Dr A Riaz and Mrs Shabana Riaz

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.

This service scored 71 (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 positive. People felt involved in any assessment of their needs and felt confident that staff understood their individual and cultural needs. The reception staff were aware of the needs of the local community. Reception staff used digital flags within the care records system to highlight any specific individual needs, such as the requirement for longer appointments.
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, provided through their Primary Care Network.
The National GP Survey 2026 results found 93% of people who responded to the survey were involved as much as they wanted to be in decisions about their care and treatment during their last general practice appointment, compared to the local average of 91% and the national average of 92%.
 

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.
Systems were in place to ensure staff were up to date with evidence-based guidance and legislation. There were opportunities to discuss best practice guidance through regular clinical and supervision meetings held. Clinical records we saw demonstrated the majority of care was provided in line with current guidance.
 

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. The practice referred people to a local wellbeing service for weight-loss and smoking cessation, where required. New patient checks were available in addition to Carer and NHS Health Checks for eligible people.
A pictorial notice board display had been developed in the waiting area to alert people to services offered by Pharmacy First. Staff told us they signposted people to these services where appropriate.
Staff focussed on identifying risks to people’s health, including those in the last 12 months of their lives, patients at risk of developing a long-term condition and those with caring responsibilities. Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity.
The service utilised the social prescriber through their Primary Care Network (PCN). They attended the practice each Tuesday and helped to support people with managing their health and wellbeing and signposted them to a range of support services and activities. Health awareness events were also held at the adjacent community centre. A PCN Live Healthy – Live Happy event had recently been held at Codsall Community Hub and included a range of interactive sessions. This included nutrition, yoga, sleep, how to look after your back and planning ahead. A health and wellbeing coach also offered a pain management service to support people improve their lifestyle.
The service was an NHS accredited Veteran Friendly practice. Staff were specially trained to understand military medical histories, providing targeted care, priority treatment, and referrals for ex-forces personnel and their families.
 

Despite the service actively promoting uptake of child immunisations and cancer screening, the service did not always meet national targets. The practice had met or exceeded the World Health Organisation (WHO) minimum target in 2 of the 5 child immunisations and were below the minimum target in 3 indicators. The service had met the 80% target for cervical screening for eligible patients in the younger age group but were slightly below the target in the older age group. Breast screening uptake was 78.5% compared with the England average of 70%, and bowel cancer screening uptake was the same as the England average of 71%. During our site visit we saw screening promotion material displayed in the waiting areas, which included ovarian cancer and cervical cancer. Leaders told us that the local Primary Care Network were going to run a campaign across their practices to promote the uptake of cervical screening.
From the clinical notes we reviewed, we found that people who used the service experienced positive outcomes as set out in legislation, standards, and evidence-based clinical guidance.
People with long term conditions were identified and registers maintained to ensure appropriate monitoring of their health. Registers were also held for people with a learning disability and people with dementia and a designated champion was in place to support them.
 

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.
The practice had 17 patients coded as having a Recommended Summary Plan for Emergency Care and Treatment (ReSPECT). These plans documented people’s wishes in the event of emergency care and supports personalised care planning, particularly for people nearing end of life or at risk of deterioration. We sampled 5 records and found all were coded and forms were scanned onto the records and had been completed appropriately and in discussion with the person and family members. ReSPECT plans were discussed as part of monthly palliative care meetings held with multi-disciplinary colleagues.
The practice currently did not have any people registered who lived in care homes.