Evidence summary log for population groups

The evidence summary log uses evidence from pre inspection and site visit evidence templates. The log can be used for report planning and writing.

Population group / How the practice provides specific support and evidence (examples in brackets)
Older people
All people in the practice population who are aged 75 and over. This includes those who have good health and those who may have one or more long-term conditions, both physical and mental / (Uptake of flu immunisation numbers)
People with long term conditions
People with long term conditions are those with on-going health problems that cannot be cured. These problems can be managed with medication and other therapies. Examples of long term conditions are diabetes, dementia, CVD, musculoskeletal conditions and COPD (this list is not exhaustive) / (Regular reviews, diabetes/asthma)
Mothers, children, young people
This group includes mothers, babies, children and young people. For mothers, this will include pre-natal care and advice. For children and young people we will use the legal definition of a child, which includes young people up to the age of 19 years old / (Uptake cervical smears, child immunisations)
Working age people and recently retired
This group includes people above the age of 19 and those up to the age of 74. We have included people aged between 16 and 19 in the children group, rather than in the working age category. / (Travel advice)
People in vulnerable circumstances
There are a number of different groups of people included here. These are people who live in particular circumstances which make them vulnerable and may also make it harder for them to access primary care. This includes gypsies, travellers, homeless people, vulnerable migrants, sex workers, people with learning disabilities (this is not an exhaustive list) / (Number of people on learning disabilities register who have had a health check)
People with mental health conditions
This group includes those across the spectrum of people experiencing poor mental health. This may range from depression including post natal depression to severe mental illnesses such as schizophrenia. / (Counselling services)

Evidence summary log for key lines of enquiry

The evidence summary log uses evidence from pre inspection and site visit evidence templates. The log can be used for report planning and writing.

LOCATION:

DATE:

Key question SAFE / Evidence found / Impact assessment/-follow up evidence required / Conclusion
REPORT HEADING
Safe track record
<Please describe evidence obtained for KLOE S1> Learning and improvement from safety incidents
Please describe evidence obtained for KLOE S2>
Reliable safety systems and processes including safeguarding
Medicines management
Cleanliness and infection control
Please describe evidence obtained for KLOE S3>
Equipment
Please describe evidence obtained for KLOE S3>
Staffing and recruitment
Please describe evidence obtained for KLOE S4>
Monitoring safety and responding to risk
Please describe evidence obtained for KLOE S4>
Arrangements to deal with emergencies and major incidents
Please describe evidence obtained for KLOE S5>
Key question EFFECTIVE / EVIDENCE / Impact assessment/-follow up evidence required / Conclusion
REPORT HEADING
Effective needs assessment
Please describe evidence obtained for KLOE E1>
Management, monitoring and improving outcomes for people
Please describe evidence obtained for KLOE E2>
Effective staffing
Please describe evidence obtained for KLOE E3>
Key question EFFECTIVE / EVIDENCE / Impact assessment/-follow up evidence required / Conclusion
REPORT HEADING
Working with colleagues and other services
Please describe evidence obtained for KLOE E4>
Information sharing
Please describe evidence obtained for KLOE E5>
Consent to care and treatment
Please describe evidence obtained for KLOE E6>
Health promotion and prevention
Please describe evidence obtained for KLOE E7>
Key question CARING / EVIDENCE / Impact assessment/-follow up evidence required / Conclusion
REPORT HEADING
Respect, dignity, compassion and empathy
Please describe evidence obtained for KLOEs C1,2 & C3>
Care planning and involvement in decisions about care and treatment
Please describe evidence obtained for KLOE C2>
Patient/carer support to cope emotionally with care and treatment
Please describe evidence obtained for KLOE C3>
Key question RESPONSIVE / EVIDENCE / Impact assessment/-follow up evidence required / Conclusion
REPORT HEADING
Responding to and meeting people’s needs
Please describe evidence obtained for KLOE R1>
Tackling inequity and promoting equality
Please describe evidence obtained for KLOE R2>
Access to the service
Please describe evidence obtained for KLOE R3>
Listening and learning from concerns and complaints
Please describe evidence obtained for KLOE R4>
Key question WELL LED / EVIDENCE / Impact assessment/-follow up evidence required / Conclusion
REPORT HEADING
Vision and strategy
<Please describe evidence obtained for KLOE W1>
Governance arrangements
<Please describe evidence obtained for KLOE W2>
Leadership, openness and transparency
<Please describe evidence obtained for KLOE W3>
Practice seeks and acts on feedback from its patients, the public and staff
<Please describe evidence obtained for KLOE W4>
Management lead through learning and improvement
<Please describe evidence obtained for KLOE W5>