Updated 16 September 2025
Date of Assessment: 3 October to 17 October 2025. Pembroke House Surgery is a GP practice that delivers service to approximately 25,500 people under a contract held with NHS England. The service had a branch site named Parkhill Surgery. The National General Practice Profiles states that 96.3% are White, 1.5% are Asian, 1.4% are mixed and 0.8% are of other ethnicities. The service has a higher proportion of older people compared with the national distribution. Information published by the Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 5th decile (5 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.
We assessed all quality statements across the safe, effective, caring, responsive and well-led key questions. At this assessment, we found the service understood their patient population and were passionate about providing safe and effective care. The service worked collaboratively with partners to deliver the best possible care. The service had a strong focus on continuous learning, innovation and improvement across the organisation. Although we identified gaps in recruitment practice, training monitoring and findings from remote clinical searches, the service immediately developed action plans to address them. However, the processes needed time to be embedded into the system.