Dr Yousef Rashid Also known as Shifa Medical Practice

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

At this assessment we reviewed all quality statements for this key question and found that the practice had improved since the last inspection. For example coverage of childhood immunisations had increased and the quality of clinical record keeping had improved. Our rating for this key question is good. The practice was providing an effective service. However, the practice needs to continue work to improve its cervical cancer screening coverage.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Patient feedback was positive about how people’s needs were assessed and managed. This included their clinical needs and their mental and physical wellbeing. Results from the 2023 National GP Patient Survey showed that 93% of responding patients reported that their needs were met during their last appointment. The practice had carried out its own patient survey in September 2023 in which 75% of respondents reported that the healthcare professional recognised or understood any mental health needs during their last general practice appointment. The practice wanted to improve patient involvement further and had displayed posters emphasising the importance of patient participation in their healthcare decisions. The clinicians were also actively asking patients at the end of their consultations for feedback to help identify any unmet needs. A theme in the comments we received from patients who participated in the assessment, was that the lead GP and the clinical team were responsive to their needs.

The clinicians and staff described how they assessed and recorded the patients’ needs of patients, including people’s communication needs. The practice team used the electronic patient records system to code specific needs to ensure staff were made aware of these.

Clinical staff used validated templates, for example when carrying out care planning or long-term condition reviews, to ensure that all relevant issues were covered including patients’ wider health and wellbeing. We carried out a series of structured searches of the practice electronic records system which showed that the practice had effective systems in place to identify patients with previously undiagnosed conditions such as diabetes. The practice was able to directly refer patients with social needs (for example, patients experiencing social isolation or housing difficulties) to a social prescriber for advice and support.

Patients participating in this assessment were wholly positive about the care and treatment they received. Results from the 2023 National GP Patient Survey showed that 85% of respondents had confidence and trust in the healthcare professional they saw or spoke to during their last general practice appointment.

Clinical staff described multiple ways in which they provided evidence-based care including team discussion of clinical updates, carrying out clinical audit and reviewing specific cases. They explained how they used validated tools and local clinical pathways to provide effective care. Clinical staff told us they had opportunities for continuous professional development and relevant training updates. Staff informed us they had protected time for learning and development.

We carried out a series of structured searches of the practice electronic records system which showed that the practice was managing patients with selected long-term conditions (diabetic retinopathy, asthma, hypothyroidism and chronic kidney disease) in line with national guidelines. The practice operated a call-recall system to call patients with long-term conditions for regular review.

Patients providing feedback for this assessment had no specific views about how staff, teams and services worked together.

Staff and leaders told us that they had effective working relationships with each other and with partner organisations, for example, local community teams. The lead GP described, for example, how they liaised with the primary care network’s home visiting team when they had concerns about patients unable to attend the surgery.

The practice was described as an active and responsive member of the primary care network, for example, positively engaging with new initiatives and related information requests.

The practice participated in multi-disciplinary care planning for patients with the most complex needs.

Patients told us they were satisfied with the advice and information they received. Patients had access to appropriate health assessments and checks.

Staff were consistent and proactive in helping patients to live healthier lives, for example, signposting patients to support services such as educational sessions for patients newly diagnosed with diabetes.

Patients identified as at raised risk of developing certain long-term conditions were provided with support on how to reduce the risk through lifestyle changes. Eligible patients could be referred for additional support for example, a structured weight loss programme.

Patients providing feedback for this assessment were wholly positive about the help they received for their health problems. The most recent NHS Friends and Family Test results (37 responses) showed that 95% of patients rated the service as ‘Very good’ or ‘Good’.

As part of the assessment, we looked at the practice’s performance in encouraging eligible patients to participate in cervical screening which was identified as an area for improvement at the previous inspection. The practice had recently employed a practice nurse to focus solely on cervical screening appointments. The nurse told us this included contacting patients who were overdue screening or who had not attended booked appointments. They had found that patients did not always understand the written invitation they had received and once they had discussed the purpose of cervical screening and the process, they were happy to attend. The nurse and managers told us that the rate of uptake had increased.

The practice team obtained information on patient outcomes from a range of sources including benchmarked data, clinical audit and patient feedback and used this to prioritise improvements.

Published data on the cervical screening programme showed practice performance remained below the national target of 80%. However, the proportion of eligible patients who had been screened had increased from a low of 53% in December 2021 to 60% by June 2023.

The practice’s own patient survey undertaken in September 2023 showed that 84% of respondents said they were involved as much as they wanted to be in decisions about their care and treatment during their last general practice appointment. This finding was echoed in the National GP patient survey published in July 2023 where 84% of respondents answered positively to the same question. Patients participating in this assessment said they were given enough time and information in their consultations.

Clinicians were able to describe the processes for ensuring that patients consented to treatment, for example, by recording verbal consent to immunisation in the patient records. Clinicians understood how to assess patients’ capacity to consent to care.

Clinicians were trained on the Mental Capacity Act. In cases where the GP carried out a mental capacity assessment to assess whether a patient had the mental capacity to make a specific decision about or consent to a healthcare intervention, the assessment and the outcome were clearly recorded in the patient notes.