Severn Surgery

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

The practice had systems and processes to keep clinicians up to date with current evidence-based practice. We found that patients’ immediate and ongoing needs were fully assessed these included interventions required to ensure effective care was delivered.

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.

Give feedback on care was limited but the information we received was positive regarding patients needs being met.

Staff told us they placed importance in providing individualistic care to patients to ensure they were providing effective care. The leaders were passionate about ensuring patients care was reviewed and updated regularly to provide high level care.

A remote review of the patient record system showed that patients received appropriate long-term condition reviews. Patients with long-term conditions were offered an effective annual review to check their health and medicines needs were being met. For patients with the most complex needs, the GPs worked with other health and care professionals to deliver a coordinated package of care. The practice identified patients with caring responsibilities and had signposting and policies in place to support their needs. This information was available through new patient registration, notice boards and leaflets.

The evidence we reviewed did not show any concerns about people’s experience regarding delivering evidence-based care and treatment at this practice.

Feedback from leaders showed they worked to ensure all clinical correspondence and tasks were up to date. People has access to appropriate health checks and assessments, and they were directed to relevant services when they needed extra support. For example, patients assessed as at risk of developing a long-term condition. People were encouraged to be involved in monitoring and managing their own health and were being referred, if appropriate to the social prescriber who worked with all member practices in the local PCN.

The series of searches we completed on the practice’s clinical records system to review if the practice was delivering care and treatment in line with best practice showed patients prescribed high-risk medicine or medicines that required regular monitoring was in the majority of cases, completed according to best practice guidance. There was a system and named staff who oversaw the different audits to support safe care and treatment. Patients we did identify risk had been newly registered and the practice had already identified and contacted the patient for a review.

Give feedback on care we receive demonstrated positive outcomes when patients were referred and discharged to ensure individual needs were met.

Staff told us how they would safety net for two week wait referrals including contacting patients and the external agency to ensure appointments were obtained, and the processes to ensure information was shared with the patient and other services to allow for continuity of care.

Partners told us about roles and responsibilities to ensure smooth transitions for patients.

When people receive care from a range of different staff, teams or services, it was co-ordinated effectively. All relevant staff, teams and services are involved in assessing, planning and delivering people's care and treatment and staff work collaboratively to understand and meet people's needs. The practice held meetings with external colleagues such as school nurses, health visitors and midwives to discuss vulnerable patients.

The evidence we reviewed did not show any concerns about people’s experience regarding supporting people to live healthier lives at this practice.

Staff and leaders told us they included and encouraged patients to take an active approach in reviewing their own health and wellbeing. They told us they had identified improvements that could be made in various consultations and these patients were signposted to the social prescriber for additional support.

During our clinical searches we found effective medicine reviews and detailed medical records showing us how patients had been supported. The practice staff were knowledgeable within their roles and often referred to specialist or the social prescriber when appropriate.

The evidence we reviewed did not show any concerns about people’s experience regarding monitoring and improving outcomes at this practice.

Staff and leaders demonstrated effective systems and processes to monitor and improve outcomes. Staff told us of incidents and complaints which had led to improvements from shared learning, the documentation we reviewed was informative and all staff had access to meeting minutes.

We found robust processes in place including complaints, incidents reporting, clinical audits and supervision. We found evidence of shared learning throughout these methods which were documented and improved outcomes for patients.

During our clinical searches we found patients treatment and care was monitored to ensure they were receiving effective care. We found evidenced base approach and appropriate documentation recorded when patients were reviewed by the practice.

The evidence we reviewed did not show any concerns about people’s experience regarding consent to care and treatment at this practice.

Staff told us they understood the importance of ensuring people fully understand what they are consenting to and the importance of obtaining consent before they deliver care or treatment. Staff told us they were able to adapt information about care and treatment in a way the patient would understand to support them making informed decisions.

The staff had undertaken online training for consent to care and treatment, they would undertake mental capacity assessments when needed and there were templates on the practices system to prompt them to gain consent where appropriate.