We carried out an announced comprehensive inspection at Dysart surgery on 12 February 2019 as part of our inspection programme. We previously carried out an announced comprehensive inspection at Dysart surgery on 10 February 2015. Overall the practice was rated as outstanding. It was rated as outstanding for providing effective, responsive and caring services. The relevant reports can be downloaded from:

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We rated the practice as outstanding for providing responsive services because:

• Services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care.
• There were innovative approaches to providing integrated person-centred care.
• The practice had identified areas where there were gaps in provision locally and had taken steps to address them.

We found that the practice was outstanding for its treatment of people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia). It was rated as good for its treatment of all older people, people with long-term conditions, families, children and young people and working age people (including those recently retired and students).

We have rated this practice as good overall and good for providing safe, effective, caring responsive and well led services.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

The practice should continue to review ways to improve uptake of childhood immunisations and cervical screening.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care.

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dysart Surgery on 10 February 2015.

Overall the practice is rated as Outstanding. Specifically we found the practice to be outstanding for providing effective, caring and responsive services. We found the practice to be good for providing safe and well led services.

We found the practice to be Outstanding for providing services to the population groups of older people, people with long term conditions, people whose circumstances may make them vulnerable, and families, children and young people. We found the practice to be good at providing services for Working age people (including those recently retired and students) and People experiencing poor mental health (including people with dementia).

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from incidents were maximised.
• The practice used innovative and proactive methods to improve patient outcomes
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the Patient Participation Group (PPG).
• The practice had good facilities and was well equipped to treat patients and meet their needs. Information about how to complain was available and easy to understand
• The practice has been a training practice for over 30 years, and maintained a vision to deliver high quality care and promote good outcomes for patients.

We found the following areas of outstanding practice:

• We found Dysart Surgery to be particularly responsive to the needs of its patients. It acted on suggestions for improvements and changed the way it delivered services in response to improvement opportunities and feedback from its patients. In particular they had introduced Saturday morning nurse appointments to improve cervical screening uptake, they had made changes to the premises to improve privacy in the reception area, and they had further publicised the range of practice and online services they had available.

• We found the practice to be outstanding at providing services to the population groups of older people, people with long term conditions, people whose circumstances may make them vulnerable, and families, children and young people. Examples of what made the care outstanding for these groups included that all patients in the practice had a named GP, which meant they were supported to receive continuity in their care; the practice participated in projects such as the Happiness project and the Carers project to address isolation and support needs among vulnerable groups; the practice consistently delivered high performance under QOF with particularly low exception reporting when compared with local and national performance.

• The practice was engaged with the local community and presented health promotion sessions at local schools, and offered a special rapid access service to young people referred from a local agency offering free therapeutic support to young people between the ages of 0 -18 years.

• The practice was led by a dedicated and stable leadership team, many of whom had trained in the practice themselves.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice