Updated 14 April 2026
Date of Assessment: 13 May 2026.
The Miller Practice is a general practice in Islington, which delivers services to approximately 9,200 patients under a contract held with NHS England. The practice is part of the Islington Central 2 Primary Care Network (PCN), working closely with 4 other local general practices. Islington is 1 of 5 boroughs covered by the North Central London Integrated Care System.
The Department of Health and Social Care National General Practice Profiles record that approximately 65% of the practice patients identify as White, with 35% identifying as being of Asian, Black, Mixed or Other ethnicities. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 6th decile (6th of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the practice, the context the practice was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
We last inspected and rated the practice under a previous methodology in July 2017. The overall rating for the practice was Good, as were the ratings for the five key questions, Safe, Effective, Caring, Responsive and Well-led.
We carried out this assessment using our new methodology as part of our Return to Good and Outstanding inspection programme, due to the length of time since our last assessment. The assessment focused on 10 of 34 quality statements covering the five 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.
We have again rated the overall practice and the five key questions as Good.
This assessment was included as part of a pilot which looked at new and innovative ways fulfilling CQC’s regulatory obligations. This was conducted with the consent of the practice and people we interviewed.
There were enough staff with the right skills, qualifications and experience. Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes. Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity. People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers. The practice had a clear vision and strategy, which considered the needs of the people who used their service and the wider community. Staff understood their individual roles and responsibilities. Leaders accounted for the actions, behaviours and performance of staff through clear and effective governance processes.
We noted some issues regarding the premises and aspects of Infection Prevention and Control matters, which we shall ask the practice to address in an action plan to effectively manage risks, pending a move to new premises.