Updated 9 January 2026
Date of Assessment: 18 March 2026. Little London Surgery is a GP practice and delivers service to 9546 patients under a contract held with NHS England. The National General Practice Profiles states that 50.7% of patients are Asian, 35.2% are White, 6.7% are Black, 3.9% are other, and 3.4% are mixed. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 1st decile (1 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 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 service had a good learning culture and people could raise concerns. Incidents were investigated by managers and any learning shared with staff. People were protected and kept safe. Staff understood and managed risks. We saw that equipment was maintained and any potential risks reduced. There were enough staff with the right skills and experience. Managers ensured staff received training and regular appraisals to maintain a high standard of care. Medicines were managed well and where there were changes to people’s medicines they were involved.
EFFECTIVE: People were involved in the assessments of their needs. Reviews took account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff ensured people understood their care and treatment to enable them to give informed consent. Staff involved those important to people, so where people did not have capacity decisions would be made in their best interests.
CARING: People’s privacy and dignity were protected and staff treated people with kindness and compassion, ensuring their preferences were met. People’s choices were respected when during any care and treatment. The service supported staff wellbeing.
RESPONSIVE: People were involved in decisions about their care. The service provided information that people could understand. People knew how to give feedback and the provider acted on any feedback they received. The service was easy to access and worked to eliminate discrimination. The service worked to reduce health and care inequalities through the training staff received and any feedback patients shared. People were involved in planning their care and the service ensured people had the appropriate information to understand their 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 told us they felt supported to give feedback and were treated equally, free from bullying or harassment. Staff had a good understanding of their roles and responsibilities. Managers and staff worked within the community to ensure the best possible care to people and were receptive to ideas. There was a culture of continuous improvement.