Market Square 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.

Clinical staff explained how they supported people to live healthier lives during consultations, opportunistically reviewing diet and alcohol intake to provide support and advice.

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.

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 was below the national targets for the uptake of childhood immunisations. Performance had declined since our previous inspection in 2021, when the practice had met the minimum target of 90%. However, the practice was proactive in their attempts to improve performance. We saw that an immunisation audit was in place, and patients were regularly contacted by phone, text message, and during consultations to encourage them to bring their babies and children for immunisations. Flexible appointments were offered, and clinicians would remind parents and carers about immunisations during consultations, discussing any concerns and offering support and advice.

The practice was performing just below the target for cervical cancer screening. However, performance had not deteriorated since our previous inspection in 2021. Flexible appointment times were available, including Saturday mornings, to ensure that patients could attend at a convenient time. The practice had a policy of not exception reporting patients (removing them from the data) unless there was a valid clinical reason why an eligible patient could not undergo screening. This helped ensure that eligible patients were consistently recalled and encouraged to attend for screening.

The service performed in line with the England average in relation to the number of new cancer cases treated resulting from an urgent suspected cancer referral.

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.