Pilch Lane 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. Staff told us they routinely signposted patients to social prescribing services where appropriate, for example patients experiencing loneliness, social isolation or mental health concerns. Staff explained how these referrals supported people to access community resources and wider wellbeing support.

Staff demonstrated an awareness of the needs of people who may experience additional barriers to maintaining good health. The practice maintained registers of carers, veterans and patients with learning disabilities and used these to support targeted health promotion, preventative interventions and access to appropriate services. Carers were identified and offered additional support, including access to annual influenza vaccination and signposting to relevant services. Patients with learning disabilities were offered health checks and reasonable adjustments where required, including home visits and longer appointments.

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 practice undertook activities to improve uptake of screening and immunisation programmes. Staff described structured recall systems and targeted work to engage patients who had not attended for cervical screening. We saw evidence of proactive follow-up and additional initiatives through the local area network to improve participation which included offering weekend appointments and contacting non-attenders. The practice discussed any concerns with non-attenders and recently managed to encourage 26 patients to attend for their screening.

The practice was not achieving the recommended uptake in some childhood immunisation indicators and recognised this as an area for improvement. The practice manager and nurse recently attended some local schools to host an educational event with families to help improve uptake.

The practice demonstrated a proactive approach to reviewing and improving the quality of care through the use of clinical audits. Examples included audits relating to asthma management, prescribing, and cervical screening uptake. Leaders described working with pharmacists and the ICB medicines management team to monitor prescribing and identify opportunities for improvement such as anti-microbial prescribing.

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.