The 157 Medical Practice

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 this assessment, we focused on two quality statements relating to the key question Effective: Supporting people to live healthier lives and Monitoring and improving outcomes.

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 practice supported people to manage their health and wellbeing to maximise their independence, choice and control. The practice supported people to live healthier lives and where possible, reduce their future needs for care and support. For example, they carried out routine NHS health checks on eligible patients, they were proactive in ensuring patients with a learning disability received their annual review. They had taken part in national initiatives to support health, wellbeing including stopping smoking and tackling obesity. There was a blood pressure monitor in the reception area for patients’ use. Staff focused on identifying risks to people’s health, including those in the last 12 months of their lives and those with caring responsibilities.

The practice had identified 135 people with caring responsibilities and provided them with appropriate support. The practice coded carers on the system. They had a named carers’ champion and provided support information for staff to pass on to carers. During our on-site visit, we saw evidence of events arranged by the practice specifically for carers, including influenza vaccination and health checks. The practice gave carers flexible access to appointments and staff made referrals to a social prescriber for additional support. The practice signposted carers to local organisations and services to ensure they received wider community support. The practice provided information for carers on the practice website.

We saw the practice hosted an engagement event with the local council’s housing department to provide support and advice to patients and local residents on welfare, social and housing issues.

The practice 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 practice met 4 out of 5 national targets for the uptake of childhood immunisations. A few families not engaging with the programme impacted the results. The practice was aware of the issue and worked to engage with the families opportunistically and by repeat invites to increase uptake. The practice also arranged appointments with a doctor, which provided an opportunity for parents to discuss concerns and receive reassurance, with the aim of encouraging attendance for their children’s immunisations.

The practice performed below the England average in relation to several cancer screening programmes, including screening for breast, bowel and cervical cancer.

The practice submitted audits it had carried out to improve outcomes for patients. For example, IPC audit, non-medical prescribing audit. The practice shared findings from audits with staff to help staff identify further areas for improving patient outcomes.

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.