St Mary's 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.

Risks to people’s health were an important part of what staff focussed on. This included people who were in the last 12 months of their lives and those with caring responsibilities. We saw displays were available to provide people with information to live healthier. Some of what was displayed met national priorities and initiatives to improve population health, including stopping smoking and tackling obesity.

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 service met a number of national targets for the uptake of childhood immunisations, bowel cancer screening, and breast screening. Where the service was not performing as well as they expected, we saw that they had measures in place to improve uptake. For example, the percentage of children aged 2 who have received immunisation for measles, mumps and rubella between April 2024 and March 2025, the national target was 95% and the provider was at 89% which was below the minimum level of 90%. The service performed better than the National average in relation to bowel cancer screening in 2024/25 the National average was 72% and the provider was 74%.

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.