During an assessment under our new approach
Date of Assessment: 23 July 2026. Kirkgate Surgery is a GP practice located at 3 Kirkgate, Birstall, Batley, WF17 9HE, the service delivers primary medical services to approximately 3,620 patients under a contract with NHS England. According to the latest available data, the ethnic makeup of the practice population is approximately 86.9% White, 9.6% Asian, 2.1% Mixed, 0.8% Black and 0.6% Other. Information published by the Office for Health Improvement and Disparities shows the level of deprivation within the practice population is in the 5th decile (1 to 10), where a lower decile indicates a more deprived population. This assessment considered the demographics of the people using the practice, the context in which the practice operates and how this impacts service delivery. Where relevant, further commentary is provided within the quality statements in this report.
This was a focused assessment undertaken due to the length of time since the practice's last assessment. We assessed 10 quality statements across all 5 key questions.
As a result of this assessment, we rated the practice as requires improvement for safe and well-led, and good for effective, caring and responsive. This gives the practice an overall rating of requires improvement.
The practice supported people to live healthier lives and monitored care and treatment to help achieve positive outcomes. Staff treated people with kindness, compassion and respect, and promoted people's privacy and dignity. People could access care, treatment and support through a range of appointment options, including home visits and enhanced access services, and staff considered the needs of people who may experience barriers to care. The practice had a clear vision and values, and staff spoke positively about the culture within the practice and the support they received from leaders.
However, we identified shortcomings in the management and oversight of environmental risks, infection prevention and control arrangements, staff records and compliance monitoring. Governance systems had not consistently ensured risks were identified, monitored and addressed, and leaders could not always demonstrate effective oversight of key safety and compliance information. We found breaches of Regulation 12 (Safe Care and Treatment) and Regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We have asked the provider to submit an action plan detailing how they will address the concerns identified during this assessment.