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But is Addison House the reason why A and E is full?

Politics / Sat 22nd Nov 2014 at 11:23am

Addison HouseTHERE has been a great deal of controversy since CQC published its “Intelligent monitoring” report in GP surgeries on Monday.

Some headlines, both national and local have gone with the “Here is a list of the worst surgeries in…”

CQC and a number of other bodies have gone to great pains to stress what the reports say and indeed, what they do not say.

Over on our sister paper’s patch in Thurrock (pop 160,000), there are close to ten surgeries that are in Band 1 and so liable to an inspection.

In Harlow, there are just two. But for many, that is just two, too many.

Church Langley is one. We left a message with the Practice manager on Monday but we have not heard back.

The report on Addison House is, on the face of it, of deeper concern. If you look at the list of risks and elevated risks, and you consider the surgeries, physical proximity to Princess Alexandra Hospital, then you may wonder if a lot of patients, simply go to A and E because they have exhausted the other options.

The list of elevated risks and risks are:

Elevated risks:

The percentage of patients who are current smokers with physical and/or mental health conditions whose notes contain an offer of smoking cessation support and treatment within the preceding 12 months (01/04/2013 to

The percentage of patients with diabetes, on the register, who have a record of an albumin:creatinine ratio test in the preceding 12 months (01/04/2013 to 31/03/2014)

The proportion of respondents to the GP patient survey who stated that the last time they saw or spoke to a GP, the GP was good or very good at involving them in decisions about their care (01/07/2013 to 31/03/2014)

The proportion of respondents to the GP patient survey who stated that the last time they saw or spoke to a GP, the GP was good or very good at treating them with care and concern. (01/07/2013 to 31/03/2014)

The proportion of respondents to the GP patient survey who stated that the last time they saw or spoke to a nurse, the nurse good or very good at involving them in decisions about their care (01/07/2013 to 31/03/2014)

The proportion of respondents to the GP patient survey who stated that the last time they saw or spoke to a nurse, the nurse was good or very good at treating them with care and concern.. (01/07/2013 to 31/03/2014)

The proportion of respondents to the GP patient survey who described the overall experience of their GP surgery as fairly good or very good. (01/07/2013 to 31/03/2014)

Risk

The percentage of patients with diabetes, on the register, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/80 mmHg or less (01/04/2013 to 31/03/2014)

The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of alcohol consumption in the preceding 12 months (01/04/2013 to 31/03/2014)

The percentage of patients with atrial fibrillation, measured within the last 12 months, who are currently treated with anti-coagulation drug therapy or an anti-platelet therapy (01/04/2013 to 31/03/2014)

The percentage of patients aged 75 or over with a fragility fracture on or after 1 April 2012, who are currently treated with an appropriate bone-sparing agent (01/04/2013 to 31/03/2014)

The percentage of patients who gave a positive answer to ‘Generally, how easy is it to get through to someone at your GP surgery on the phone?’. (01/07/2013 to 31/03/2014)

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