The Boat House Surgery Also known as Pangbourne Medical Practice

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

There was a clear vision and strategy, which considered the needs of the people who used the service and the wider community. Staff understood their individual roles and responsibilities. Although some governance processes required strengthening, the overall leadership and management of the practice demonstrated a commitment to providing high quality care through effective governance.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The practice had a shared vision, strategy and culture. Staff and leaders understood the challenges and the needs of people and their communities. The practice was committed in providing as many services as possible within primary care, reducing unnecessary referrals and ensuring patients received care from clinicians who knew them well. For example, the practice provided additional nursing clinics when demand increased. This improved continuity of care and, enabled better oversight of patients ongoing clinical needs.

Staff and leaders actively promoted equality and diversity and worked to identify the causes of any workforce inequalities.

There was a strong culture of continuous learning and professional development. As an established undergraduate teaching practice and GP Registrar training site, the practice actively supported the development of future healthcare professionals.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The practice had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support.

All staff we spoke with were clear on their individual roles and responsibilities. Leaders proactively supported staff and regularly met with them to complete appraisals.

The provider had established governance processes in relation to the quality statements we reviewed during this assessment, which were appropriate for their service. Staff could access all required policies and procedures, which were kept up to date and reflected latest guidance. Staff were supported to develop specialist interests and clinical skills. This enabled patients to access a broad range of expertise within the practice.

Patients gave positive feedback about the whole practice team, including GPs, nurses, healthcare assistants, pharmacists, paramedics, reception staff and administrators.

We noted that the practice worked collaboratively with external partners, including the Integrated Care Board, local authorities, and other Primary Care Network colleagues to improve the population health and increase access to preventive healthcare. For example, the practice was part of the 2025 West Berkshire Woman Health Hub pilot and accepted referrals from neighbouring practices, contributing to the development of a new menopause pathway. Following the success of the pilot, funding was secured to establish a permanent service, and the practice submitted an expression of interest to become a Women’s heath hub.

We observed that systems for the secure management of prescription stationery required strengthening. The provider took immediate action to address this following the site visit by implementing improved monitoring and ensuring prescription stationery was stored securely and tracked appropriately.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.