During an assessment under our new approach
Date of Assessment: 28 October and 6 November 2025. St John's Medical Centre is a GP practice and delivers a service to approximately 53,000 patients under a contract held with NHS England. The provider has five sites with one site used as the CQC registered location. The National General Practice Profiles states that the ethnic make-up of the practice area is 8% Asian, 58% White, 22% Black, 8% Mixed, and 4% Other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the fourth decile (4 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.
The facilities and equipment met the needs of people, were clean and well-maintained and any risks mitigated. Staff managed medicines well and involved people in planning any changes.
The service had undertaken work to ensure that they responded to people’s needs, and that they had choice and control relating to care options. They had also changed the appointments process and had recruited more clinical staff to improve equity in access and person-centred care. These changes were implemented after the last NHS National GP Patient Survey had taken place, so it was not clear at the time of the assessment whether or not patients felt that these changes provided them with a good level of service.
Leaders and staff had a shared vision and culture based on listening, learning and trust. Staff understood their roles and responsibilities.
We found breaches of regulation in relation to good governance, regulation 17 of the Health and Social Care Act 2008. We have asked the provider for an action plan in response to the concerns found at this assessment.