Earlsfield 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 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. The practice participated in multidisciplinary team meetings to support patients living with frailty, complex health needs and those approaching end of life. The practice maintained a register of carers and proactively identified patients who provided unpaid care to family members or friends. Carers were signposted to local support services and offered additional support where appropriate, including annual influenza vaccinations and flexible appointment arrangements. Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity. As part of its commitment to cancer prevention and population health management, the practice actively supported smoking cessation by proactively contacting patients identified as eligible through the Cancer Quality Improvement Scheme and signposting them to appropriate smoking cessation services.

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. Whilst the service was slightly below national targets for the uptake of childhood immunisations and cervical cancer screening, the practice had measures in place to try and increase uptake. For example, the nurse called patients to discuss any concerns around hesitancy or lack of understanding. Patients who had concerns or questions were offered the opportunity to discuss these further with a GP to support informed decision-making. The practice used a range of communication methods, including text messages and personalised telephone calls, to maximise patient engagement and encourage attendance. The practice also adopted an opportunistic approach to care. When patients attended for other appointments, clinicians used these interactions to review any outstanding vaccinations, screening requirements, or health reviews and, where possible, addressed them during the same consultation.

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.