- GP practice
Pendeen Surgery
Report from 17 June 2025 assessment
Contents
Ratings
Our view of the service
Date of Assessment: 14-17 July 2025. Pendeen Surgery is a GP practice located in Ross on Wye, Herefordshire. Pendeen Surgery delivers services to around 8,900 patients under a contract held with NHS England. The provider is registered with CQC to deliver the following Regulated Activities: Diagnostic and screening procedures; Family planning; Maternity and midwifery services; Treatment of disease, disorder or injury; and Surgical procedures. We inspected and rated this service under our previous methodology in August 2016. The practice was rated Good overall and in all key questions. This assessment was carried out to assess the quality of services being delivered due to the length of time since the previous assessment. The practice has been rated Outstanding overall. The key questions of Safe, Effective, and Well-led have been rated Good. The Responsive and Caring key questions have been rated as Outstanding.
The National General Practice Profiles states that the ethnic make-up of the practice area was 98% White, 0.8% Mixed Ethnicities, 0.5% Asian, 0.4% Black and 0.3% Other Ethnicities. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 7th decile (7 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.
People's experience of this service
The practice pro-actively encouraged people to give feedback and used feedback from people who used the service to make improvements. Feedback we reviewed, such as data shared from the NHS ‘Friends and Family Test’ showed that the vast majority of patient experience about the practice was positive.
The results of the National GP Patient Survey exceeded local and national averages for the majority of questions. In particular, 87% of patients described their experience of contacting Pendeen Surgery as ‘Good’ which was above the local average of 77% and the national average of 70%. 95% of patients reported the healthcare professional they saw or spoke to was good at treating them with care and concern during their last general practice appointment, which was above the local average of 88% and the national average of 86%. 97% of patients reported the healthcare professional they saw or spoke to was good at listening to them during their last general practice appointment. 97% of patients found the reception and administrative team at Pendeen Surgery helpful which was above the local average of 88% and the national average of 83%.
There was an active patient participation group (PPG) who worked in partnership with the practice to drive improvements. The PPG acted as a conduit between the local community and practice.