- GP practice
Holly Tree Surgery
Assessment report published 2 September 2026
Contents
Ratings
Our view of the service
Date of Assessment: 15 July 2026. Holly Tree Surgery is a GP practice and delivers services to approximately 6,060 people under a contract held with NHS England. According to the latest available data, the ethnic make-up of the service area is approximately 93.8% White, 2.9% Asian, 2.2% Mixed, 0.7% Black and 0.5% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 10th decile (10 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.
Systems and processes related to the safe recruitment of staff, infection prevention and control and safe environments were not always effective and required strengthening and improvement because they did not always follow national guidance or best practice. Not all staff were up to date with their mandatory training. However, there were enough staff with the right skills, qualifications and experience. Facilities were kept clean and staff maintained equipment appropriately to ensure people were kept safe.
Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes. The service’s childhood immunisation results were above the national target for all 5 indicators.
Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity. Feedback from people using the service was generally very positive about how they were treated, listened to and consulted with.
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. This included making changes in response to feedback from people such as the location where extended access appointments were delivered from.
The service did not have clear and effective governance processes related to the assessment and management of risk and performance within the service. Although we found the service was developing a vision and strategy which considered the needs of the people who used their service and the wider community after the formation of a new partnership. Staff understood their individual roles and responsibilities. Leaders accounted for the actions, behaviours and performance of staff through clear and effective governance processes.
We found 1 breach of regulation in relation to good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
As part of our assessment, we reviewed feedback from people who used the service to understand their views and experience of the service. This included speaking with people using the service at the time of our assessment and reviewing other feedback available to us. People we spoke with were positive about the quality of their care and treatment. They described how staff treated them with kindness and compassion and respected their privacy. This was mirrored in the results of recent surveys, including the 2025 National GP Patient Survey (GPPS), which showed people’s experiences of care from the service was close to or above the national averages. During the assessment the results of the 2026 GPPS were published which showed this level of satisfaction had continued with very similar results achieved.
There was a patient participation group (PPG) who represented the views of people using the service. We spoke with a representative from the PPG who described how the new partnership was very approachable, positive and open to receiving feedback. There was an ambition to increase the membership of the PPG and to make it more representative of people using the service.