Brooke Road 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 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 71 (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.

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 met national targets for the uptake of childhood immunisations. The service performed above the England average in relation to several cancer screening programmes, including screening for breast, bowel and cervical cancer.

Brooke Road Surgery was situated in an area where vaccine hesitancy was notably high among some minority ethnic communities. Between 1 April 2024 and 31 March 2025, the service did not achieve four of the five WHO national target of 95% for five key childhood immunisation indicators. Uptake ranged from a high of 95% to a low of 72%.

Similarly, the national cervical screening uptake target of 80% was not met for either age group (NHS Digital data, 30 June 2024), with uptake at 68% for patients aged 25-49 and 71% for those aged 50-64.

In response, leadership acknowledged these shortfalls and implemented targeted actions. These included a system of staff recalls, which involved sending text messages containing information and a self-booking link to encourage participation.

The service reviewed three indicators focusing on specific populations: housebound patients for diabetic annual reviews (16 patients), and Black patients for both blood pressure control (101 patients) and CVD risk management (2 patients). Baseline performance across all indicators was already at 100%, and therefore the improvement aim was to maintain this level. This was achieved, with year-end performance remaining at 100% for all indicators. Actions to support this included proactive home visiting and multidisciplinary input (including district nurses and paramedics) to complete reviews for housebound patients, as well as face-to-face GP or pharmacist appointments to optimise hypertension management and address medication concerns, particularly within the Black population. Although there were very few patients in the CVD risk cohort, the approach included patient education on QRISK (a clinical algorithm used primarily by GPs in the UK to estimate an individual's 10-year risk of developing cardiovascular disease (CVD), such as a heart attack or stroke) and the benefits of statins. Overall, the service demonstrated a consistent approach centred on maintaining high performance through personalised, face-to-face care, proactive outreach, and utilisation of support services such as dieticians and exercise programmes.

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.