We carried out an announced review of the “are services effective” key question, at St Bartholomew’s Surgery on 1 July 2021. Overall, the practice is rated as Good.
Set out the ratings for each key question
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led – Good
Following our previous inspection on 24 February 2020, the practice was rated Good overall and for the key questions safe, caring, responsive and well-led. The practice was rated requires improvement for providing effective services and issued a requirement notice for Regulation 17(1) Good governance.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for St Bartholomew’s Surgery on our website at www.cqc.org.uk
Why we carried out this review
This review was a focused review of information without undertaking a site visit to follow up on breaches of Regulation 17 Good governance. At the previous inspection we found:
- Arrangements to ensure clinical effectiveness and consistency needed improving, including elements of health assessments, case finding, oversight or review of care, cancer care, mental health and child immunisations.
How we carried out the review
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.
This review was carried out without visiting the location by requesting documentary evidence from the provider.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as Good overall and for all population groups.
The practice had made the necessary improvements to improve clinical effectiveness and consistency:
- The practice arranged timely and appropriate care for older patients living with moderate or severe frailty.
- The practice had improved its systems to identify patients with long term conditions, and to provide appropriate clinical care and treatment for these patients.
- The practice had improved its clinical performance data for care planning for people living with a severe mental illness; and for uptake rates for childhood immunisations and cancer screening.
The areas where the provider should make improvements are:
- Continue to embed arrangements to improve clinical performance for childhood immunisations, cancer care and screening.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care