Statham Grove 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.

Staff supported people to manage their health and wellbeing. They focused on prevention and early intervention to help reduce future care needs. Staff identified health risks such as end-of-life needs, frailty and carer responsibilities, and they supported national health priorities, including stopping smoking and obesity reduction.

The service had conducted a survey across the PCN on end-of-life conversations and Treatment Escalation Planning as part of the Universal Care Plan (UCP) completion. There were 41 responses from clinical staff. As a result of the survey, the practice developed a one-page decision support tool leaflet for clinicians to use to help support conversations with patients and carers about future care and treatment escalation preferences.

The service had a programme of healthier lives promotion which included an active role in the development of health promotion initiatives;

• The Woodberry Wetland PCN Wellbeing Team which created a single point of access to a psychological therapy and support service, a social prescriber, a volunteer care coordinator and a benefits adviser. Registered patients could self-refer to the Wellbeing Team or access the service via a GP referral.
• Together Better activities for people experiencing social isolation and poor mental health. This service promotes local volunteer services to run free activities such as exercise classes, at GP surgeries in City Hackney.
• Health Fairs the practice had run 2 PCN Health Fairs in the last 2 years aimed at improving patient engagement, vaccination uptake and neighbourhood awareness and navigation. The practice also arranged a health fair for Orthodox Jewish patients.

Staff would refer patients to the PCN social prescriber who contacted patients with complex needs or who were vulnerable to ensure their needs were being met. Staff told us patients had access to a community mental health specialist nurse. Data from the 2025 National GP patient survey showed people were informed about their care and treatment and what the next steps would be.

The service routinely monitored people’s care and treatment to continuously improve it. Most people who used the service felt they could make an informed decision about their care and treatment because they had been provided with the information, they needed to support them to do so. The National GP Patient Survey results showed that 91% of respondents felt the healthcare professional they saw had all the information they needed about them during their last GP appointment which was above local (90%) and slightly lower than the national result (92%). There were 96% of people who felt involved as much as they wanted to be in decisions about their care and treatment. This was above the local average (88%) and the national average (91%).

The service had worked pro-actively to enhance self-management confidence for patients with long term conditions through personalised care conversations. Staff had listened to feedback from patients who wanted to see their preferred clinician. The service re-allocated their most vulnerable patients to usual GPs to ensure continuity of care. Where patients could not see their named GP, they were offered an appointment with the trainee supervised by that GP, to ensure continuity within a consistent clinical team with shared knowledge and supervision.

The provider shared evidence of quality improvement activities which they had carried out to improve outcomes for patients. For example, an audit of patients with type 2 diabetes prescribed an SGLT2 inhibitor, was completed in 2024 to assess compliance with NICE guidance on the safe prescribing. The audit demonstrated there was good compliance with monitoring guidelines and identified areas for improvement. As a result, staff made changes which demonstrated improved outcomes for patients. Findings from audits were shared with staff to help identify further areas for improvement.

The practice achievement for Childhood immunisations (1 April 2024 – 31 March 2025) was positive. Uptake ranged from 90.7% to 95%, in line with the national targets across all four areas measured. The service provided evidence of actions taken to improve the uptake of childhood immunisations. This included regularly running searches and implementing a call and recall log which also recorded when a child was not brought to an immunisation appointment.

Data we reviewed showed the service performed lower than the England average in the uptake of cervical screening among younger patients (aged 25 to 49 years) at 71% and in the uptake of cervical screening in the patient cohort (aged 50 to 65 years) at 76%. Staff actively promoted cervical screening through routine recalls and opportunistically during consultations where appropriate. The practice was involved in a cervical screening self-sampling pilot, providing eligible patients with aself-sample kitto complete at home. The Practice Nurse had completed trauma-informed training to provide sensitive, person-centred care and to support patients who may find cervical screening particularly challenging. The service provided unverified data to demonstrate that achievement against the national targets had improved to 80% for the 50 to 65 years cohort (May 2026). The service told us the PCN provided cervical screening clinics at the local extended access hub. The service had a recall system and sent texts to patients with information about cervical screening and a self-booking link.The service performed better than the England average in relation to the national bowel cancer screening programme.

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.