Bethany Medical Centre

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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 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 well being, maximising their independence, choice, and control. They also helped people live healthier lives and, where possible, reduce their future need for care and support. For example, the service undertook a winter planning activity in 2024, this was a proactive approach to try and minimise hospital admissions across the winter period. This was achieved by risk stratifying according to a frailty index score and working alongside the Primary Care Network (PCN) frailty team to ensure all long-term condition reviews were completed and medicines were optimised.

Staff identified risks to people’s health, including those in the last 12 months of their lives and those with caring responsibilities. They supported national priorities and initiatives to improve population health, including smoking cessation and tackling obesity. Members of the clinical team provided patients with information and support to manage their own health, care, and well being, and encouraged them to make healthier choices to maintain their health and prevent deterioration.

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 met national targets for the uptake of childhood immunisations. The service was aware they performed lower than the England average in relation to several cancer screening programmes, including screening bowel. The service achieved 79% for the proportion of eligible patients who received cervical cancer screening within recommended time frames, which was close to the target of 80%. Unverified information was provided at the time of assessment to show the service had improved performance for bowel screening.

Clinical and non-clinical audits were carried out to improve outcomes for patients. For example, clinical staff had undertaken a hypertension audit to identify if patients had been diagnosed correctly and had preliminary screening, in line with the NICE guidelines.Clinical staff worked on a Paediatric Diabetes Project with the local children’s hospital to identify children at high risk of developing Type 2 Diabetes, whether due to family history, ethnicity, or a mother’s history of gestational diabetes. The team aimed to engage the whole family to improve outcomes for everyone and planned to host a local event featuring diabetes services, dietitians, food tasting, and programmes to increase physical activity and support healthier lifestyle choices.

Patients who required monitoring underwent regular checks on their health. Regular searches of patient’s medicines were undertaken by the service to ensure safe prescribing and to ensure appropriate checks had been undertaken for patients. Depending on the results, patients were supported with additional advice and care to manage their long-term conditions.

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.