Brereton 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 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. Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity. Information to promote healthier lives and screening was displayed in the practice and on the website. People with a long-term condition were offered an annual review, which included discussion around lifestyle and referral to educational programmes if appropriate. The service offered new patient checks and NHS health checks. Staff told us they ran regular searches to identify those eligible for the NHS health check and the majority of those eligible had been invited within the last 5 years. People were signposted to Everyone Health for support with weight management and exercise programmes, smoking cessation and support with alcohol reduction. People were also signposted to the social prescriber and mental health practitioners if required.

The service utilised the social prescribers through their Primary Care Network (PCN). They helped to support people with managing their health and wellbeing and signposted them to a range of support services and activities.

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

The service met national targets for the uptake of childhood immunisations and exceeded the World Health Organisation (WHO) target of 95% in 4 of the 5 immunisation indicators. Staff told us systems were in place to reconcile the list from child health against children due for immunisations and arrange appointments. The parents / guardians of children who were overdue their immunisations were contacted to rebook appointments. Non attendees on the day were contacted at the time of their appointment and encouraged to attend later the same day or rebooked. Appointments for childhood immunisations could be booked outside of the Tuesday clinic, on any day of the week. Staff discussed concerns and provided evidence-based information for parents / guardians who were hesitant to immunise their children.

The service performed better than the England average in relation to several cancer screening programmes, including screening for breast and bowel cancer. However, uptake for cervical screening (June 2024) was below the national target of 80%. The number of women who had an adequate cervical screening within the last 3.5 years as a percentage of the eligible population aged 25 to 49 years old was 77%. The number of women who had an adequate screening test within the last 5.5 years as a percentage of the eligible population aged 50 to 64 years old was 78%. Unverified data provided by the service (August 2026) demonstrated an improvement in uptake for cervical screening, with 79% within the younger cohort and 80% in the older cohort.Systems were in place to invite people to book their screening test when due or had not attended. Appointments were available in the evening to accommodate those unable to attend during the day. Staff told us they spent time educating people on the importance of cervical screening when they attended any appointment and encouraged to book an appointment if their screening was overdue.

Systems were in place to ensure the needs of people identified as living with severe mental illness or people with a learning disability were reviewed on an annual basis. People were invited for a physical health check including bloods and then met with the appropriate health care professional to discuss and review their overall health. The registers were reviewed regularly to identify people newly registered at the service. Arrangements were in place to ensure the needs of housebound people and those living in care homes with long-term conditions were reviewed.

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.