Stanmore Medical Group

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

People’s immediate and ongoing needs were fully assessed. Where appropriate this included their clinical needs and their mental and physical wellbeing. People were advised what to do if their condition got worse and where to seek further help and support. People were involved in the assessment of their needs, and support was provided where needed to maximise their involvement. The needs of carers of people using services were assessed and met. Patients with long term conditions were reviewed and monitored regularly and medication reviews were overall exceptionally managed by clinicians with the use of a structured medicine template.

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 reviewed patient experience data within the 2024 National GP Patient survey. We saw 90% satisfaction scoring from patients for feeling listened to by the practice. Trust in the healthcare professional who saw or spoke to patients was 97.6% positive and had increased by 6% when compared to the previous years results. 92% of patients said they felt included in their care and treatment decisions.

Emergency care practitioners and GP's told us there were clear processes for assessing patient needs and these would be followed up with clear safety netting instructions. Patients and parents of children would receive written advice following a consultation and directions of what to do next if symptoms worsened. Leaders told us patients using the service were valued and should be part of decision making as they used the services.

Patient surveys were completed regularly throughout the year to obtain patient views and their feedback would be used to improve services offered. The provider told us they were introducing with their patient participation group for feedback when changes to the practice were considered in order to encapsulate the patients feedback and improve even further.

As part of our assessment, a GP specialist advisor completed remote clinical searches of medicines. Overall there were no concerns with medicines monitoring. We saw an exceptional medicine review process in place and the provider used a designated template for all patient medicine reviews. Long term conditions were monitored well. We saw 5527 patients were diagnosed with asthma and of these, 224 patients had been prescribed 2 or more courses of steroids and were followed up by the provider. We sampled 5 patient records and found 2 patients had been reviewed over the telephone rather than face to face. The provider told us they would ensure that all patients requiring a follow up appointment were seen face to face. We saw 4 out of 113 patients with chronic kidney disease stages 3 to 5 had not had blood monitoring in the past 9 months. The provider contacted these patients immediately for review. We saw 31 out of 1526 patients diagnosed with Thyroidism had not received blood monitoring in the past 18 months. These patients were contacted immediately by the provider for review. Staff would use the most current national and local guidance in order to deliver the best practices. Staff would have regular developmental training sessions and given protected time to be able to Keep up to date with clinical practices. Practitioners with a prescribing qualification also were audited externally by the local integrated care board to ensure safe prescribing.

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.

Staff would use every possible opportunity to promote health and wellbeing. Leaders told us they were in progress of implementing a menopause service and initial feedback had been positive. Vaccination clinics were popular and staff told us ways in week they held themed clinics to attract patient uptake for health screening or immunisations. Staff told us patients with cultural barriers or from a Traveller population would be encouraged to have vaccinations and would offer group sessions for family members.

The provider would review mental capacity decisions annually unless the patient needs changed and then this would be completed sooner. All applicable patients had a RESPECT form and this was reviewed with each consultation to ensure patients views were documented. Care plans and advanced directives were reviewed thoroughly within the patient consultation and all changes would be documented. Care homes were liaised with weekly and the practice would hold meetings to discuss care changes when required and annually. Medicines were reviewed as part of care planning and where a patient was deteriorating in health, just in case medicines were prescribed should this be required. Immunisations were in line with expected national averages. Cervical screening was mostly aligned with national averages. The implementation of the cervical screening walk-in clinics was improving uptake following analysis of patient feedback. There had been 34 learning disability checks completed during 2024 and previous years data showed 74% completion. The provider had reviewed patient feedback and had begun to offer home visits for learning disability checks and implemented quiet clinics to improve uptake. There were 1813 patients eligible for an NHS health check. During 2023-2024, there had been 516 checks completed. since April 2024, there had been 34 health checks completed. The practice had a carers register of 1092 adults and 69 child carers. There was a practice Carers Champion, annual health checks, care coordinator oversight and input from a social prescriber

The provider also monitored patient outcomes and had sent out a patient survey for promoting cervical screening. Based upon this feedback, the practice had commenced walk in clinics, including weekend clinics and had noticed there was increase in uptake. The provider also had a Quality Improvement Committee of multidisciplinary professionals to enhance the quality of care and services provided by the practice. The committee aimed to identify areas for improvement, implement quality initiatives, and monitor outcomes to ensure continuous enhancement of patient care and satisfaction.

A complete comprehensive and holistic review of six of the highest risk patient population groups had been completed and audited by the practice. The aim of this was to highlight potential clinical and social risk of these patients and provide early intervention to improve 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.