Updated 9 February 2026
Date of Assessment: 28 May 2026 to 3 June 2026. Elm Hayes Surgery is a GP practice and delivers service to approximately 8,900 people under a contract held with NHS England. The National General Practice Profiles states that demographics are in line with local and national averages. Information published by Office for Health Improvement and Disparities shows that deprivation within the service population group is in the 10 decile (10 of 10). The lower the decile, the more deprived the service 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.
This assessment covered 3 quality statements within the Safe and Well-led key questions to follow up on a previous breach of regulation from our assessment in July 2025. Since our last assessment, the service had made improvements and is no longer in breach of the legal regulation relating to good governance. The service had implemented a series of actions to address concerns relating to clinical supervision, infection prevention and control processes, and overall governance arrangements. This included strengthening external cleaning arrangements and scheduling regular staff supervisions.