Scarborough Medical Group

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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.

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 practice supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported their patients to live healthier lives and (where possible) reduce their future needs for care and support.

The practice supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity. We observed weighing scales available for patients to use across both practice sites.

Staff invited patients to a range of health checks. These included ‘Well Woman’ and ‘Well Man’ clinics, checks for patients aged 40 to 75 and for those aged over 75, and annual health checks for patients with a learning disability. These checks helped staff identify patients at risk of developing a long-term health condition.

The practice worked well with other organisations to promote healthy living in the local area. It had recently participated in a joint event inviting people to undertake a health check. The event identified people with high blood pressure who required GP intervention to ensure they were safe.

The practice also organised its own ‘health fair’ where practice staff worked alongside voluntary sector organisations (such as Age UK and Diabetes UK) to raise awareness of key health issues and to encourage people to have more control over their own health and care needs.

The practice routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive, consistent and met the expectations of patients themselves.

The practice completed regular clinical audits to monitor and improve patient outcomes. This included monitoring the use of high-risk medicines.

The practice met most national targets for the uptake of childhood immunisations, except for 1 relating to children aged 5. However, we noted there were local factors which affected their ability to achieve this target. The practice had tried several things to overcome this. Patients were sent multiple invitations to attend. Staff proactively contacted relevant families to discuss any barriers to them accessing either the immunisations or an appointment. The practice held a dedicated clinic on a weekend (with interpreters present) to encourage uptake. They advertised the importance of immunisation via social media and in each branch site. Staff reminded patients of any outstanding immunisations during routine appointments.

We received unverified data from the practice which showed they had improved screening for cervical cancer. This showed the practice had completed 79.7% of adequate screening of women aged 25 to 49 within the last 3.5 years (only slightly below the 80% target). For women aged 50 to 64, the practice completed 82.7% of adequate screening in the last 5.5 years (therefore exceeding the 80% target). They achieved this by actively inviting women for screening consistently every month and offering additional clinics (including on a weekend). Staff talked with patients about any concerns they had about the procedure.

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.