Ampleforth Surgery Also known as Ampleforth & Hovingham Surgeries

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 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.

The service was in breach of legal regulation in relation to Good governance.

This service scored 79 (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 exceptionally positive. People felt involved in any assessment of their needs and felt confident that staff understood their individual and cultural needs.

The National GP Patient Survey results showed that 99% of patients felt that the healthcare professional they saw had all the information they needed about them during their last GP appointment. This was above the local and national averages of 92%.

Feedback from people using the service was exceptionally positive. People felt involved in any assessment of their needs and felt confident that staff understood their individual and cultural needs.

Reception staff were aware of the needs of the local community. Digital flags within the care records system were used to highlight any specific individual needs, such as the requirement for longer appointments or for a translator to be present.

Staff checked people’s health, care, and wellbeing needs during health reviews. Clinical staff used templates when conducting care reviews to support the review of people’s wider health and wellbeing.

The provider had systems to identify people with previously undiagnosed conditions. Staff could refer people with social needs, such as those experiencing social isolation or housing difficulties, to a social prescriber.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them.

Individually clinicians kept up to date with legislation and current evidence-based good practice and standards such a NICE alert updates. However, leadership and governance oversight arrangements to ensure this happened were not in place.

We carried out a series of clinical searches to assess monitoring and care quality for certain long-term conditions. Overall, the management of long-term conditions was effective, with evidence of appropriate monitoring and follow-up across hypothyroidism, diabetes, and chronic kidney disease, and suitable care for asthma patients following exacerbations; however, improvements were needed to ensure adherence to preventer treatment and consideration of updated regimens during reviews.

We also carried out a search on patients having a potential missed diagnosis of diabetes. The systems to identify these patients and make sure they were offered the appropriate investigation, treatment and monitoring were mostly effective.

During the assessment, feedback was given to the provider regarding issues identified from the clinical searches so that the clinical records relating to specific patients could be reviewed and actioned appropriately.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support. The practice worked with other services to ensure continuity of care, including where clinical tasks were delegated to other services.

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. For example, a cohort of patients who had previously declined taking a statin were invited to take part in a pilot group discussion with patients in a similar position. 49% of those who had previously declined statins chose to commence statins after the session. Individual patient sessions were also offered as part of the pilot. The provider planned to roll this out further in the future as they had identified an appetite for this form of healthcare delivery in the community.

As well as supporting national priorities and initiatives to improve population health, the provider worked with a range of other local organisations such as Carers Plus Yorkshire. Collaborative working with others, such as the Primary Care Network and the PPG also resulted in services being made available to help support people live healthier lives. For example, the chair of the PPG had organised and facilitated health awareness sessions in Ampleforth and Hovingham sites relating to First Aid, Dementia and Cancer Awareness, which have been well attended in 2024 and 2025. The practice encouraged their staff and patients to attend. A member of the practice had also set up a weekly easy walking group for short local walks.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Clinical and non-clinical audits were carried out.

The World Health Organisation (WHO) recommends a rate of 95% for all routine childhood vaccinations. The practice met World Health Organisation national targets for 4 out of 5 childhood immunisations. One of the targets was below minimum target.

Based on published data from 30/6/2024 the percentage of persons eligible for cervical cancer screening who were screened adequately within 3.5 years for persons aged 25 to 49, and within 5.5 years for persons aged 50 to 64 was above the 80% target. The provider shared unverified data at the time of the assessment which showed they were on target to achieve national set targets. We were told of recent activity to try and improve on screening uptake.

Systems were in place to ensure all patients with a learning disability were offered an annual health check. Local monitoring arrangements of uptake of this check were in place.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood and applied legislation relating to consent. Capacity and consent were clearly recorded. Do not attempt cardiopulmonary resuscitation (DNACPR) decisions were appropriate and were made in line with relevant legislation.