Langport 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 involved

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 75 (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.

Reception staff used digital flags within the care records system 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 service had effective systems to identify people with previously undiagnosed conditions. For example, our clinical searches identified 13 people with a potential missed diagnosis of diabetes. We reviewed 5 of these records and found all 5 had been managed appropriately. The service provided assurance that the other 8 people had been followed up and reviewed appropriately.

Staff could refer people to a health coach to support them in making voluntary lifestyle changes to improve their physical, mental and emotional well-being. For example, the practice had set up a walking group over a 6-week period for people who had little, or no physical exercise, we were told the sessions were always full.

The service had a nominated carers champion who ensured the needs of carers of people using services were also assessed and met. This supported their health and well-being in their carer roles and helped them to provide safe and effective care to the people they support.

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.

In a 12-month period up to May 2025, Langport Surgery came second out of 5 other GP surgeries within the Somerset area for having successfully controlled the number of inhalers that asthma patients use (the higher number of inhalers used can lead to people requiring antibiotics or steroids). The patient proportion was 3.63% compared to the Integrated Care Board (ICB) target of 9.8%.

The service held regular and well attended meetings, these included: multi-disciplinary, clinical, carers and Patient Participation Group (PPG) meetings. There was a set agenda and staff who could not attend knew where to find the minutes

Clinical records we saw demonstrated 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 regularly hosted speakers at lunch and learn events as well as raising awareness of partner services, they also delivered internal sessions to help staff gain a better understanding of the services that were available. Staff told us that these events helped them have more confidence when they were speaking with people who used the service.

The service carried out weekly ward rounds providing care and treatment to service users residing in 4 local care homes. Feedback from the care homes was overwhelmingly positive about the input from Langport Surgery They told us they had a direct dial number to contact the surgery therefore bypassing any queue, receptionists were always friendly and very caring, staff showed compassion and respect to the service users, and they listened to all staff concerns.

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.

Staff focussed on identifying risks to peoples’ health, including those in the last 12 months of their lives, people 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.

We saw there was strengthened oversight of urgent referrals, with effective systems in place to ensure people attended their 2 week wait appointments. Individuals living with long term conditions were regularly monitored and where appropriate referred or signposted to local services offering information, education and tailored support.

The service offered 6-weekly chair yoga sessions, men on mats exercise classes and an active ageing exercise programme. Feedback received from participants included:

• “The instructor was friendly and competent”.
• “It was great to meet other people and be supported”
• “This was a good all-round exercise for muscles”

In the last 12 months the service had arranged a programme of awareness events, open forums and themed educational sessions to raise awareness of health conditions and promote good health in practice patients and the wider communities. For example, in March 2025 there was a GP led discussion on the menopause, perimenopause and general female health. Clinical staff told us that since the event, people who had attended had become more open to discuss the subject and other associated symptoms. The success of the event led to the next event in September 2025 which focused on men’s health and prostate cancer.

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.

Childhood immunisations data from April 2023 to March 2024 showed the service had exceeded the target of 90% for 4 out of 5 of the childhood immunisation indicators.

Cervical screening data from June 2024 showed the service had met the national target of 80% for 1 out of 2 indicators. This indicator enables a service to monitor coverage and thus implement interventions to increase uptake where appropriate

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.

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. We reviewed 4 patient records which showed Do not attempt cardiopulmonary resuscitation (DNACPR) decisions were appropriate and were made in line with relevant legislation.