Both employees and self-employed workers will pay less in National Insurance from next year, Chancellor Jeremy Hunt has announced in today's Autumn Statement. The practice is open from Monday to Friday 8am to 6.30pm and between 8.30am and midday on Saturday. Out-of-hours care is provided by Care UK via NHS 111. Ensure that doctors involved in emergency home visits have a process in place to ascertain that the appropriate emergency medicines and diagnostic equipment is carried. During our inspection we looked at the system in place to review and learn from clinical incidents and near misses. We found there was evidence that learning from incidents, investigations took place and appropriate changes were implemented. In line with NICE (National Institute for Health and Care Excellence) guidance undertake regular audits for minor surgery.

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

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of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which was in line with the CCG average of 79% and national average of 78%. 2016/17 unverified data provided by the practice showed that performance had improved to 79%. Embed the newly established process to ensure that all National Institute for Health and Care Excellence (NICE) audits are repeated as appropriate. of patients experiencing poor mental health had a comprehensive care plan, which was below the CCG average of 74% and the national average of 78%. 2016/17 unverified data provided by the practice showed that performance had improved to 95%.

Improvements had been made in relation to infection control, including the identification and training of lead nurses, updated policies and audits with evidence of improvement. Infection control training had been scheduled for all staff although this had not yet been completed. Autumn Statement: State pension confirmed to rise by 8.5% from April 2024 – while some benefits will go up by 6.7% According to Public Health England, the patient population has a lower number of patients aged below 45 and a higher number of patients aged 60 and over in comparison to the practice average across England. It has a considerably higher proportion of patients aged 65 to 69 and females aged over 85 compared to the practice average across England. Income deprivation affecting children and older people is lower than the practice average across England and slightly lower compared with the local area. The practice’s clinical monitoring systems and processes, including medicine review dates for patients, did not always provide GPs with good prescribing oversight. The practice used the information collected for the Quality and Outcomes Framework (QOF) to monitor outcomes for patients (QOF is a system intended to improve the quality of general practice and reward good practice). Data from 2015/2016 showed that performance for diabetes related indicators was 95%, which was comparable to the CCG average of 96% and above the England average of 90%. Exception reporting for diabetes related indicators was 13% which was the same as the CCG average and the England average of 12% (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). 2016/2017 unverified data from the practice showed that performance for diabetes indicators was 98%.The practice had 67 patients on the learning disability register. 38 of these patients had received a health review in the last 12 months. 29 patients had refused a review. The practice had links with a learning disability nurse and was planning to jointly review those patients who had refused.

There was an effective and embedded process for reviewing, sharing and acting upon all National Institute for Health and Care Excellence (NICE) evidence based guidance within the practice. Lead clinicians were responsible for discussing evidence based guidance at educational meetings and we saw evidence to demonstrate this. The practice regularly audited that NICE evidence based guidance was being implemented. The practice held a register of patients living in vulnerable circumstances including housebound patients and those with a learning disability. A mental health link worker held a weekly clinic at the practice and attended the daily coffee meetings on these days.Providers of protection and break down plans for domestic appliances, boilers and electronic products Staff assessed patients’ needs and delivered care in line with current evidence based guidance. There was scope to embed the newly established process to ensure that all National Institute for Health and Care Excellence (NICE) audits were repeated as appropriate. The Chancellor Jeremy Hunt has today (Wednesday 22 November) announced a range of tax, benefits and savings measures. We round up the key announcements and what they mean for you.

Online service, provided by Adaptive Affinity, that gives you access to your credit report and credit score HALF DAY CLOSURE– From 12:30 to 18:30 on Tuesday 18th July 2023, this practice will be closed for important clinical education and training purposes: Appointments were available outside of school hours. Books and toys were available for children and breast feeding facilities were available for nursing mothers. Ensure clinical audits are undertaken and recorded appropriately, clearly defining outcomes, responsibilities and learning points. The practice has seven GP partners working 5.5 whole time equivalent (two male and five female) and three salaried GPs (one male, two female). There are five practice nurses and two health care assistant. The practice also employs a practice manager, a deputy practice manager, an accounts clerk, a cleaner, a dispensary manager and a team of reception, administration and dispensary staff, as well as three secretarial staff.

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Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge, and experience to deliver effective care and treatment.