also worked together with local Romanian charities and a variety of different partners. The practice also created a parent education session to discuss a variety of child health and clinical topics as well as on how to navigate health and community services. The practice established a parents' WhatsApp group hosted by a Romanian Care Coordinator. This helped build the relationship between the community and the practice. We saw evidence that previously declined families agreed to immunisation following Romanian care coordinator contact.

Data we saw showed that the childhood immunisation statistics were improving since the programme to encourage uptake was started.

The practice also had a dedicated, systematic call-recall programme by PCN care coordinators in range of languages.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. All staff we spoke with during the assessment understood and applied legislation relating to consent. We saw evidence that Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were appropriate and were made in line with relevant legislation.