Records and Information
Records03 - 1 pointThe practice has a system for transferring and acting on information about patients seen by other doctors out of hours
Records08 - 1 point
There is a designated place for the recording of drug allergies and adverse reactions in the notes and these are clearly recorded
Records09 - 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%
Records11 - 10 points
The blood pressure of patients aged 45 and over is recorded in the preceding 5 years for at least 65% of patients
Records13 - 2 points
There is a system to alert the out-of-hours service or duty doctor to patients dying at home
Records15 - 25 points
The practice has up-to-date clinical summaries in at least 60% of patient records
Records17 - 5 points
The blood pressure of patients aged 45 and over is recorded in the preceding 5 years for at least 80% of patients
Records18 - 8 points
The practice has up-to-date clinical summaries in at least 80% of patient records
Records19 - 7 points
80% of newly registered patients have had their notes summarised within 8 weeks of receipt by the practice
Records20 - 12 points
The practice has up-to-date clinical summaries in at least 70% of patient records
Records23 - 11 points
The percentage of patients aged over 15 years whose notes record smoking status in the preceding 27 months.
Information for Patients
Information05 - 2 pointsThe practice supports smokers in stopping smoking by a strategy which includes providing literature and offering appropriate therapy
Education and Training
Education01 - 4 pointsThere is a record of all practice-employed clinical staff having attended training/updating in basic life support skills in the preceding 18 months
Education05 - 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
Education06 - 3 points
The practice conducts an annual review of patient complaints and suggestions to ascertain general learning points which are shared with the team
Education07 - 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. A significant event occurring when a patient may have
been subjected to harm, had the circumstance/ outcome been different (near
miss)
All practice-employed nurses have personal learning plans which have been reviewed at annual appraisal
Education09 - 3 points
All practice-employed non-clinical team members have an annual appraisal
Education10 - 6 points
The practice has undertaken a minimum of three significant event reviews within the last year
Practice Management
Management01 - 1 point
Individual healthcare professionals have access to information on local procedures
relating to Child Protection
Management02 - 1 point
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
Management03 - 0.5 points
The Hepatitis B status of all doctors and relevant practice-employed staff
is recorded and immunisation recommended if required in accordance with national
guidance
Management05 - 3 points
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
Management07 - 3 points
The practice has systems in place to ensure regular and appropriate inspection,
calibration, maintenance and replacement of equipment including:
- A defined responsible person
- Clear recording
- Systematic pre-planned schedules
- Reporting of faults
The practice has a protocol for the identification of carers and a mechanism for the referral of carers for social services assessment
Management10 - 2 points
There is a written procedures 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.