Catshill Village 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 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.

The practice planned and delivered people’s care and treatment with them, including what was important to them. They did this in line with legislation and current evidence-based good practice and standards. A review of clinical searches identified practice in line with national guidance.

The provider had systems in place to ensure staff kept up to date with evidence-based guidance and legislation. As part of our assessment, we conducted a detailed review of people’s care records. These demonstrated care and treatment were delivered in line with current national guidance and best practice, helping to ensure people received safe and effective care.

Staff worked closely with external professionals to ensure people with complex needs had access to specialist support within the community, helping to prevent hospital admissions. For example, practice nurses delivered a complex diabetes clinic with support from a specialist diabetes nurse. This enabled people to receive expert care locally while also providing practice nurses with opportunities to develop their knowledge and skills through learning from the specialist nurse.

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 practice supported people to manage their health and wellbeing to maximise their independence, choice and control. The practice 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. For example, staff referred people who were prediabetic to the National Diabetes Prevention Programme (a free, evidence-based lifestyle change service designed to help people with prediabetes or a history of gestational diabetes lower their risk of developing type 2 diabetes). The practice had developed several information messages which could be sent to people via text. These included information on local lifestyle and well being services, weight management, smoking cessation and alcohol support.

The practice 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 met national targets for the uptake of childhood immunisations. For example, 96% of children aged 2 received the measles, mumps, and rubella vaccine. This was above the World Health Organisation target of 95%.

The practice performed slightly below the England average for cervical screening in data dated June 2024. However, it had implemented measures to encourage uptake, including direct contact from clinicians and Saturday morning clinics to improve accessibility for women attending screening appointments. The practice also used the Quality and Outcomes Framework (QOF) to monitor performance and drive improvement in this area. The latest data, from October 2026, showed that the practice had achieved the national target of 80% screening uptake.

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.