Streatfield 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 involved people in decisions about their care and treatment and provided them with advice and support.

At our last assessment, we rated this key question as Good. At this assessment, the rating remains the same.

This service scored 67 (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. Administrators and reception staff used codes and alerts 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. Staff supported national priorities and initiatives to improve population health, including referring patients with pre-diabetes to the National Diabetes Prevention Programme . They also had referrals for weight management and local stop smoking services. Staff were trained to signpost patients to community groups, carer organisations, antenatal support, local foodbanks and wellbeing activities.

However, we did find some room for improvement. During our clinical searches, we found a number of patients in our search of findings for potential missed diagnosis of diabetes search. We reviewed 5 in detail and 4 needed to be followed up.

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. The practice also carried out an audit focused on Osteoporosis. This focused on how well the practice assessed osteoporosis risk using a method recommended by NICE guidelines. They also carried out an audit on patients with severe high cholesterol.

The service worked well across teams and services to support people. Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support. The practice was a part of Sphere Primary Care Network (PCN). The practice supported a residential care home, providing weekly visits led by the practice pharmacist with support from a lead GP. District nurses joined practice meetings monthly to review their caseload, and a palliative care team contributed quarterly to review patients with advanced needs. The practice was also part of monthly PCN frailty and diabetes Multi-Disciplinary Team meetings.

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. The Practice were part of a local pilot for patients with cardio renal metabolic (CRM) conditions. As part of the pilot, patients were offered a 30-minute appointment focused on a lifestyle prescription, which included personalised coaching and discussions around diet and exercise. Staff supported national priorities and initiatives to improve population health, including referring patients with pre-diabetes to the National Diabetes Prevention Programme. Patients were also referred for weight management and to local stop smoking services. The practice website also had links for carers, child health, drug and alcohol services, elderly care, maternity, mental health, sexual health, stop smoking and weight management.

The service regularly monitored people’s care and treatment to continuously improve it. The Office for Health Improvement and Disparities stats 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 49% 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 64% 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 67% in comparison to the WHO (World Health Organisation) target of 95%. The practice has recognised this, and as a result, paediatric nurse has come into the practice to offer advice.

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.