Brig Royd Surgery

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• 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.

At the time of our assessment, there were 30 patients on the learning disability register, of whom 6 had already completed their annual review. The service used patients' birthdays as a trigger for inviting them to attend their health review. Leaders told us this approach had resulted in positive outcomes and improved engagement. They adopted this model following discussions with the local authority learning disability team, which had reported successful outcomes using this approach.

The service maintained a register of carers and ensured they were appropriately coded on the clinical system. Although dedicated carers’ clinics were no longer in place due to long-term staff sickness, the service continued to identify and support carers through referral to the social prescribing link worker where appropriate.

The service website was user-friendly and contained a range of information to support patients, including guidance on common health conditions and available support services. Additional health promotion materials were displayed throughout clinical rooms and waiting areas, helping patients to access relevant information and make informed decisions about their health and wellbeing.

In addition, the service worked collaboratively with the local primary care network (PCN) to enhance care provision by offering health and wellbeing programmes and support from social prescribers.

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 National GP Patient Survey showed 83% respondents felt they had enough support from local services or organisations in the last 12 months to help manage their long-term conditions or illnesses, compared to the national average of 70%.

The service’s cervical screening uptake rate as of June 2025 was 84% for women aged 25-49 and 83% for women aged 50-64 thereby exceeding the national target of 80%. They provided evidence of unverified data showing the current cervical screening data was slightly above the figures we had available to us. The service took proactive steps to encourage attendance for cervical screening, including sending regular recall invitations, offering extended access appointments, and undertaking opportunistic screening during patient consultations.

In relation to childhood immunisations, the service told us there was a protocol in place for parents who chose to decline vaccinations for their children. Leaders explained this protocol was reviewed annually to ensure it remained up to date and effective. However, the service met the 95% World Health Organisation (WHO) recommended uptake for 1 out of 5 immunisation indicators; the remaining indicators were above the 90% rate.

The nurse we spoke with was able to clearly describe the systems the service had in place to recall and review patients and demonstrated a good understanding of their role in this process.

The service carried out an audit of children aged 16 years and under who had not attended appointments. The audit identified 41 children were recorded as not attended an appointment during the period of 1 December 2025 to 31 May 2026. As a result, it identified some records had been incorrectly coded as ‘Did Not Attend’ (DNA). Leaders took action to address this and implemented an action plan to ensure staff used the correct coding going forward. The patients who were identified as DNA had received a followed-up action.

The service recognised a need for increased education and support for women experiencing perimenopause and menopause. In response, staff developed a menopause awareness programme aimed at increasing knowledge and understanding of menopause. Leaders told us 30 women attended and feedback showed 100% of participants reported a better understanding of menopause.

In addition, the service data identified 64 patients who frequently attended the surgery. Staff reviewed individual circumstances to better understand the reasons for repeated attendance and ensure appropriate support was in place. This enabled the service to provide more personalised care and helped addressed the underlying issues contributing to frequent use of the service.

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.