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Levels of ratings: GP practices
For all inspections of GP practices from April 2018, we will only rate the six population groups against the effective and responsive key questions, and will aggregate these to an overall rating for each population group.
We will not give a rating for the safe, caring and well-led key questions for the population groups. We will continue to give a rating for each of the five key questions and an overall rating for the practice.
This means that after we inspect your practice, your new ratings will not include all previous ratings for the population groups for the safe, caring and well-led key questions.
For each GP practice that we inspect, we will rate at four levels.
Level 1: Rate every population group for the effective and responsive key questions.
Inspectors will consider both:
- evidence that relates to individual population groups, and
- practice-level evidence that relates to all people using the service.
Considering the impact of practice-level evidence on the six population groups together with evidence about a specific population group provides the basis for the ratings at this level. If there is evidence that is specific to a particular population group, it may mean that we award different ratings for different population groups for the effective and responsive key questions and overall.
Level 2: An aggregated rating for each population group. This is aggregated from the two ratings at Level 1 for effective and responsive for each population group.
Level 3: A rating for each key question. For the effective and responsive key questions, this is aggregated from the ratings at Level 1. For the safe, caring and well-led key questions, there are no Level 1 ratings, so the rating is based on the evidence we have for the practice as a whole.
Level 4: An aggregated overall rating for the practice as a whole.
The following example shows how the four levels work together.
Sometimes, we won’t be able to award a rating. This could be because:
- the service is new
- we don’t have enough evidence
- the service has recently been reconfigured, such as being taken over by a new provider
In these cases, we will use the term ‘inspected but not rated’.
We may also suspend a rating at any level. For example, we may have identified significant concerns which, after reviewing but before a full assessment, lead us to re-consider our previous rating. In this case, we would suspend our rating and then investigate the concerns.
- Last updated:
- 22 November 2018