During an assessment under our new approach
Date of Assessment: 8 July 2026 to 15 July 2026. Dr John Segarajasinghe also known as Pine Street Medical Practice is a GP practice that delivers service to 2107 patients under a contract held with NHS England. The National General Practice Profiles states that according to the latest available data, the ethnic make-up of the practice area is approximately 59.67% White, 14.48% Asian, 6.52% Mixed, 11.73% Black and 7.61% Other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 4th decile (4 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the patient 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.
SAFE: The practice had a good learning culture and patients could raise concerns. Leaders investigated incidents thoroughly. Patients were protected and kept safe. Staff understood and managed risks. Leaders made sure staff received training and regular appraisals to maintain high-quality care.
We identified good practice in the management of long-term conditions and medication reviews. However, improvements were needed in the monitoring of some medicines requiring regular blood tests and medicines requiring gastric protection. The practice acknowledged these shortfalls and were able to give assurance that steps had been taken to rectify them.
EFFECTIVE: Patients were involved in assessments of their needs. Staff reviewed assessments taking account of patient’s communication, personal and health needs. Staff worked with all agencies involved in patient’s care for the best outcomes and smooth transitions when moving practices. Staff made sure patients understood their care and treatment to enable them to give informed consent.
CARING: Patients were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. Patients had choice in their care and treatment. The service supported staff wellbeing.
RESPONSIVE: Patients were involved in decisions about their care. The service provided information patients could understand. Patients knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. Patients received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. Patients were involved in planning their care and understood options around choosing to withdraw or not receive care.
WELL-LED: Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities.
We found some areas for improvement in relation to governance for example recruitment processes required strengthening.