St Peter's 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

Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes. Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity.

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. Their social prescriber supported local community groups, such as the fibromyalgia group based at the Heath Community Centre, which helped to embed the clinical team within established and trusted community networks.

The practice was an active member of the South 2 Primary Care Network (PCN) Integrated Neighbourhood Team. We reviewed meeting minutes, data and action logs, which demonstrated the team met monthly and worked collaboratively with a range of health, social care and voluntary sector partners to coordinate patient care.

The practice also provided evidence of multidisciplinary team (MDT) meetings for patients with complex needs, demonstrating joint working across multiple agencies.

The practice completed an audit of cardiovascular disease (CVD) diagnosis and management. The audit showed that the practice had a clear process for reviewing patient care, recording findings and monitoring outcomes. The results were used to review the care provided and identify any actions needed to improve patient management to support people to live healthier lives.

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.

However, data from the UK Health Security Agency, from the period ending March 2025, showed the 90% target for childhood immunisations was below in 4 out of the 5 areas measured. Practice leaders told us they had recently met with the Integrated Care Board (ICB) immunisation coordinator to discuss barriers to uptake and identify groups of patients who may benefit from further review.

The practice shared data during the assessment which demonstrated that the practice operated a structured call and recall process. Where children did not attend (DNA) appointments or appointments were cancelled, further appointments were offered and rebooked where appropriate. The report showed evidence of repeated invitations and follow-up appointments for children who had not completed their immunisation schedule, with a number of future appointments already booked.

The service also performed lower than the England average in relation to several cancer screening programmes, including screening for breast, bowel and cervical cancer. For example, for cervical screening the practice scored 65.8% and 75.0% in both age groups measured, against a target of 80%. Breast screening coverage was 55% compared to the England average of 70.4% and bowel screening coverage was 53.6% compared to the England average of 72%.

The practice completed regular audits to ensure care was provided for patients who required regular monitoring or were prescribed high risk medicines. The outcomes of the audits were discussed at clinical meetings and learning was shared.

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.