Dr Michael Coggan

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 reviewed 1 quality statement in the Effective key question – Assessing needs. The scores for the other quality statements are based on the previous rating for this key question. People’s immediate and ongoing needs were fully assessed. Where appropriate this included their clinical needs and their mental and physical wellbeing. During the assessment treatment was seen to be effective and the practice responded and acted on the comments made by the GP specialist advisor following the remote clinical searches to improve processes and procedures. Communication needs of patients were considered, and we saw that the practice could support patients with translation requirements, hearing or visual disabilities. The needs for carers of patients were also considered. Staff were able to use care coordinators to support and sign post patients and carers to additional support.

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.

During our onsite visit people, we spoke with told us they were involved in their care and treatments, and that the staff supported them with decision processes. We were told their individual needs were appropriately assessed and fully understood by practice staff. We were told by patients they received appropriate referrals for ongoing care and treatment. Carers told us the practice supporting them and ensured their health needs were assessed and met. People said they were told to seek further help should their condition deteriorate. Results from the national patient survey showed were positive. Patient feedback from the national patient survey showed that 93% of patients said last time they had a general practice appointment; the healthcare professional was good or very good at treating them with care and concern. The national average was 84%. The national patient survey showed that 95% of patients said the healthcare professional was good or very good at listening to them. The national average was 85%. The national patient survey showed that 99% of patients said they had confidence and trust in the healthcare professional they saw or spoke to. The national average was 93%

The systems in place ensured people’s assessments were up-to-date and staff understood their current needs. Patients experienced appropriate referral pathways to make sure their needs were further assessed and addressed. The practice had systems to identify and prioritise care and treatment for its most vulnerable patients. For example, we saw that all patients with a learning disability were offered an annual health check, and reasonable adjustments were considered to support their attendance to these appointments. People were invited for regular health checks, and medicine reviews. The practice held a register identifying people with caring responsibilities. The practice worked closely with their care coordinator to assist people access additional support within the local community. The practice had systems in place to ensure patients were identified and encouraged to take up appropriate vaccines particularly where underlying health conditions had been identified.

Leaders and staff told us codes and alerts were added to patient records to ensure people’s communication, disabilities and any impairment needs were highlighted for staff to tailor patient care. Staff told us they checked patient’s health, care, wellbeing, and communication needs during health reviews.

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.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.