Norfolk Primary Care Annual Quality Account 2025/2026 FINAL


Quality Account: Scope, Structure, and Overview of Key to Success
3

Norfolk Primary Care: Organisational Overview
6

Section 1: Statement from James Leeming, Chief Executive & Dr Peter Lawson, Chair
10

Section 2: An Overview of Norfolk Primary Care - Quality & Safety Performance in 2025/2026
13

2.1 Our Clinical Services – An overview of Norfolk Primary Care
14

2.2 Our Support Services
26

2.3 Norfolk Primary Care Events
32

Section 3: Clinical Quality & Safety Assurances
36

3.1 Data Security & Protection Toolkit (DSPT)
36

3.2 Infection Prevention and Control (IPAC)
36

3.3 Audit - Clinical and Administrative
37

3.4 Safeguarding
38

3.5 Incident Reporting and Learning
39

3.6 Central Alerts System: CAS Reporting
43

3.7 Management of National Institute for Health and Care Excellence (NICE) Guidance
43

3.8 Learning from Complaints & PALS Concerns
43

3.9 Service Feedback – Patient and Service Users Experience Survey and Appreciations
48

Section 4: Our Key Quality Improvement Priorities
58

4.1 Review of Key Priorities for Quality Improvements for 2025/26 – “We Did”
58

4.2 CQC “We” Statements – Evidence of Quality (2025/26)
61

4.3 Strategic Key Quality Improvement Priorities 2026/27
63

Acknowledgement
68

Annexe 1: Stakeholder Statement – Norfolk & Suffolk Integrated Care Board
69

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