|
|
2006 |
2004-5 |
|
Records and information |
87 |
85 |
|
Information for patients |
5.5 |
8 |
|
Education and training |
31 |
29 |
|
Clinical and practice management |
17.5 |
20 |
|
Medicines management |
40 |
|
Records and information
about patients: 87 points
The following items have been deleted:
|
Records 1 |
Each patient contact with a
clinician is recorded in the patient’s record, including consultations,
visits and telephone advice |
|
Records 2 |
Entries in the records are legible |
|
Records 4 |
There is a reliable system to
ensure that messages and requests for visits are recorded and that the
appropriate doctor or team member receives and acts upon them |
|
Records 5 |
The practice has a system for
dealing with any hospital report or investigation results which identifies a responsible
health professional and ensures that any necessary action is taken |
|
Records 6 |
There is a system for ensuring
that the relevant team members are informed about patients who have died |
|
Records 7 |
The medicines that a patient is
receiving are clearly listed in their record |
|
Records 10 |
The smoking status of patients age
15 – 75 is recorded for at least 55 per cent of patients (replaced by
records 22) |
|
Records 12 |
When a member of the team prescribes
a medicine other than a non-medicated dressing, topical treatment or OTC
medicine there is a mechanism for that prescription to be entered into the
patient’s general practice record |
|
Records 14 |
The records, hospital letters and
investigation reports are filed in date order or available electronically in
date order |
|
Records 16 |
The smoking status of patients age
15 – 75 is recorded for at least 75 per cent of patients (replaced by
Records 22) |
Records 3 - 1 point
The practice has a system for transferring and acting on information about
patients seen by other doctors out of hours
Records 8 - 1 point
There is a designated place for the recording of drug allergies and adverse
reactions in the notes and these are clearly recorded
Records 9 - 4 points
For repeat medicines, an indication for the drug can be identified in the
records (for drugs added to the repeat prescription with effect from 1 April
2004). Minimum Standard 80%
Records 11 - 10 points
The blood pressure of patients aged 45 and over is
recorded in the preceding 5 years for at least 65% (previously 55%) of patients
Records 13 - 2 points
There is a system to alert the out-of-hours service or duty doctor to patients
dying at home
Records 15 - 25 points
The practice has
up-to-date clinical summaries in at least 60% of patient records
Records 20 - 12 points
The practice has up-to-date clinical summaries in at
least 70% of patient records
Records 18 - 8 points
The practice has up-to-date clinical summaries in at
least 80% of patient records
Records 19 - 7 points
80% of newly registered patients have had their notes summarised within 8 weeks
of receipt by the practice
Records 17 - 5 points
The blood pressure of patients aged 45 and over is recorded in the preceding 5
years for at least 80% (previously 75%) of
patients
Records 21 - 1 point
Ethnic origin is recorded for 100% of new registrations
Records 22 - 11 points
The percentage of patients aged over 15 years whose notes record smoking status
in the past 27 months, except those who have never smoked where smoking
status need be recorded only once (payment stages 40 – 90%)
Patient communication 5.5 points
|
The following 4 items are withdrawn |
|
|
Information 1 |
The practice has a system to allow
patients to contact the out-of-hours service by making no more than two
telephone calls |
|
Information 2 |
If an answering system is used out
of hours, the message is clear and the contact number is given at least twice |
|
Information 6 |
Information is available to
patients on the roles of the GP, community midwife, health visitor and
hospital clinics in the provision of ante-natal and post-natal care |
|
Information 8 |
The practice has a system to allow
patients to contact the out-of-hours service by making no more than one
telephone call |
|
Information 3 |
The practice has arrangements for patients to speak to GPs and nurses on the telephone during the working day |
|
Information 4 |
If a patient is removed from a practice’s list, the practice provides an explanation of the reasons in writing to the patient and information on how to find a new practice, unless it is perceived such an action would result in a violent response by the patient |
|
Information 5 |
The practice supports smokers in stopping by a strategy, which includes providing literature and offering appropriate therapy |
|
Information 7 |
Patients are able to access a receptionist via telephone and face to face in the practice, for at least 45 hours over 5 days, Monday to Friday except where agreed with the PCO |
Education and Training: 31
points
Education 3 withdrawn (2 points):
’All practice-employed nurses have an annual appraisal’
Education 1 - 4 points
There is a record of all practice-employed clinical staff having attended training/updating
in basic life support skills in the preceding 18 months
Education 4 - 3 points
All new staff receive induction training
Education 5 - 3 points
There is a record of all practice-employed staff having attended training/updating
in basic life support skills in the preceding 36 months
Education 6 - 3 points
The practice conducts an annual review of patient complaints and suggestions to
ascertain general learning points which are shared with the team
Education 7 - 4 points
The practice has undertaken a minimum of twelve
significant event reviews in the past 3 years which could include:
• Any death occurring in the practice premises
• New cancer diagnoses
• Deaths where terminal care has taken place at home
• Any suicides
• Admissions under the Mental Health Act
• Child protection cases
• Medication errors
Education 8 - 5 points
All practice-employed nurses have personal learning plans which have been reviewed at annual appraisal
Education 9 - 3 points
All practice-employed non-clinical team members have an annual appraisal
Education 10 - 6 points
The practice has undertaken a minimum of three significant event reviews within the last year (previously Education 2, six in the last three years)
Practice Management
|
Management 1 |
Individual healthcare professionals have access to
information on local procedures relating to child protection |
|
Management 2 |
There are clearly defined arrangements for backing up computer data, back-up verification, safe storage of back-up tapes and authorisation for loading programmes where a computer is used |
|
Management 3 |
The Hepatitis B status of all doctors and relevant practice employed staff is recorded and immunisation recommended if required in accordance with national guidance |
|
Management 4 |
The arrangements for instrument sterilisation comply with
national guidelines as applicable to primary care |
|
Management 5 |
The practice offers a range of appointment times to patients which as a minimum should include morning and afternoon appointments five mornings and four afternoons per week except where agreed with the PCO |
|
Management 6 |
Person specifications and job descriptions are produced for all advertised vacancies |
|
Management 7 |
The practice has systems in place to ensure regular and
appropriate inspection, calibration, maintenance and replacement of equipment
including: |
|
Management 8 |
The practice has a policy to ensure the prevention of
fraud and has defined levels of financial responsibility and accountability
for staff undertaking financial transactions (accounts, payroll, drawings,
payment of invoices, signing cheques, petty cash, pensions, superannuation
etc) |
|
Management 9 |
The practice has a protocol for the identification of
carers and a mechanism for the referral of carers for social services
assessment |
|
Management 10 |
There is a written procedure manual that includes staff employment policies including equal opportunities, bullying and harassment and sickness absence (including illegal drugs, alcohol and stress) to which staff have access |
Medicines Management , 40 points
Medicines 1, withdrawn: Details of
prescribed medicines are available to the prescriber
at each surgery consultation. 2 points
Medicines 2 - 2 points
The practice possesses the equipment and in-date emergency
drugs to treat anaphylaxis
Medicines 3 - 2 points
There is a system for checking the expiry dates of emergency
drugs on at least an annual basis
Medicines 4 - 3 points
The number of hours from requesting a prescription to
availability for collection by the patient is 72 hours or less (excluding
weekends and bank/local holidays)
Medicines 6 - 4 points
The practice meets the PCO prescribing adviser at least
annually and agrees up to three actions related to prescribing
Medicines 7 - 4 points
Where the practice has responsibility for administering
regular injectable neuroleptic
medication, there is a system to identify and follow up patients who do not
attend
Medicines 8 - 6 points
The number of hours from requesting a prescription to
availability for collection by the patient is 48 hours or less (excluding
weekends and bank/local holidays)
Medicines 10 - 4 points
The practice meets the PCO prescribing adviser at least
annually, has agreed up to three actions related to prescribing and
subsequently provided evidence of change
Medicines 11 - 7 points
A medication review is recorded in the notes in the preceding
15 months for all patients being prescribed four or more repeat medicines (previously excluded OTC and topical medicines). Standard
80%
Medicines 12- 8 points
A medication review is recorded in the notes in the preceding 15 months for all patients being prescribed repeat medicines. (previously excluded OTC and topical medicines). Standard 80%