Our current view of the service
Updated
4 December 2025
Date of assessment: 13-23 January 2026
Larksfield Surgery Medical Partnership is a GP practice delivering services to about 19,300 patients under a contract held with NHS England.
The practice operates from 2 sites:
• Larksfield Surgery, a purpose-built GP practice in Stotfold, Hertfordshire is the main site.
• Arlesey Medical Centre is a branch site and is located within a community building in Arlesey, Hertfordshire.
The practice is situated within the Bedfordshire, Luton and Milton Keynes Integrated Care Board (ICB).
Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is 10 out of 10, indicating the practice population is less deprived relative to others.
According to the latest available data, the ethnic make-up of the practice area is 91% White, 4% Asian, 3% mixed, 2% Black, and 1% Other.
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 carried out this assessment in response to concerns and risk we identified through our ongoing monitoring of the service and to follow-up on breaches of regulation identified at our last inspection of the service in 2024.
We have asked the provider for an action plan and served a warning notice due to breaches of regulation in relation to safe care and treatment, and good governance.
This service is being placed in special measures. Special measures provide a framework to help a service make the significant improvements needed when a provider must improve the quality of care they provide in order to meet the fundamental standards of care.
People's experience of the service
Updated
4 December 2025
The GP Patient Survey is an independent national survey that tells us how people feel about their GP practice. The findings of the most recent survey, the 2025 survey, showed fewer people were positive about their overall experiences of the practice than the local and national averages.However, these survey results reflect how people felt about the practice before the practice had launched a new ‘Total Triage’ system in October 2025.
Compared to local and national averages, fewer people were positive about access to the service, felt healthcare professionals listened to them, and felt they had confidence and trust in the healthcare professional they saw or spoke to. Fewer people felt staff involved them as much as they wanted to be in decisions about their care and treatment than the national average.
However, the survey also showed people felt the healthcare professional they saw was very good or fairly good at treating them with care and concern, which was in line with local and national averages.
We received mixed feedback from people who used the service. Examples were:
• People felt there were delays in responding to requests, acting on abnormal test results, sending referrals, and processing information coming into the practice.
• People were negative about the attitude of some clinical and non-clinical staff, describing staff as rude and unhelpful.
• People felt the practice was slow to manage complaints or that complaints ‘got lost’.
The practice had a Patient Participation Group (PPG). The PPG and practice leaders told us they felt working relationships between the PPG and the practice were improving.
The PPG had carried out a patient survey during the summer of 2025. The PPG had compared the responses with the findings from a similar survey carried out by the PPG in 2024.
Although comparison between the surveys is limited because of differences in the survey approach, the analysis completed by the PPG showed patients gave similar common suggestions for improvement, such as better communication with practice staff and better consistency and continuity of care. People said they continued to find booking appointments difficult, particularly if they wished to pre-book. However, the analysis also showed fewer people said they had needed to use alternative services because they could not get an appointment at the practice.
The survey was carried out just before a new ‘Total Triage’ system was launched at the practice. The PPG told us they felt that feedback from patients since the launch of the new system was more positive.