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Quality & Standards

At Ashgrove Medical Practice, quality is not an afterthought. It is built into every consultation, every protocol, and every decision we make. Here is how we ensure the highest standards of care.

CQC Framework

The Five Key Questions

The Care Quality Commission assesses every GP practice across five domains. We are committed to achieving and maintaining outstanding performance in each.

1

Safe

Are patients protected from abuse and avoidable harm? Our safety systems ensure every patient receives care in a secure, well-managed environment.

Robust safeguarding procedures for adults and children
Medication safety protocols and prescribing audits
Infection prevention and control measures
Significant event analysis and learning culture
2

Effective

Does care achieve good outcomes based on the best available evidence? We follow the latest NICE guidelines and clinical evidence to deliver measurably effective care.

Evidence-based clinical protocols (NICE compliant)
Regular clinical audit programme
Continuing professional development for all staff
Health outcome monitoring and improvement
3

Caring

Are patients treated with compassion, dignity, and respect? We ensure every patient interaction reflects our values of empathy and genuine concern.

Patient satisfaction surveys and feedback analysis
Shared decision-making and informed consent
Compassionate communication training
Privacy and confidentiality at every stage
4

Responsive

Are services organised to meet patient needs? We continually adapt our services to ensure timely, accessible, and personalised care for all patients.

Same-day urgent access guarantee
Complaints management with learning outcomes
Reasonable adjustments for accessibility
Interpreting services and accessible formats
5

Well-Led

Is the leadership, management, and governance of the practice sound? Strong leadership ensures our practice runs effectively and continually improves.

Clear governance structure with defined accountability
Regular team meetings and clinical supervision
Open and transparent culture
Quality improvement programme
Clinical Governance

How We Maintain Standards

Clinical governance is the framework through which we are accountable for continuously improving the quality and safety of our services.

Clinical Audit

Regular audits of clinical practice against evidence-based standards to identify areas for improvement and ensure best practice is consistently followed.

Significant Event Analysis

When things go wrong or almost go wrong, we conduct thorough analysis to understand root causes and implement changes to prevent recurrence.

Patient Feedback

We actively seek and respond to patient feedback through surveys, the Friends and Family Test, complaints, and our Patient Participation Group.

Professional Development

All clinical staff maintain their CPD requirements, attend training sessions, and stay current with the latest medical evidence and guidelines.

Prescribing Safety

Our clinical pharmacist leads medication safety reviews, audits prescribing patterns, and ensures compliance with NICE guidance and formulary recommendations.

Risk Management

Proactive identification and management of clinical and operational risks through our risk register, regular reviews, and mitigation strategies.

Performance

Quality and Outcomes Framework

The QOF is the annual reward and incentive programme for GP practices in England. It measures practice performance against a range of clinical and organisational indicators.

Chronic Disease Management

Structured reviews and management of long-term conditions including diabetes, hypertension, asthma, and COPD.

Prevention & Screening

Cervical screening, blood pressure monitoring, cholesterol testing, and cancer screening uptake targets.

Mental Health

Annual health checks for patients with severe mental illness, depression screening, and dementia diagnosis rates.

Prescribing Safety

Safe prescribing indicators, antibiotic stewardship, and monitoring of high-risk medications.

QOF
Quality & Outcomes Framework
100%
Commitment to Target Achievement
NICE
Guideline Compliant Protocols
Patient Safety

Your Safety Is Our Priority

We have robust systems in place to ensure patient safety at every stage of your care journey with us.

Safeguarding

Comprehensive safeguarding procedures for children and vulnerable adults, with designated leads and clear escalation pathways.

Infection Control

Strict infection prevention and control measures including hand hygiene, PPE protocols, and cleaning schedules aligned with NHS standards.

Information Governance

GDPR-compliant data handling, secure medical records, and strict confidentiality protocols to protect your personal health information.

Incident Reporting

Open and transparent incident reporting culture where all staff are encouraged to report concerns without fear, enabling continuous learning.

Have Questions About Our Standards?

We welcome enquiries about our quality systems, clinical governance, and how we ensure the highest standards of care.