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Primary Care Quality & Performance Report September 2017 Author: Sue Gunner, Analyst - Planning & Performance 1

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Page 1: Primary Care Quality & Performance Report 4 - Primary Care...Cresent Surgery Good 31/07/2017 Stock Hill Surgery Good 04/04/2016 Derry Downs Surgery Good 26/05/2017 Summercroft Surgery

Primary Care Quality &

Performance Report September 2017

Author: Sue Gunner, Analyst - Planning & Performance

1

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2

Contents

Page Number

Introduction 3

Bromley GP Practices 4

Friends & Family Test (FFT) 5

GP Patient Survey – Perceptions of Care 7

CQC Ratings 13

Quality Outcomes Framework (QOF) 15

Appendix 1 – FFT Data Table 18

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3

Introduction

The purpose of this report is to give the Primary Care Commissioning Committee a brief overview of the performance and 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 is predominantly driven by data that is published nationally, but will be supplemented with local intelligence where appropriate. The content of each Primary Care Quality & Performance 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. This report is the second 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.

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4

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

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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 July 2017. It should be noted that seven practices did not submit data:

Addington Road, Anerley Surgery, Charterhouse Surgery, Green Street Green Medical Centre, Pickhurst Surgery ,South View Partnership & Wickham Park Surgery.

One practice submitted data but there were no responses recorded:

Cornerways Surgery.

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

Dysart Surgery, Gillmans Road Surgery & Manor Road Surgery

Note: Detailed FFT data is included as appendix 1 (page 17)

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6

Friends & Family Test (2 of 2)

Notes: The highest number of responses for an individual practice was 331 (Chislehurst) and the lowest was 5 (Forge Close and The Crescent Surgery)

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

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Percentage Recommended Percentage not recommended

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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 2017 GPPS publication. This uses fieldwork from January to March 2017, 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, 12,321 questionnaires were sent out and 4,937 were returned completed. This represents a response rate of 40%.

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8

GP Survey (2 of 6)

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

Making appointments

Perceptions of care at appointments

Waiting times

Practice opening hours

Out-of-hours services

This month’s report will focus on ‘Perceptions of care at 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

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9

GP Survey – Perceptions of Care (3 of 6)

Last time you went to see a GP at your practice did you have confidence and trust in the GP you saw or spoke

to?

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GP Survey – Perception of Care (4 of 6)

Base: All those completing a questionnaire excluding 'doesn't apply': CCG (4,708; 4,699; 4,512; 4,290; 4,626); National (767,129; 765,505; 735,550; 707,368; 754,335)

*Those who say ‘Doesn’t apply’ have been excluded from these results.

%Poor = %Very poor + %Poor

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GP Survey – Perception of Care (5 of 6)

Did you have confidence and trust in the nurse you saw or spoke to?

*Those who say ‘Don’t know/ can’t say’ have been excluded from these results.

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GP Survey – Perception of Care (6 of 6)

Base: All those completing a questionnaire excluding 'doesn't apply': CCG (4,708; 4,699; 4,512; 4,290; 4,626); National (767,129; 765,505; 735,550; 707,368; 754,335)

*Those who say ‘Doesn’t apply’ have been excluded from these results.

%Poor = %Very poor + %Poor

Add slide 47 from the Bromley GP Survey Pack

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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

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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 Norheads Lane SurgeryProvider changed -

not yet assessed

Provider changed -

not yet assessed

14 Manor Road Surgery Good 19/08/2016 Oakfield Surgery Good 03/02/2017

Addington Road Surgery Good 06/12/2016 Park Group Practice Good 29/12/2016

Ballater Surgery Good 16/03/2016 Pickhurst Surgery Good 12/12/2016

Bank House Good 11/01/2017 Poverest Medical Centre Good 18/06/2015

Bromley Common Practice Good 22/04/2016 Robin Hood Surgery Good 03/10/2016

Broomwood Surgery Good 24/08/2016 South View Lodge Good 06/04/2016

Cator Medical Centre Good 01/11/2016 Southborough Lane - Crown Medical Centre Good 05/01/2017

Chelsfield Surgery Good 25/02/2016 St James' Practice Good 30/04/2015

Chislehurst Medical Practice Good 22/09/2016 St Mary Cray Practice Good 29/08/2017

Cornerways Surgery Good 27/04/2016 Station Road Surgery Good 12/12/2016

Cresent Surgery Good 31/07/2017 Stock Hill Surgery Good 04/04/2016

Derry Downs Surgery Good 26/05/2017 Summercroft Surgery Good 02/08/2016

Eden Park Surgery Good 21/05/2015 Trinity Medical Centre Good 03/06/2016

Elm House Surgery Good 25/11/2016 Tudor Way Surgery Good 20/10/2016

Family Surgery Good 08/07/2016 Wickham Park Surgery Good 29/09/2016

Forge Close Surgery Good 04/04/2016 Woodlands Practice Good 16/11/2016

Gillmans Road Good 19/08/2016 224 Anerley Road GoodGood

29/06/2017

Green St Green Medical Centre Good 01/12/2016 Cross Hall SurgeryRequires

Improvement 26/07/2017

Knoll Medical Centre Good 31/05/2016 Highland Medical PracticeRequires

Improvement30/07/2016

Links Medical Practice Good 31/05/2016 Whitehouse SurgeryRequires

Improvement18/06/2015

London Lane Clinic Good 11/01/2017 Charterhouse Surgery Inadequate 30/03/2017

Sundridge Medical Centre Inadequate 27/04/2017

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15

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.

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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 achievements and exceptions for all Bromley practices in relation to atrial fibrillation. The following three outcomes are measured:

The contractor establishes and maintains a register of patients with atrial fibrillation

The percentage of patients with atrial fibrillation in whom stroke risk has been assessed using the CHA2DS2-VASc score risk stratification scoring system in the preceding 12 months (excluding those patients with a previous CHADS2 or CHA2DS2-VASc score of 2 or more)

In those patients with atrial fibrillation with a record of a CHA2DS2-VASc score of 2 or more, the percentage of patients who are currently treated with anti-coagulation drug therapy

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Quality Outcomes Framework (QOF) (3 of 3)

Practice

codePractice name List Size Register

Prevalence

(per cent)

Total

Achievement

Score (max

29)

Achievement

(per cent)

Total

Exceptions

Total

Denomina

tors

Overall

Exception

Rate (per

cent)

Achievement

Score (max

5)

Achievement

rate (per

cent)

Achievement

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12)

Numerator Denominator

Underlying

Achievement

net of

Exceptions

(per cent)

Exceptions

Exception

Rate (per

cent)

Denomina

tor plus

Exceptions

Patients

receiving

Intervention

(per cent)

Achievem

ent Score

(max 12)

Numerator Denominator

Underlying

Achievem

ent net of

Exceptions

(per cent)

Exceptions

Exception

Rate (per

cent)

Denominator

plus

Exceptions

Patients

receiving

Intervention

(per cent)

G84001 SOUTH VIEW PARTNERSHIP 12,838 217 1.69 29.00 100.00 47 323 12.70 5.00 100.00 12.00 179 182 98.35 1 0.55 183 97.81 12.00 141 141 100.00 46 24.60 187 75.40

G84002 DYSART SURGERY 11,113 163 1.47 29.00 100.00 14 239 5.53 5.00 100.00 12.00 113 118 95.76 4 3.28 122 92.62 12.00 110 121 90.91 10 7.63 131 83.97

G84003 LINKS MEDICAL PRACTICE 10,745 136 1.27 29.00 100.00 14 234 5.65 5.00 100.00 12.00 133 133 100.00 3 2.21 136 97.79 12.00 78 101 77.23 11 9.82 112 69.64

G84004 STOCK HILL SURGERY 10,853 223 2.05 29.00 100.00 16 308 4.94 5.00 100.00 12.00 135 141 95.74 3 2.08 144 93.75 12.00 146 167 87.43 13 7.22 180 81.11

G84005 DERRY DOWNS SURGERY 5,322 111 2.09 29.00 100.00 8 146 5.19 5.00 100.00 12.00 51 52 98.08 4 7.14 56 91.07 12.00 79 94 84.04 4 4.08 98 80.61

G84006 SUMMERCROFT SURGERY 11,243 279 2.48 29.00 100.00 23 402 5.41 5.00 100.00 12.00 183 192 95.31 3 1.54 195 93.85 12.00 183 210 87.14 20 8.70 230 79.57

G84007 POVEREST MEDICAL CENTRE 9,187 123 1.34 29.00 100.00 8 194 3.96 5.00 100.00 12.00 96 96 100.00 1 1.03 97 98.97 12.00 88 98 89.80 7 6.67 105 83.81

G84008 MANOR ROAD SURGERY 5,508 92 1.67 29.00 100.00 6 137 4.20 5.00 100.00 12.00 74 77 96.10 1 1.28 78 94.87 12.00 46 60 76.67 5 7.69 65 70.77

G84009 FAMILY SURGERY 3,924 99 2.52 29.00 100.00 5 166 2.92 5.00 100.00 12.00 84 87 96.55 0 0.00 87 96.55 12.00 68 79 86.08 5 5.95 84 80.95

G84010 CHISLEHURST MEDICAL PRACTICE 14,793 341 2.31 29.00 100.00 39 486 7.43 5.00 100.00 12.00 241 252 95.63 4 1.56 256 94.14 12.00 192 234 82.05 35 13.01 269 71.38

G84011 EDEN PARK SURGERY 8,314 141 1.70 29.00 100.00 3 208 1.42 5.00 100.00 12.00 101 101 100.00 2 1.94 103 98.06 12.00 82 107 76.64 1 0.93 108 75.93

G84013 ST MARY CRAY PRACTICE 2,305 37 1.61 29.00 100.00 3 68 4.23 5.00 100.00 12.00 37 37 100.00 0 0.00 37 100.00 12.00 31 31 100.00 3 8.82 34 91.18

G84015 STATION ROAD SURGERY 12,326 293 2.38 29.00 100.00 22 378 5.50 5.00 100.00 12.00 154 156 98.72 1 0.64 157 98.09 12.00 185 222 83.33 21 8.64 243 76.13

G84016 LONDON LANE CLINIC 15,118 248 1.64 29.00 100.00 47 327 12.57 5.00 100.00 12.00 157 159 98.74 5 3.05 164 95.73 12.00 154 168 91.67 42 20.00 210 73.33

G84017 ADDINGTON ROAD SURGERY 9,788 217 2.22 29.00 100.00 16 351 4.36 5.00 100.00 12.00 176 181 97.24 0 0.00 181 97.24 12.00 146 170 85.88 16 8.60 186 78.49

G84018 CORNERWAYS SURGERY 8,661 209 2.41 29.00 100.00 9 282 3.09 5.00 100.00 12.00 117 122 95.90 0 0.00 122 95.90 12.00 131 160 81.88 9 5.33 169 77.51

G84019 BROOMWOOD ROAD SURGERY 10,132 191 1.89 29.00 100.00 22 263 7.72 5.00 100.00 12.00 112 115 97.39 2 1.71 117 95.73 12.00 128 148 86.49 20 11.90 168 76.19

G84020 CHELSFIELD SURGERY 7,796 171 2.19 29.00 100.00 7 282 2.42 5.00 100.00 12.00 144 149 96.64 0 0.00 149 96.64 12.00 115 133 86.47 7 5.00 140 82.14

G84021 CHARTERHOUSE SURGERY 8,209 189 2.30 29.00 100.00 10 286 3.38 5.00 100.00 12.00 128 137 93.43 3 2.14 140 91.43 12.00 129 149 86.58 7 4.49 156 82.69

G84022 TRINITY MEDICAL CENTRE 5,364 65 1.21 29.00 100.00 12 96 11.11 5.00 100.00 12.00 50 50 100.00 0 0.00 50 100.00 12.00 33 46 71.74 12 20.69 58 56.90

G84023 SOUTHBOROUGH LANE SURGERY 10,368 251 2.42 29.00 100.00 43 381 10.14 5.00 100.00 12.00 201 202 99.50 3 1.46 205 98.05 12.00 146 179 81.56 40 18.26 219 66.67

G84024 BROMLEY COMMON PRACTICE 8,979 150 1.67 29.00 100.00 18 231 7.23 5.00 100.00 12.00 111 111 100.00 0 0.00 111 100.00 12.00 108 120 90.00 18 13.04 138 78.26

G84025 PARK GROUP PRACTICE 7,790 51 0.65 29.00 100.00 2 55 3.51 5.00 100.00 12.00 48 50 96.00 1 1.96 51 94.12 12.00 5 5 100.00 1 16.67 6 83.33

G84027 ELM HOUSE SURGERY 17,751 252 1.42 29.00 100.00 28 395 6.62 5.00 100.00 12.00 203 216 93.98 1 0.46 217 93.55 12.00 154 179 86.03 27 13.11 206 74.76

G84028 ST JAMES' PRACTICE 6,314 118 1.87 29.00 100.00 3 179 1.65 5.00 100.00 12.00 78 79 98.73 1 1.25 80 97.50 12.00 87 100 87.00 2 1.96 102 85.29

G84029 ROBIN HOOD SURGERY 5,030 62 1.23 29.00 100.00 9 97 8.49 5.00 100.00 12.00 48 49 97.96 0 0.00 49 97.96 12.00 44 48 91.67 9 15.79 57 77.19

G84030 FORGE CLOSE SURGERY 6,689 134 2.00 29.00 100.00 7 189 3.57 5.00 100.00 12.00 87 96 90.63 2 2.04 98 88.78 12.00 72 93 77.42 5 5.10 98 73.47

G84032 KNOLL MEDICAL PRACTICE 8,131 189 2.32 29.00 100.00 23 296 7.21 5.00 100.00 12.00 139 144 96.53 1 0.69 145 95.86 12.00 130 152 85.53 22 12.64 174 74.71

G84033 PICKHURST SURGERY 6,959 109 1.57 28.92 99.72 10 164 5.75 5.00 100.00 11.92 78 87 89.66 3 3.33 90 86.67 12.00 61 77 79.22 7 8.33 84 72.62

G84035 TUDOR WAY SURGERY 7,299 115 1.58 29.00 100.00 5 201 2.43 5.00 100.00 12.00 107 110 97.27 1 0.90 111 96.40 12.00 75 91 82.42 4 4.21 95 78.95

G84039 NORHEADS LANE SURGERY 2,863 28 0.98 29.00 100.00 3 42 6.67 5.00 100.00 12.00 19 20 95.00 0 0.00 20 95.00 12.00 20 22 90.91 3 12.00 25 80.00

G84040 BALLATER SURGERY 8,965 155 1.73 29.00 100.00 11 198 5.26 5.00 100.00 12.00 78 83 93.98 1 1.19 84 92.86 12.00 94 115 81.74 10 8.00 125 75.20

G84041 GILLMANS ROAD SURGERY 3,005 32 1.06 29.00 100.00 1 49 2.00 5.00 100.00 12.00 21 23 91.30 0 0.00 23 91.30 12.00 22 26 84.62 1 3.70 27 81.48

G84604 HIGHLAND ROAD SURGERY 3,377 38 1.13 29.00 100.00 8 45 15.09 5.00 100.00 12.00 20 20 100.00 0 0.00 20 100.00 12.00 24 25 96.00 8 24.24 33 72.73

G84607 WICKHAM PARK SURGERY 5,067 101 1.99 29.00 100.00 10 163 5.78 5.00 100.00 12.00 88 88 100.00 1 1.12 89 98.88 12.00 65 75 86.67 9 10.71 84 77.38

G84609 BANK HOUSE SURGERY 2,914 58 1.99 29.00 100.00 5 85 5.56 5.00 100.00 12.00 38 40 95.00 0 0.00 40 95.00 12.00 39 45 86.67 5 10.00 50 78.00

G84621 WHITEHOUSE SURGERY 3,390 67 1.98 29.00 100.00 6 102 5.56 5.00 100.00 12.00 48 49 97.96 0 0.00 49 97.96 12.00 47 53 88.68 6 10.17 59 79.66

G84624 ANERLEY SURGERY 2,636 140 5.31 29.00 100.00 2 21 8.70 5.00 100.00 12.00 7 7 100.00 1 12.50 8 87.50 12.00 10 14 71.43 1 6.67 15 66.67

G84625 OAKFIELD SURGERY 3,580 31 0.87 29.00 100.00 6 34 15.00 5.00 100.00 12.00 24 24 100.00 0 0.00 24 100.00 12.00 7 10 70.00 6 37.50 16 43.75

G84627 GREEN STREET GREEN MED CT 7,239 120 1.66 29.00 100.00 5 211 2.31 5.00 100.00 12.00 118 118 100.00 0 0.00 118 100.00 12.00 78 93 83.87 5 5.10 98 79.59

G84628 CROSS HALL SURGERY 3,084 31 1.01 29.00 100.00 9 40 18.37 5.00 100.00 12.00 19 21 90.48 0 0.00 21 90.48 12.00 18 19 94.74 9 32.14 28 64.29

G84629 SUNDRIDGE MEDICAL CENTRE 5,190 52 1.00 29.00 100.00 9 82 9.89 5.00 100.00 12.00 43 44 97.73 1 2.22 45 95.56 12.00 34 38 89.47 8 17.39 46 73.91

G84630 CRESCENT SURGERY 2,424 25 1.03 29.00 100.00 1 47 2.08 5.00 100.00 12.00 25 25 100.00 0 0.00 25 100.00 12.00 21 22 95.45 1 4.35 23 91.30

Y00542 WOODLANDS PRACTICE 9,728 151 1.55 29.00 100.00 10 251 3.83 5.00 100.00 12.00 135 137 98.54 2 1.44 139 97.12 12.00 100 114 87.72 8 6.56 122 81.97

Y02811 CATOR MEDICAL CENTRE 9,269 43 0.46 29.00 100.00 6 63 8.70 5.00 100.00 12.00 33 33 100.00 2 5.71 35 94.29 12.00 30 30 100.00 4 11.76 34 88.24

The contractor establishes

and maintains a register of

patients with atrial

fibrillation

The percentage of patients with atrial fibrillation in whom stroke risk has been assessed using the

CHA2DS2-VASc score risk stratification scoring system in the preceding 12 months (excluding those

patients with a previous CHADS2 or CHA2DS2-VASc score of 2 or more)

In those patients with atrial fibrillation with a record of a CHA2DS2-VASc score of 2 or more, the

percentage of patients who are currently treated with anti-coagulation drug therapy2015-16

17

Page 18: Primary Care Quality & Performance Report 4 - Primary Care...Cresent Surgery Good 31/07/2017 Stock Hill Surgery Good 04/04/2016 Derry Downs Surgery Good 26/05/2017 Summercroft Surgery

18

Appendix 1 – FFT Data Table – July 2017

Extrem

ely

Likely

Likely Neither Unlikely

Extrem

ely

Unlikely

Don't

Know

Handwr

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Telepho

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Tablet/

Kiosk

SMS/Te

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Messag

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Smartp

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App/On

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Other

England 58,483,414 265,662 89% 6% 183,162 53,057 10,401 6,670 9,170 3,202 50,993 2,037 6,954 177,229 8,619 3,231

Selection (excluding supressed data) 347,220 1,974 82% 10% 1,021 597 135 87 107 18 195 0 0 1,482 250 0

G84001 SOUTH VIEW PARTNERSHIP SOUTH VIEW LODGE, SOUTH VIEW, BROMLEY, KENTBR1 3DR 13,256 no data

G84002 DYSART SURGERY 13 RAVENSBOURNE ROAD, BROMLEY, KENTBR1 1HN 11,413 4 * * * * * * * * * * * * * *

G84003 LINKS MEDICAL PRACTICE THE LINKS MEDICAL PRACT., 27 BROOK LANE, BROMLEY, KENTBR1 4PX 10,895 172 85% 6% 87 60 11 5 6 3 0 0 0 172 0 0

G84004 STOCK HILL SURGERY THE SURGERY, STOCK HILL, BIGGIN HILL, WESTERHAM,KENTTN16 3TJ 10,647 55 75% 7% 26 15 10 3 1 0 4 0 0 50 1 0

G84005 DERRY DOWNS SURGERY 29 DERRY DOWNS, ST. MARY CRAY, ORPINGTON, KENTBR5 4DU 5,244 98 87% 5% 41 44 8 - 5 - 3 - - 95 - -

G84006 SUMMERCROFT SURGERY STARTS HILL ROAD, FARNBOROUGH, ORPINGTON, KENTBR6 7AR 11,042 238 37% 46% 28 60 41 45 64 0 3 0 0 0 235 0

G84007 POVEREST MEDICAL CENTRE 42 POVEREST ROAD, ST MARY CRAY, ORPINGTON,KENTBR5 2DQ 9,103 10 50% 10% 3 2 2 1 0 2 10 0 0 0 0 0

G84008 MANOR ROAD SURGERY THE SURGERY, 14 MANOR ROAD, BECKENHAM, KENTBR3 5LE 5,660 1 * * * * * * * * * * * * * *

G84009 FAMILY SURGERY THE FAMILY SURGERY, 7 HIGH STREET, GREEN STREET GREEN, ORPINGTON, KENTBR6 6BG 3,886 8 100% 0% 5 3 0 0 0 0 8 0 0 0 0 0

G84010 CHISLEHURST MEDICAL PRACTICE THE CHISLEHURST MED PRACT, 42 HIGH STREET, CHISLEHURST, KENTBR7 5AQ 15,008 331 93% 3% 225 82 10 4 5 5 6 0 0 331 0 0

G84011 EDEN PARK SURGERY 194 CROYDON ROAD, BECKENHAM, KENTBR3 4DQ 8,548 10 90% 10% 7 2 0 0 1 0 7 0 0 0 2 0

G84013 ST MARY CRAY PRACTICE 322 HIGH STREET, ST.MARY CRAY, ORPINGTON, KENTBR5 4AR 2,518 11 82% 0% 3 6 1 0 0 1 11 0 0 0 0 0

G84015 STATION ROAD SURGERY 74 STATION ROAD, WEST WICKHAM, KENTBR4 0PU 12,261 6 67% 33% 4 0 0 1 1 0 6 0 0 0 0 0

G84016 LONDON LANE CLINIC THE LONDON LANE CLINIC, KINNAIRD HOUSE, 37-39 LONDON LANE, BROMLEY, KENTBR1 4HB 15,248 32 91% 3% 16 13 2 1 0 0 31 0 0 0 1 0

G84017 ADDINGTON ROAD SURGERY 77 ADDINGTON ROAD, WEST WICKHAM, KENTBR4 9BG 9,706 no data

G84018 CORNERWAYS SURGERY 50 MANOR ROAD, BECKENHAM, KENTBR3 5LG 8,770 0 NA NA 0 0 0 0 0 0 0 0 0 0 0 0

G84019 BROOMWOOD ROAD SURGERY BROOMWOOD RD SURGERY, 41 BROOMWOOD ROAD, ST.PAULS CRAY, ORPINGTON, KENTBR5 2JP 10,258 221 86% 8% 120 69 11 7 10 4 0 0 0 220 1 0

G84020 CHELSFIELD SURGERY 62 WINDSOR DR, CHELSFIELD, ORPINGTON, KENTBR6 6HD 7,964 113 91% 4% 67 36 5 3 2 - - - - 113 - -

G84021 CHARTERHOUSE SURGERY THE CHARTERHOUSE SURGERY, 59 SEVENOAKS ROAD, ORPINGTON, KENTBR6 9JN 7,612 no data

G84022 TRINITY MEDICAL CENTRE 33 CROYDON ROAD, PENGE, LONDONSE20 7TJ 5,179 11 82% 9% 7 2 1 1 0 0 11 0 0 0 0 0

G84023 SOUTHBOROUGH LANE SURGERY CROWN MEDICAL CENTRE, 3 MACKINTOSH LANE, BROMLEY, KENTBR2 9GT 10,825 24 100% 0% 21 3 - - - - 22 - - - 2 -

G84024 BROMLEY COMMON PRACTICE CROWN MEDICAL CENTRE, 3 MACKINTOSH STREET, BROMLEY, KENTBR2 9GT 9,335 6 83% 17% 3 2 - 1 - - - - - - 6 -

G84025 PARK GROUP PRACTICE OAKS PARK MEDICAL GROUP, 17 OAKFIELD ROAD, LONDONSE20 8QA 7,634 76 75% 12% 32 25 10 3 6 0 0 0 0 76 0 0

G84027 ELM HOUSE SURGERY BECKENHAM BEACON, 379 CROYDON ROAD, BECKENHAM, KENTBR3 3FD 18,292 131 95% 3% 89 35 3 2 2 0 0 0 0 131 0 0

G84028 ST JAMES' PRACTICE ST.JAMES' PRACTICE, 138 CROYDON ROAD, BECKENHAM, KENTBR3 4DG 6,430 9 100% 0% 8 1 0 0 0 0 9 0 0 0 0 0

G84029 ROBIN HOOD SURGERY 94 CROYDON RD, ANERLEY, LONDONSE20 7AB 4,826 6 83% 0% 2 3 1 0 0 0 6 0 0 0 0 0

G84030 FORGE CLOSE SURGERY 1 FORGE CLOSE, HAYES, BROMLEY, KENTBR2 7LL 6,727 5 80% 20% 4 0 0 0 1 0 5 0 0 0 0 0

G84032 KNOLL MEDICAL PRACTICE 64 SEVENOAKS ROAD, ORPINGTON, KENTBR6 9JL 8,547 107 92% 6% 65 33 3 6 0 0 0 0 0 107 0 0

G84033 PICKHURST SURGERY 56 PICKHURST LANE,HAYES, BROMLEY, KENTBR2 7JF 7,277 no data

G84035 TUDOR WAY SURGERY THE TUDOR WAY SURGERY, 42 TUDOR WAY,PETTS WOOD, ORPINGTON, KENTBR5 1LH 7,416 34 94% 0% 19 13 2 0 0 0 0 0 0 0 0 0

G84039 NORHEADS LANE SURGERY 14A NORHEADS LANE, BIGGIN HILL, KENTTN16 3XS 3,029 31 84% 3% 12 14 4 1 0 0 4 0 0 31 0 0

G84040 BALLATER SURGERY 108 CHISLEHURST ROAD, ORPINGTON, KENTBR6 0DP 9,579 100 89% 5% 54 35 5 3 2 1 5 0 0 95 0 0

G84041 GILLMANS ROAD SURGERY 1 GILLMANS ROAD, ORPINGTON, KENTBR5 4LA 3,080 4 * * * * * * * * * * * * * *

G84604 HIGHLAND ROAD SURGERY 10 HIGHLAND ROAD, BROMLEY, KENTBR1 4AD 3,761 8 100% 0% 6 2 0 0 0 0 8 0 0 0 0 0

G84607 WICKHAM PARK SURGERY 2 MANOR ROAD, WEST WICKHAM, KENTBR4 9PS 5,237 no data

G84609 BANK HOUSE SURGERY BANK HOUSE, 84 HIGH STREET, FARNBOROUGH, KENTBR6 7BA 2,985 7 100% 0% 6 1 0 0 0 0 7 0 0 0 0 0

G84621 WHITEHOUSE SURGERY 123 TOWNCOURT LANE, PETTS WOOD, ORPINGTON, KENTBR5 1EL 3,481 7 100% 0% 5 2 0 0 0 0 6 0 0 0 1 0

G84624 ANERLEY SURGERY 224 ANERLEY ROAD, PENGE, LONDONSE20 8TJ 2,611 no data

G84625 OAKFIELD SURGERY 17 OAKFIELD ROAD, LONDONSE20 8QA 3,689 8 100% 0% 6 2 0 0 0 0 7 0 0 0 0 0

G84627 GREEN STREET GREEN MED CT 21-21A HIGH STREET, GREEN STREET GREEN, ORPINGTON, KENTBR6 6BG 7,399 no data

G84628 CROSS HALL SURGERY 31 HIGH STREET, ST MARY CRAY, ORPINGTON,KENTBR5 3NL 3,218 9 89% 0% 6 2 1 0 0 0 9 0 0 0 0 0

G84629 SUNDRIDGE MEDICAL CENTRE SUNDRIDGE MED PRACTICE, 84 LONDON LANE, BROMLEY, KENTBR1 4HE 5,313 12 58% 0% 5 2 3 - - 2 - - - - - -

G84630 CRESCENT SURGERY THE CRESCENT SURGERY, 38 MARION CRESCENT, ST MARY CRAY, ORPINGTONBR5 2DD 2,448 5 100% 0% 0 5 0 0 0 0 5 0 0 0 0 0

Y00542 WOODLANDS PRACTICE THE WOODLANDS PRACTICE, 11 RED HILL, CHISLEHURST, KENTBR7 6DB 9,797 18 100% 0% 10 8 0 0 0 0 0 0 0 17 1 0

Y02811 CATOR MEDICAL CENTRE BECKENHAM BEACON, 379 CROYDON ROAD, BECKENHAM, KENTBR3 3FD 10,066 46 96% 2% 29 15 1 0 1 0 2 0 0 44 0 0

Mode of Collection

Postco

de

Practice

List Size

Total

Respon

ses

Percentage

Recommen

ded

Percentage

Not

Recommen

ded

Breakdown of Responses

Practice

CodeName Address