- GP practice
Elm Hayes Surgery
Assessment report published 25 June 2026
Contents
Ratings
Our view of the service
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.
People's experience of this service
People were overall positive about the quality of their care and treatment. Recent survey results, including from the 2025 National GP Patient Survey and the NHS Friends and Family Test, showed people were satisfied with services. There was an active patient participation group (PPG) who represented the views of people using the service. Representatives from the PPG provided an update of their involvement in the service, as set out on their website and highlighted improvements they had helped to implement. This included the launch of ‘Talking Tables’, which provided a space for people using the service to connect and helped raise awareness of the PPG and its ongoing work.