Updated 5 September 2025
Date of Assessment: 30 October 2025 to 13 November 2025. Drs Sells and Dr Kyaw (also known as Lyngford Park Surgery) is a GP practice and delivers service to approximately 6,300 people under a contract held with NHS England. The National General Practice Profiles states that 94.8% are White, 2.3% are Asian, 1.6% are Mixed, 1.3% are of other ethnicities. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 4th 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 service regularly reviewed, analysed and learnt from events and incidents. The service had clear systems and processes to keep people safe and safeguarded from abuse.Staff understood and managed risks. The facilities and equipment met the needs of people and were visually clean and well-maintained. Managers made sure staff received training and regular appraisals to maintain high-quality care. There were systems and processes to monitor people’s prescribed medicines that required additional monitoring.
Staff involved people in decisions about their care and treatment and provided them with advice and support. Staff regularly reviewed people’s care and worked with other services to meet their needs.
The service involved people in decision and treated them with compassion, kindness, dignity and respect. Staff protected their privacy and dignity. They treated people as individuals and supported their preferences. People had choices in their care and treatment. The service supported staff wellbeing.
People were involved in decisions about their care. The service understood its patient population. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and requests for appointments were allocated based on clinical needs. People received fair and equal care and treatment. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
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. The service had effective governance processes, which supported the safe delivery of care. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. Managers worked with partners to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.