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Waldron Health Centre (Suite 2) , Amersham Vale , New Cross , London , SE14 6LD
Telephone: 020 3049 3080
Fax: 020 3049 3081

 

 


To download the full report, please click here.



Below is a summary of what we are doing well within our six population groups.

 

Older people

The provider was rated as requires improvement for safe and well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice.

  • The practice offered proactive, personalised care to meet the needs of the older people in its population. Vulnerable older people had access to a priority telephone line.
  • The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
  • Same-day delivery of medicines was arranged (with a local pharmacy) for housebound patients.
  • The practice provided an in-house joint injection clinic to reduce the waiting time for patients to access treatment for common musculoskeletal ailments.
  • The practice had signed up for an enhanced service (in addition to the standard GP contract) to increase the rates of influenza and pneumococcal immunisations in vulnerable groups. 79% of patients aged over-65 were vaccinated, which was one of the best rates in the Clinical Commissioning Group.

People with long term conditions

The provider was rated as requires improvement for safe and well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice.

  • Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
  • Performance for diabetes related indicators was generally similar to the national average.
  • Longer appointments and home visits were available when needed.
  • All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Families, children and young people

The provider was rated as requires improvement for safe and well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice.

  • There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively low for standard childhood immunisations in 2014/15, but we saw evidence that the practice had improved these considerably.
  • Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.
  • The practice’s uptake for the cervical screening programme was 77%, which was comparable to the national average of 82%.
  • Appointments were available outside of school hours and the premises were suitable for children and babies.
  • We saw positive examples of joint working with midwives, health visitors and school nurses.

Working age people (including those recently retired and students)

The provider was rated as requires improvement for safe and well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice.

  • The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.
  • The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

People whose circumstances may make them vulnerable

The provider was rated as requires improvement for safe and well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice.

  • The practice held a register of patients living in vulnerable circumstances including homeless people, and those with a learning disability.
  • The practice offered longer appointments for patients with a learning disability.
  • The practice regularly worked with other health care professionals in the case management of vulnerable patients. We heard and saw evidence of several instances where the practice had acted proactively to involve the a much wider multi-disciplinary team for patients in vulnerable circumstances or experiencing poor mental health about whom they had concerns, managing disagreements within the team to ensure patients remained safe and received appropriate treatment.
  • The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
  • Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.

People experiencing poor mental health (including people with dementia)

The practice is rated as requires improvement for safe and well-led. The issues identified as requiring improvement overall affected all patients including this population group. There were, however, examples of good practice.

  • 76% of patients diagnosed with dementia had a face-to-face review of their care. This was below the national average of 84%. The practice rate of exception reporting was lower than average for most of the QOF indicators, including dementia. Exception reporting is the removal of patients from QOF calculations where, for example, the patients are unable to attend a review meeting or certain medicines cannot be prescribed because of side effects). Performance for most mental health related indicators was in line with the national average.
  • The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia. We heard and saw evidence of several instances where the practice had acted proactively to involve the a much wider multi-disciplinary team for patients in vulnerable circumstances or experiencing poor mental health about whom they had concerns, to ensure patients remained safe and received appropriate treatment.
  • The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

 

 
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