Park Road Medical Centre

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 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 79 (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 always supported people to manage their health and wellbeing to fully 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.

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.

Systems were in place to support smoking cessation. They carried out a monthly check to identify all patients coded as smoking. These patients were contacted and offered assistance through referral to a local pharmacy led smoking cessation service. Staff told us that response rates were positive and on average 5% of patients contacted used the service. They also completed geomapping to identify trends and those at most risk. All interventions they had implemented had resulted in a reduction of cutting more than 50 patients from the smoking population over the past 24 months.

The practice led on a “Healthy You” weight management community programme aimed at people over 50 with long term conditions. The focus was on frailty and obesity. Patients from all practices in the primary care network were eligible to attend. On average there was 50-60 people in attendance at each meeting. The monthly meetings gave people a space to talk about health, question and answer sessions and exercise. The practice reported that they saw a correlation between weight loss and reduced blood pressure with patients who attended the programme.

The lead GP had developed an “Obesity referral routes cheat sheet”. This tool was designed to outline the available routes for assistance and help clinicians and their patients determine the best way to manage their weight. It included options such as referral to weight or diabetes management programmes or wellbeing coaches. Staff told us they had seen positive results in helping patients in their weight management journeys. The introduction of this tool had seen a 105% increase in identifying and referring patients to services.

The practice was active in identifying and signposting patients to the social prescribing team. Staff told us that this proactive approach had contributed to them having the second highest referral rate in the Primary care networks (PCN which had contributed to patients experiencing positive outcomes in their wellbeing. They had measured the impact and there was a 30% increase in patients reporting increased wellbeing

In response to concerns identified with men’s mental health the practice set up Man Space with other local partners to give men a space to talk with other men about their emotional and mental wellbeing. The group had been running for 16 months and on average 10-15 men attend each week. Patients who attended told us this initiative was “lifesaving” and provided support to them that was vital. Another person said that the group had become an “important part of their life”.

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.

Whilst the service was slightly below national targets for the uptake of childhood immunisations and cervical cancer screening, the practice had measures in place to try and increase uptake. The nurse dedicated one afternoon a week to follow up on patients who did not respond to invitations. The nurse called patients to discuss any concerns around hesitancy or lack of understanding. They found that this approach had led to an increase in uptake of both child immunisations and women booking cervical cancer screening tests.

Staff told us recalls were driven by “staff” and not computer generated reminders. Calls were made by name to ensure continuity. Patients who declined were coded and re-approached routinely. Progress was continually monitored via an in-house tracker.

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.