Updated 14 May 2026
Date of Assessment: 28.05.2026 Westgate Surgery is a GP service and delivers services to approximately 6000 people under a contract held with NHS England. According to the latest available data, the ethnic make-up of the service area is approximately 96.3% White, 1.5% Asian, 1.5% Mixed, 0.4% Black and 0.3% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 9th decile (9 of 10). The lower the decile, the more deprived the service population is relative to others.
This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements from across all 5 key questions. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
The service managed the risk of infection well, and took steps to control the risk of it spreading. Audits were completed and improvements actioned in a timely manner. Maintenance, safety checks, and risk assessments were comprehensive and regularly reviewed. Staffing levels were appropriate, supported by safe recruitment, supervision, and ongoing training.
The service effectively supported people to live healthier lives through proactive prevention and personalised support. Systems were in place to identify and support people with additional needs, including carers and individuals with learning disabilities. Health promotion activities aligned with national priorities, and patients were supported with accessible information. The service monitored care and treatment to improve outcomes, with screening and most immunisation uptake in line with or above national averages. Evidence seen during the assessment demonstrated that the practice was the highest performing in the local area across cervical screening and key immunisation indicators.
The service demonstrated kindness, empathy and compassion, respecting people’s privacy and dignity. Clear arrangements protected confidentiality, including discrete reception and consultation areas. Patient experience exceeded National GP Patient Survey averages, and feedback confirmed people felt listened to and that staff made efforts to accommodate their needs wherever possible, consistently.
The service responded to people’s needs by offering multiple routes to access care, including extended access through the Primary Care Network (PCN), effective triage systems and a daily duty doctor. Staff understood local inequalities and tailored care through reasonable adjustments, longer appointments, interpretation and inclusive communication. Patient feedback was positive, with needs consistently met above local and national averages, and carers were actively identified and supported.
The service was well-led, demonstrating a clear vision and strong values focused on quality, safety and patient-centred care. Leaders fostered an open, supportive culture with effective communication and learning. Governance arrangements were well established, with clear roles, proactive risk management and regular review processes ensuring safe, sustainable and high-quality service delivery.