Primary Care Quality Report

July 2017

Author: Sarah Osborn, Head of Planning & Performance

1

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Contents

Page Number

Introduction 3

Bromley GP Practices 4

Friends & Family Test (FFT) 5

GP Patient Survey – Making appointments 7

CQC Ratings 13

Quality Outcomes Framework (QOF) 15

Appendix 1 – FFT Data Table 18

3

Introduction

This purpose of this report is to give the Primary Care Commissioning Committee a brief overview of the quality of Primary Care services in Bromley. A plethora of performance information relating to Primary Care is available and the frequency of publication varies depending on the data source and collection regimes. Therefore, the content of the report will be predominantly driven by data that is published nationally, but will be supplemented with local intelligence where appropriate. The content of each Primary Care Quality Report will vary depending on what information has been most recently published at the time of writing. The content, data and information presented has been collected from a number of sources including; NHS England, NHS Digital, Public Health England (PHE) and the Care Quality Commission (CQC). This report should not be looked at in isolation but considered alongside other sources of information, both hard and soft, pertaining to Primary Care service provision in Bromley. The July report is the first Primary Care Quality Report produced by the CCG and the format/content of the report may change over the coming months as feedback from the Committee is received and, where possible, incorporated into the document.

4

Bromley GP Practices Bromley CCG has 45 practice members which are located in three Integrated Care Networks.

5

Friends & Family Test (1 of 2)

The Friends and Family Test (FFT) is an important feedback tool that supports the fundamental principle that people who use NHS services should have the opportunity to provide feedback on their experience.

It asks people if they would recommend the services they have used and offers a range of responses. When combined with supplementary follow-up questions, the FFT provides a mechanism to highlight both good and poor patient experience. This feedback is vital in transforming NHS services and supporting patient choice.

Whilst a useful tool to measure patient satisfaction/experience the response numbers are very low so this can skew the results at individual practice level.

The chart that follows details FFT data for April 2017. It should be noted that three practices did not submit data:

Addington Road, Bank House & South View Partnership

Three practices submitted data but there were no responses recorded:

Cornerways, Green Street Green & Pickhurst

Additionally a further three practices submitted data but the number of responses was less than five so the results were supressed:

Manor Road, Station Road & Woodlands

Note: Detailed FFT data is included as appendix 1 (page 19)

6

Friends & Family Test (1 of 2)

Notes: The highest number of responses for an individual practice was 247 (Chislehurst) and the lowest was 5 (Forge Close, Sundridge, Whitehouse)

Practices reporting higher response numbers are using SMS/text messaging as the method of collection

7

GP Survey (1 of 6)

The GP Patient Survey (GPPS) is an England-wide survey, providing practice-level data about patients’ experiences of their GP practices. The survey is run by Ipsos MORI on behalf of NHS England. The data in this report is based on the July 2016 GPPS publication. This combines two waves of fieldwork, from July to September 2015 and January to March 2016, providing practice-level data. Weighting has been applied to adjust the data to account for potential age and gender differences between the profile of all eligible patients in a practice and the patients who actually complete a questionnaire. Since the first wave of the 2011-2012 survey the weighting also takes into account neighbourhood statistics, such as levels of deprivation, in order to further improve the reliability of the findings. The following data represents some of the key results for Bromley CCG. In Bromley CCG, 12,202 questionnaires were sent out and 5,090 were returned completed. This represents a response rate of 42%.

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GP Survey (2 of 6)

The GP Patient Survey measures patients’ experiences across a range of topics, including:

Making appointments

Waiting times

Perceptions of care at appointments

Practice opening hours

Out-of-hours services

This month’s report will focus on ‘Making Appointments’

It is useful to understand who has responded to the survey and what their contact has been with their surgery. The table below details the age breakdown of respondents to the survey. The pie chart alongside sets out when survey respondents’ last saw or spoke to a GP.

Age Band Number of Respondents %

18 to 24 years 374 8

25 to 34 years 773 16

35 to 44 years 915 19

45 to 54 years 950 20

55 to 64 years 727 15

65 to 74 years 591 12

75 to 84 years 372 8

85+ years 169 3

9

GP Survey – Making Appointments (3 of 6)

Last time you wanted to see or speak to a GP or nurse from your GP surgery, were you able to get an

appointment to see or speak to someone?

10

GP Survey – Making Appointments (4 of 6)

How convenient was the appointment you were able to get?

11

GP Survey – Making Appointments (5 of 6)

If you were not able to get an appointment / offered and inconvenient appointment - What did you do on

that occasion?

12

GP Survey – Making Appointments (6 of 6)

Overall, how would you describe your experience of making an appointment?

13

CQC Ratings (1 of 2)

The Care Quality Commission (CQC) inspects practices to assess how they provide primary care services to six particular population groups:

Older people People with long-term conditions Families, children and young people Working age people People whose circumstances may make them vulnerable People experiencing poor mental health

The CQC assess whether the service provided for these groups are; safe, effective, well-led, responsive and caring. The following table categorises Bromley practices under the four CQC ratings

14

CQC Ratings (2 of 2)

Practice NameOverall CQC

Rating

Date of CQC

InspectionPractice Name

Overall CQC

Rating

Date of CQC

Inspection

Dysart Surgery Outstanding 23/07/2015 Park Group Practice Good 29/12/2016

14 Manor Road Surgery Good 19/08/2016 Pickhurst Surgery Good 12/12/2016

Addington Road Surgery Good 06/12/2016 Poverest Medical Centre Good 18/06/2015

Ballater Surgery Good 16/03/2016 Robin Hood Surgery Good 03/10/2016

Bank House Good 11/01/2017 South View Lodge Good 06/04/2016

Bromley Common Practice Good 22/04/2016 Southborough Lane - Crown Medical Centre Good 05/01/2017

Broomwood Surgery Good 24/08/2016 St James' Practice Good 23/02/2015

Cator Medical Centre Good 01/11/2016 Station Road Surgery Good 12/12/2016

Chelsfield Surgery Good 25/02/2016 Stock Hill Surgery Good 04/04/2016

Chislehurst Medical Practice Good 22/09/2016 Summercroft Surgery Good 02/08/2016

Cornerways Surgery Good 27/04/2016 Trinity Medical Centre Good 03/06/2016

Eden Park Surgery Good 21/05/2015 Tudor Way Surgery Good 20/10/2016

Elm House Surgery Good 25/11/2016 Wickham Park Surgery Good 29/09/2016

Family Surgery Good 08/07/2016 Woodlands Practice Good 16/11/2016

Forge Close Surgery Good 04/04/2016 224 Anerley RoadRequires

Improvement28/12/2016

Gillmans Road Good 19/08/2016 Highland Medical PracticeRequires

Improvement30/07/2016

Green St Green Medical Centre Good 01/12/2016 Whitehouse SurgeryRequires

Improvement18/06/2015

Knoll Medical Centre Good 31/05/2016 Charterhouse Surgery Inadequate 30/03/2017

Links Medical Practice Good 31/05/2016 Sundridge Medical Centre Inadequate 27/04/2017

London Lane Clinic Good 11/01/2017 Crescent SurgeryProvider changed -

not yet assessed

Provider changed -

not yet assessed

Oakfield Surgery Good 03/02/2017 Cross Hall SurgeryProvider changed -

not yet assessed

Provider changed -

not yet assessed

Derry Downs Surgery Not yet rated Not yet rated

Norheads Lane SurgeryProvider changed -

not yet assessed

Provider changed -

not yet assessed

St Mary Cray Practice Not yet rated Not yet rated

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Quality Outcomes Framework (QOF) (1 of 3)

The Quality and Outcomes Framework (QOF) is the annual reward and incentive programme detailing GP

practice achievement results. It rewards practices for the provision of quality care and helps standardise improvement in the delivery of primary medical services. It is a voluntary process for all surgeries in England and was introduced as part of the GP contract in 2004. The indicators for the QOF change annually, with the introduction of new measures and some indicators are retired. For 2015/16, the QOF awards practices achievement points for: managing some of the most common chronic diseases, e.g. asthma, diabetes managing major public health concerns, e.g. smoking, obesity implementing preventative measures, e.g. regular blood pressure checks

The QOF contains three main components, known as domains. The three domains are: Clinical; Public Health and Public Health – Additional Services. Each domain consists of a set of achievement measures, known as indicators, against which practices score points according to their level of achievement. The 2015/16 QOF measured achievement against 77 indicators; practices scored points on the basis of achievement against each indicator, up to a maximum of 559 points.

16

Quality Outcomes Framework (QOF) (2 of 3)

Clinical: this domain consists of 65 indicators across 19 clinical areas (e.g. chronic kidney disease, heart failure,

hypertension) worth up to a maximum of 435 points

Public Health: the domain consists of seven indicators (worth up to 97 points) across four clinical areas – blood pressure, cardiovascular disease – primary prevention, obesity 18+ and smoking 15+

Public Health – Additional Services: the domain consists of five indicators (worth up to 27 points) across two service areas – cervical screening and contraception

For accessibility purposes, all six conditions/measures within public health and public health additional services are to be found under the one heading; ‘Public Health’

The QOF gives an indication of the overall achievement of a surgery through a points system. Practices aim to deliver high quality care across a range of areas for which they score points. Put simply, the higher the score, the higher the financial reward for the practice. The final payment is adjusted to take account of surgery workload, local demographics and the prevalence of chronic conditions in the practice's local area.

Participation by practices in the QOF is voluntary, though participation rates are very high, with most Personal Medical Services (PMS) practices also taking part.

The table on the following page sets out the overall achievement and exceptions for all Bromley practices across the three QOF domains for 2015/16. This data is a summary of the 2015/16 QOF and this will be discussed in detail at the next Primary Care Board meeting. The next Primary Care Quality Report will include detailed analysis of the Clinical domain. 2016/17 QOF data is due to be published in October 2017.

Quality Outcomes Framework (QOF) (3 of 3)

List SizeOverall

AchievementClinical Domain

Public Health

Domain

Public Health -

Additional Services

Domain

Practice name All agesAchievement

score (max. 559)

Achievement

score (max. 435)

Achievement

score (max. 97)

Achievement score

(max. 27)

Total

exceptions

Total

denominators

Total

exception

rate

Total

exceptions

Total

denominators

Total

exception

rate

Total

exceptions

Total

denominators

Total

exception

rate

Total

exceptions

Total

denominators

Total

exception

rateADDINGTON ROAD SURGERY 9,788 448.82 346.37 75.45 27.00 381 18819 1.98 321 8144 3.79 17 8334 0.20 43 2341 1.80

ANERLEY SURGERY 2,636 528.71 414.71 87.00 27.00 2 4681 0.04 2 1956 0.10 0 1995 0.00 0 730 0.00

BALLATER SURGERY 8,965 556.23 432.23 97.00 27.00 457 14753 3.00 305 6209 4.68 37 6153 0.60 115 2391 4.59

BANK HOUSE SURGERY 2,914 559.00 435.00 97.00 27.00 182 5952 2.97 128 2689 4.54 13 2626 0.49 41 637 6.05

BROMLEY COMMON PRACTICE 8,979 553.26 429.32 97.00 26.94 880 15162 5.49 724 6485 10.04 62 6252 0.98 94 2425 3.73

BROOMWOOD ROAD SURGERY 10,132 496.96 378.39 91.57 27.00 876 21580 3.90 764 10246 6.94 27 8882 0.30 85 2452 3.35

CATOR MEDICAL CENTRE 9,269 517.41 393.41 97.00 27.00 779 11301 6.45 564 3763 13.03 59 4495 1.30 156 3043 4.88

CHARTERHOUSE SURGERY 8,209 459.88 345.88 87.00 27.00 536 16586 3.13 459 7298 5.92 15 7391 0.20 62 1897 3.16

CHELSFIELD SURGERY 7,796 545.28 421.28 97.00 27.00 824 14519 5.37 758 6103 11.05 27 6516 0.41 39 1900 2.01

CHISLEHURST MEDICAL PRACTICE 14,793 545.80 421.80 97.00 27.00 1350 26139 4.91 1186 10831 9.87 45 11745 0.38 119 3563 3.23

CORNERWAYS SURGERY 8,661 558.86 434.86 97.00 27.00 454 16181 2.73 369 6762 5.17 20 7178 0.28 65 2241 2.82

CRESCENT SURGERY 2,424 546.88 422.88 97.00 27.00 209 4892 4.10 185 2174 7.84 14 2101 0.66 10 617 1.59

CROSS HALL SURGERY 3,084 550.42 426.42 97.00 27.00 326 5280 5.82 261 2187 10.66 20 2273 0.87 45 820 5.20

DERRY DOWNS SURGERY 5,322 540.85 416.85 97.00 27.00 564 12135 4.44 467 5708 7.56 25 5199 0.48 72 1228 5.54

DYSART SURGERY 11,113 551.76 429.82 95.87 26.07 669 17412 3.70 452 6906 6.14 65 7506 0.86 152 3000 4.82

EDEN PARK SURGERY 8,314 483.58 382.79 76.63 24.16 400 14005 2.78 321 5552 5.47 41 6281 0.65 38 2172 1.72

ELM HOUSE SURGERY 17,751 518.18 395.13 96.05 27.00 1471 28543 4.90 1032 10947 8.62 77 12756 0.60 362 4840 6.96

FAMILY SURGERY 3,924 542.38 421.49 93.89 27.00 271 7704 3.40 216 3344 6.07 15 3523 0.42 40 837 4.56

FORGE CLOSE SURGERY 6,689 497.40 392.88 77.52 27.00 194 12308 1.55 158 5221 2.94 16 5423 0.29 20 1664 1.19

GILLMANS ROAD SURGERY 3,005 530.05 406.05 97.00 27.00 187 4798 3.75 108 2175 4.73 11 1966 0.56 68 657 9.38

GREEN STREET GREEN MED CT 7,239 475.45 361.76 86.69 27.00 259 13144 1.93 222 5551 3.85 11 5829 0.19 26 1764 1.45

HIGHLAND ROAD SURGERY 3,377 547.30 430.89 91.27 25.14 501 6013 7.69 382 2484 13.33 46 2703 1.67 73 826 8.12

KNOLL MEDICAL PRACTICE 8,131 541.02 417.02 97.00 27.00 618 17376 3.43 503 8318 5.70 13 7208 0.18 102 1850 5.23

LINKS MEDICAL PRACTICE 10,745 540.84 418.42 97.00 25.42 1207 20164 5.65 1052 8520 10.99 44 8894 0.49 111 2750 3.88

LONDON LANE CLINIC 15,118 552.25 428.26 97.00 26.99 1149 27849 3.96 972 11743 7.64 35 12185 0.29 142 3921 3.49

MANOR ROAD SURGERY 5,508 503.55 391.89 85.70 25.96 471 9051 4.95 387 3118 11.04 18 4443 0.40 66 1490 4.24

NORHEADS LANE SURGERY 2,863 559.00 435.00 97.00 27.00 218 5291 3.96 167 2254 6.90 28 2344 1.18 23 693 3.21

OAKFIELD SURGERY 3,580 550.06 426.06 97.00 27.00 327 5810 5.33 253 2364 9.67 15 2448 0.61 59 998 5.58

PARK GROUP PRACTICE 7,790 551.00 428.79 95.21 27.00 1847 12632 12.76 1338 4843 21.65 34 5787 0.58 475 2002 19.18

PICKHURST SURGERY 6,959 511.48 390.97 93.51 27.00 380 13296 2.78 308 5805 5.04 22 5864 0.37 50 1627 2.98

POVEREST MEDICAL CENTRE 9,187 541.37 417.37 97.00 27.00 921 16931 5.16 818 7146 10.27 33 7492 0.44 70 2293 2.96

ROBIN HOOD SURGERY 5,030 518.76 409.25 84.18 25.33 439 11049 3.82 362 4977 6.78 23 4749 0.48 54 1323 3.92

SOUTH VIEW PARTNERSHIP 12,838 546.35 426.52 95.80 24.03 1241 20521 5.70 1034 7769 11.75 69 9295 0.74 138 3457 3.84

SOUTHBOROUGH LANE SURGERY 10,368 531.66 407.66 97.00 27.00 1400 20513 6.39 1279 8962 12.49 37 8994 0.41 84 2557 3.18

ST JAMES' PRACTICE 6,314 552.43 428.43 97.00 27.00 601 12392 4.63 536 5119 9.48 18 5628 0.32 47 1645 2.78

ST MARY CRAY PRACTICE 2,305 548.85 428.72 96.10 24.03 140 4741 2.87 118 2113 5.29 6 2125 0.28 16 503 3.08

STATION ROAD SURGERY 12,326 538.16 414.16 97.00 27.00 724 23100 3.04 637 9780 6.12 19 10353 0.18 68 2967 2.24

STOCK HILL SURGERY 10,853 518.59 402.24 92.35 24.00 917 21471 4.10 836 8967 8.53 33 9972 0.33 48 2532 1.86

SUMMERCROFT SURGERY 11,243 554.06 430.26 96.80 27.00 1384 22105 5.89 1294 9616 11.86 23 9856 0.23 67 2633 2.48

SUNDRIDGE MEDICAL CENTRE 5,190 536.45 412.45 97.00 27.00 331 8685 3.67 262 3837 6.39 28 3417 0.81 41 1431 2.79

TRINITY MEDICAL CENTRE 5,364 548.80 433.42 91.93 23.45 492 10996 4.28 413 4802 7.92 18 4761 0.38 61 1433 4.08

TUDOR WAY SURGERY 7,299 552.24 428.24 97.00 27.00 762 12405 5.79 494 5376 8.42 19 5426 0.35 249 1603 13.44

WHITEHOUSE SURGERY 3,390 552.35 428.35 97.00 27.00 378 6239 5.71 341 2709 11.18 12 2747 0.43 25 783 3.09

WICKHAM PARK SURGERY 5,067 543.99 421.82 95.17 27.00 349 9875 3.41 248 4340 5.41 59 4245 1.37 42 1290 3.15

WOODLANDS PRACTICE 9,728 551.97 427.97 97.00 27.00 520 18507 2.73 441 7963 5.25 27 7912 0.34 52 2632 1.94

Achievements

Overall Exceptions Total Clinical Domain Total Public Health Domain Total Public Health - Additional

Services Domain

Exceptions

18

Extremely

LikelyLikely Neither Unlikely

Extremely

Unlikely

Don't

Know

Handwr

itten

Telephone

Call

Tablet/

Kiosk

SMS/Text

Message

Smartphone

App/OnlineOther

58,505,502 183,373 89% 6% 126,476 37,061 6,758 4,416 6,421 2,241 40,525 1,668 5,944 117,565 6,192 1,831

345,926 1,501 89% 5% 822 501 88 36 39 7 333 0 4 1,014 19 2

G84001 ADDINGTON ROAD SURGERY 9,717 no data

G84002 ANERLEY SURGERY 2,618 31 97% 0% 20 10 1 0 0 0 31 0 0 0 0 0

G84003 BALLATER SURGERY 9,463 49 90% 6% 25 19 2 3 0 0 2 0 0 47 0 0

G84004 BANK HOUSE SURGERY 2,957 no data

G84005 BROMLEY COMMON PRACTICE 9,239 8 100% 0% 7 1 0 0 0 0 0 0 0 0 8 0

G84006 BROOMWOOD ROAD SURGERY 10,201 166 78% 11% 64 65 17 10 9 1 4 0 0 162 0 0

G84007 CATOR MEDICAL CENTRE 9,956 51 96% 0% 30 19 2 0 0 0 0 0 0 52 0 0

G84008 CHARTERHOUSE SURGERY 7,671 17 76% 18% 6 7 1 2 1 0 17 - - - - -

G84009 CHELSFIELD SURGERY 7,919 80 75% 6% 30 30 15 5 - - 80 - - - - -

G84010 CHISLEHURST MEDICAL PRACTICE 14,955 247 92% 3% 167 61 11 3 4 1 0 0 0 247 0 0

G84011 CORNERWAYS SURGERY 8,766 0 NA NA 0 0 0 0 0 0 0 0 0 0 0 0

G84013 CRESCENT SURGERY 2,457 7 86% 0% 1 5 1 0 0 0 7 0 0 0 0 0

G84015 CROSS HALL SURGERY 3,232 36 94% 0% 24 10 2 0 0 0 36 0 0 0 0 0

G84016 DERRY DOWNS SURGERY 5,250 59 92% 3% 23 31 3 - 2 - - - - - - -

G84017 DYSART SURGERY 11,387 6 100% 0% 2 4 0 0 0 0 0 0 0 6 0 0

G84018 EDEN PARK SURGERY 8,494 9 100% 0% 6 3 0 0 0 0 9 0 0 0 0 0

G84019 ELM HOUSE SURGERY 18,134 102 96% 1% 65 33 3 1 0 0 1 0 0 99 0 0

G84020 FAMILY SURGERY 3,891 6 100% 0% 6 0 0 0 0 0 6 0 0 0 0 0

G84021 FORGE CLOSE SURGERY 6,723 5 60% 40% 2 1 0 1 1 0 5 0 0 0 0 0

G84022 GILLMANS ROAD SURGERY 3,070 9 100% 0% 5 4 0 0 0 0 0 0 0 0 0 1

G84023 GREEN STREET GREEN MED CT 7,344 0 NA NA 0 0 0 0 0 0 0 0 0 0 0 0

G84024 HIGHLAND ROAD SURGERY 3,721 13 100% 0% 11 2 0 0 0 0 13 0 0 0 0 0

G84025 KNOLL MEDICAL PRACTICE 8,451 94 90% 3% 40 45 4 1 2 2 5 0 0 89 0 0

G84027 LINKS MEDICAL PRACTICE 10,827 165 85% 10% 87 53 7 5 11 2 9 0 0 156 0 0

G84028 LONDON LANE CLINIC 15,204 30 100% 0% 16 14 0 0 0 0 27 0 0 0 3 0

G84029 MANOR ROAD SURGERY 5,633 1 * * * * * * * * * * * * * *

G84030 NORHEADS LANE SURGERY 3,038 42 95% 2% 32 8 1 1 0 0 0 0 0 42 0 0

G84032 OAKFIELD SURGERY 3,690 6 100% 0% 5 1 0 0 0 0 6 0 0 0 0 0

G84033 PARK GROUP PRACTICE 7,668 36 75% 11% 10 17 5 2 2 0 0 0 0 36 0 0

G84035 PICKHURST SURGERY 7,200 0 NA NA 0 0 0 0 0 0 0 0 0 0 0 0

G84039 POVEREST MEDICAL CENTRE 9,086 10 80% 10% 7 1 1 0 1 0 9 0 0 0 0 1

G84040 ROBIN HOOD SURGERY 4,884 6 67% 17% 1 3 1 1 0 0 6 0 0 0 0 0

G84041 SOUTH VIEW PARTNERSHIP 13,185 no data

G84604 SOUTHBOROUGH LANE SURGERY 10,754 18 100% 0% 14 4 - - - - 14 - 4 - - -

G84607 ST JAMES' PRACTICE 6,419 10 90% 10% 9 0 0 0 1 0 10 0 0 0 0 0

G84609 ST MARY CRAY PRACTICE 2,476 8 75% 0% 4 2 2 0 0 0 8 0 0 0 0 0

G84621 STATION ROAD SURGERY 12,244 3 * * * * * * * * * * * * * *

G84624 STOCK HILL SURGERY 10,657 6 83% 17% 3 2 0 0 1 0 6 0 0 0 0 0

G84625 SUMMERCROFT SURGERY 11,085 7 86% 14% 4 2 0 0 1 0 1 0 0 0 6 0

G84627 SUNDRIDGE MEDICAL CENTRE 5,244 5 100% 0% 4 1 0 0 0 0 0 0 0 0 0 0

G84628 TRINITY MEDICAL CENTRE 5,228 10 80% 0% 5 3 1 0 0 1 10 0 0 0 0 0

G84629 TUDOR WAY SURGERY 7,389 86 87% 5% 47 28 7 1 3 0 8 0 0 78 0 0

G84630 WHITEHOUSE SURGERY 3,436 5 100% 0% 4 1 0 0 0 0 3 0 0 0 2 0

Y00542 WICKHAM PARK SURGERY 5,224 48 98% 0% 36 11 1 0 0 0 0 0 0 0 0 0

Y02811 WOODLANDS PRACTICE 9,739 4 * * * * * * * * * * * * * *

Practice

CodeName

Mode of Collection

Practice List SizeTotal

Responses

Percentage

Recommen

ded

Percentage

Not

Recommended

Breakdown of Responses

Appendix 1 – FFT Data Table