Intelligent Monitoring Report
Constable Country Rural Medical Practice
Constable Country Medical Practice
Heath Road, East Bergholt
Colchester
Essex
CO7 6RT
December 2014

Constable Country Rural Medical Practice 1-557474454
Intelligent Monitoring (IM) Report: December 2014
Intelligent Monitoring Report December 2014Page 2 of 6
GP IM is an initial list of 37 indicators that currently cover three of our five key questions – Effective, Responsive and Caring. The indicators
used in IM are already included within the location data packs that you can access pre inspection. As with the approach followed in the
Hospitals sector the tool draws on existing and established national data sources (e.g. QOF, GP Patient Survey), and each GP practice has
been categorised into one of six priority bands for inspection, with Band 1 representing the highest priority.
This report presents CQCs view of the IM indicators for Constable Country Rural Medical Practice.  The IM methodology identifies indicator
scores that are significantly worse than the expected value, which is usually defined as the national average. Indicators are flagged as
showing ‘no evidence of risk’, ‘risk’ or ‘elevated risk’ depending on the difference between the indicator score and the expected value. This
terminology may change for future releases, given the differences between Primary and Secondary Care, and that practices generally
perform well in QOF / GPPS data.  An overall score for each practice is calculated, based on the proportion of their indicators that are a risk
or elevated risk, and this is used to allocate the practice to a priority band.
The bandings help to inform:
·scheduling decisions
·identify potential risks
·key lines of enquiry
We have published a document setting out the definition and full methodology for each indicator, a paper on the statistical methodology and
a Frequently Asked Questions document.  If, after consulting these documents, you have any further queries or need more information
please email enquiries@cqc.org.uk putting the phrase “GP IM Query” in the subject line.

Constable Country Rural Medical Practice 1-557474454
Practice Summary
Intelligent Monitoring Report December 2014Page 3 of 6
Count of ‘Risks and Elevated risks’
0 1 2 3 4 5 6 7 8 9 10
Risks
Elevated
risks
Priority banding for Inspection Band 1
Number of ‘Risks’ 5
Number of ‘Elevated Risks’ 4
Number of ‘No evidence of risks’ 28
Overall Risk Score 13
Number of Applicable Indicators 37
Percentage Score 17.6%
Maximum Possible Risk Score 74
Elevated risk
The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive, agreed care plan documented in the record, in the preceding 12
months (01/04/2013 to 31/03/2014)
Elevated riskThe percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of alcohol consumption in the preceding 12 months (01/04/2013 to 31/03/2014)
Elevated riskThe percentage of patients diagnosed with dementia whose care has been reviewed in a face-to-face review in the preceding 12 months (01/04/2013 to 31/03/2014)
Elevated riskThe proportion of respondents to the GP patient survey who described the overall experience of their GP surgery as fairly good or very good. (01/07/2013 to 31/03/2014)
Risk The percentage of patients aged 75 or over with a fragility fracture on or after 1 April 2012, who are currently treated with an appropriate bone-sparing agent (01/04/2013 to 31/03/2014)
Risk The proportion of respondents to the GP patient survey who stated that they always or almost always see or speak to the GP they prefer. (01/07/2013 to 31/03/2014)
Risk
The proportion of respondents to the GP patient survey who stated that the last time they saw or spoke to a GP, the GP was good or very good at treating them with care and concern.
(01/07/2013 to 31/03/2014)
Risk The percentage of patients who gave a positive answer to ‘Generally, how easy is it to get through to someone at your GP surgery on the phone?’. (01/07/2013 to 31/03/2014)
Risk The percentage of patients who were ‘Very satisfied’ or ‘Fairly satisfied’ with their GP practice opening hours. (01/07/2013 to 31/03/2014)

Constable Country Rural Medical Practice 1-557474454
Tier One Indicators
Domain ID: Indicator description (time period) Numerator Denominator Observed Expected CQC risk
Intelligent Monitoring Report December 2014Page 4 of 6
Effective
GPHLIAC01: The number of Emergency Admissions for 19 Ambulatory
Care Sensitive Conditions per 1,000 population. (01/04/13 to 31/03/14)
139 10.99 12.65 13.63
No evidence of
risk
GPHLIAP: Number of antibacterial prescription items prescribed per
Specific Therapeutic group Age-sex Related Prescribing Unit (STAR
PU). (01/04/13 to 31/03/14)
6649 25924 0.26 0.28
No evidence of
risk
GPHLICH01: The ratio of expected to reported prevalence of Coronary
Heart Disease (CHD). (01/04/13 to 31/03/14)
473 498.66 0.95 0.72
No evidence of
risk
GPHLICPD: Ratio of reported versus expected prevalence for Chronic
Obstructive Pulmonary Disease (COPD) (01/04/13 to 31/03/14)
164 249.81 0.66 0.61
No evidence of
risk
GPHLICQI: Percentage of Cephalosporins & Quinolones Items as a
proportion of antibiotic items prescribed. (01/04/13 to 31/03/14)
297 6613 0.04 0.06
No evidence of
risk
GPHLIEC01: Emergency cancer admissions per 100 patients on
disease register. (01/04/13 to 31/03/14)
25 2.71 9.23 7.45
No evidence of
risk
GPHLIFV01: The percentage of patients aged over 6 months to under
65 years in the defined influenza clinical risk groups that received the
seasonal influenza vaccination. (01/01/13 to 31/12/13)
674 1221 0.55 0.52
No evidence of
risk
GPHLIFV02: The percentage of patients aged 65 and older who have
received a seasonal flu vaccination. (01/09/12 to 28/02/13)
2182 2913 0.75 0.73
No evidence of
risk
GPHLIHP: Average daily quantity of Hypnotics prescribed per Specific
Therapeutic group Age-sex Related Prescribing Unit (STAR PU).
(01/10/13 to 30/06/14)
7107 108609 0.07 0.28
No evidence of
risk
GPHLIINI: Number of Ibuprofen and Naproxen Items prescribed as a
percentage of all Non-Steroidal Anti-Inflammatory drugs Items
prescribed. (01/04/13 to 31/03/14)
2155 2868 0.75 0.71
No evidence of
risk
GPOSDD01: Dementia diagnosis rate adjusted by the number of
patients in residential care homes. (01/04/13 to 31/03/14)
71 138.4 0.51 0.54
No evidence of
risk
QOFGP102: The percentage of patients with diabetes, on the register,
in whom the last IFCC-HbA1c is 64 mmol/mol or less in the preceding
12 months (01/04/13 to 31/03/14)
356 505 0.7 0.78
No evidence of
risk
QOFGP104: The percentage of patients with diabetes, on the register,
with a record of a foot examination and risk classification 1-4 within the
preceding 12 months (01/04/13 to 31/03/14)
423 511 0.83 0.88
No evidence of
risk
QOFGP106: The percentage of patients with diabetes, on the register,
in whom the last blood pressure reading (measured in the preceding 12
months) is 140/80 mmHg or less (01/04/13 to 31/03/14)
356 514 0.69 0.79
No evidence of
risk
QOFGP110: The percentage of patients with schizophrenia, bipolar
affective disorder and other psychoses who have a comprehensive,
agreed care plan documented in the record, in the preceding 12 months
(01/04/13 to 31/03/14)
13 40 0.32 0.86 Elevated risk

Constable Country Rural Medical Practice 1-557474454
Tier One Indicators
Domain ID: Indicator description (time period) Numerator Denominator Observed Expected CQC risk
Intelligent Monitoring Report December 2014Page 5 of 6
QOFGP111: The percentage of patients with schizophrenia, bipolar
affective disorder and other psychoses who have a record of alcohol
consumption in the preceding 12 months (01/04/13 to 31/03/14)
17 39 0.44 0.89 Elevated risk
QOFGP150: The percentage of patients with atrial fibrillation, measured
within the last 12 months, who are currently treated with anti-coagulation
drug therapy or an anti-platelet therapy (01/04/13 to 31/03/14)
23 24 0.96 0.98
No evidence of
risk
QOFGP155: The percentage of patients with hypertension in whom the
last blood pressure reading measured in the preceding 9 months is
150/90mmHg or less (01/04/13 to 31/03/14)
1401 1738 0.81 0.83
No evidence of
risk
QOFGP162: The percentage of patients with physical and/or mental
health conditions whose notes record smoking status in the preceding
12 months (01/04/13 to 31/03/14)
2692 2823 0.95 0.95
No evidence of
risk
QOFGP178: The percentage of patients aged 75 or over with a fragility
fracture on or after 1 April 2012, who are currently treated with an
appropriate bone-sparing agent (01/04/13 to 31/03/14)
7 15 0.47 0.81 Risk
QOFGP182: The percentage of women aged 25 or over and who have
not attained the age of 65 whose notes record that a cervical screening
test has been performed in the preceding 5 years (01/04/13 to 31/03/14)
1938 2413 0.8 0.82
No evidence of
risk
QOFGP27: The percentage of patients diagnosed with dementia whose
care has been reviewed in a face-to-face review in the preceding 12
months (01/04/13 to 31/03/14)
33 64 0.52 0.84 Elevated risk
QOFGP33: The percentage of patients with diabetes, on the register,
who have a record of an albumin:creatinine ratio test in the preceding 12
months (01/04/13 to 31/03/14)
392 514 0.76 0.86
No evidence of
risk
QOFGP35: The percentage of patients with diabetes, on the register,
whose last measured total cholesterol (measured within the preceding
12 months) is 5 mmol/l or less (01/04/13 to 31/03/14)
376 494 0.76 0.82
No evidence of
risk
QOFGP36: The percentage of patients with diabetes, on the register,
who have had influenza immunisation in the preceding 1 September to
31 March (01/04/13 to 31/03/14)
403 457 0.88 0.93
No evidence of
risk
QOFGP51: The contractor establishes and maintains a register of
patients aged 18 or over with learning disabilities (01/04/13 to 31/03/14)
– – Yes –
No evidence of
risk
QOFGP54: The contractor establishes and maintains a register of all
patients in need of palliative care/support irrespective of age (01/04/13
to 31/03/14)
– – Yes –
No evidence of
risk
QOFGP55: The contractor has regular (at least 3 monthly)
multidisciplinary case review meetings where all patients on the
palliative care register are discussed (01/04/13 to 31/03/14)
– – Yes –
No evidence of
risk

Constable Country Rural Medical Practice 1-557474454
Tier One Indicators
Domain ID: Indicator description (time period) Numerator Denominator Observed Expected CQC risk
Intelligent Monitoring Report December 2014Page 6 of 6
Caring
GPPS003: The proportion of respondents to the GP patient survey who
stated that in the reception area other patients can’t overhear (01/07/13
to 31/03/14)
5.94 176.28 0.03 0.09
No evidence of
risk
GPPS004: The proportion of respondents to the GP patient survey who
stated that they always or almost always see or speak to the GP they
prefer. (01/07/13 to 31/03/14)
14.45 112.39 0.13 0.38 Risk
GPPS014: The proportion of respondents to the GP patient survey who
stated that the last time they saw or spoke to a GP, the GP was good or
very good at involving them in decisions about their care (01/07/13 to
31/03/14)
116.85 164.33 0.71 0.82
No evidence of
risk
GPPS015: The proportion of respondents to the GP patient survey who
stated that the last time they saw or spoke to a GP, the GP was good or
very good at treating them with care and concern. (01/07/13 to 31/03/14)
126.44 175.74 0.72 0.85 Risk
GPPS020: The proportion of respondents to the GP patient survey who
stated that the last time they saw or spoke to a nurse, the nurse good or
very good at involving them in decisions about their care (01/07/13 to
31/03/14)
127.05 152.75 0.83 0.85
No evidence of
risk
GPPS021: The proportion of respondents to the GP patient survey who
stated that the last time they saw or spoke to a nurse, the nurse was
good or very good at treating them with care and concern.. (01/07/13 to
31/03/14)
157.7 171.9 0.92 0.9
No evidence of
risk
GPPS025: The proportion of respondents to the GP patient survey who
described the overall experience of their GP surgery as fairly good or
very good. (01/07/13 to 31/03/14)
109.17 187.16 0.58 0.86 Elevated risk
Responsive
GPPS001: The percentage of patients who gave a positive answer to
‘Generally, how easy is it to get through to someone at your GP surgery
on the phone?’. (01/07/13 to 31/03/14)
72.17 184.43 0.39 0.75 Risk
GPPS023: The percentage of patients who were ‘Very satisfied’ or
‘Fairly satisfied’ with their GP practice opening hours. (01/07/13 to
31/03/14)
106.72 174.48 0.61 0.8 Risk