Mount Road 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 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 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 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 focussed on identifying risks to people’s health, including those in the last 12 months of their lives and those with caring responsibilities. The Practice Care Facilitator (PCF) worked closely with the Primary Care Network frailty team and neighbourhood partners to support to people on the frailty register. The service worked closely with the PCN social prescriber and health and wellbeing coach team. Between April 2025 and February 2026, 895 people had been referred to and supported by this team. The team supported people to access community support groups as well as supporting with the Winter Ready event.

Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity. Systems were in place to identify smokers who attended the service and had not received smoking cessation advice within the last 12 months. Advice was given during the consultation and links to local smoking cessation services provided. A range of weight management support options were available, and staff directed people to the most appropriate service.

The Patient Participation Group (PPG) actively supported the service with health promotion and education activities. The PPG produced monthly newsletters and podcasts, which included information about forthcoming events. The PPG recently organised an inhouse event with the social prescribing team, and a podcast outlining the role of the team was shared on the PPG website and social media. The PPG were also runners up in the 2023 – 2024 Corkill Awards, organised by the National Association for Patient Participation.

The service was involved in planning forthcoming BEAT Heart Health community events. BEAT is an acronym used as a symptom checker and diagnostic tool to help identify key signs of heart failure to improve early diagnosis and treatment of heart failure. These events supported health improvement and the reduction in health inequalities within the local community through collaborative working across partner organisations.

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

The service actively promoted attendance for long-term condition reviews to monitor and improve people’s health wherever possible. Processes were in place to identify when people were due for a review, and reminders included on prescription slips for those prescribed medicines. People who were not prescribed medicines received texts or letters. Risk stratification processes were use for people with asthma or chronic obstructive pulmonary disease, so those at higher risk were invited for reviews as a priority. The service had also introduced protocols to improve the identification of people with long-term conditions, which had resulted in an increase in prevalence rates. The service viewed this positively as it reflected an opportunity to improve outcomes for an increased number of people within the practice population.

The service met national targets for the uptake of childhood immunisations. All the indictors for childhood immunisations were above the national target of 90%. Data from 2024 showed that the number of women who had received adequate cervical screening within the last 3.5 years was broadly in line with the 80% target. The service performed better than the England average in relation to several cancer screening programmes, including screening for breast and bowel cancer. The practice actively followed up people who did not attend screening appointments. The service had worked closely with the Primary Care Network following a reduction in the uptake of breast screening to successfully advocate for the mobile screening unit to visit within the locality for ease of access.

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.