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Inspection Summary

Overall summary & rating


Updated 27 June 2019

We carried out an announced comprehensive inspection at Pilning Surgery on 16 April 2019 as part of our inspection programme. This was the first inspection of this location.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups, apart from people with long term conditions which we rated as requires improvement.

We found that:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.
  • There was a programme of annual reviews of patients with long term conditions, mental health needs and dementia.
  • The practice had achieved a gold award from The carer’s trust for their work with carers and successfully making the practice dementia friendly.
  • The practice identified military veterans in line with the Armed Forces Covenant 2014. This enabled priority access to secondary care to be provided to those patients with conditions arising from their service to their country.

Although there were no breaches of regulations, the practice should:

  • Continue to review and monitor cervical cancer screening uptake, in line with the national target of 80% of women eligible for cervical cancer screening.
  • Continue to review and monitor the higher than average exception reporting rates in the quality outcomes framework (QOF) for patients with long term conditions.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas










Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable