Hersham Surgery

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We looked for evidence 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 achieve this.

At our last assessment, we rated this key question as good. At this assessment, the rating remains the same.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

The practice always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. The practice supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff focussed on identifying risks to people’s physical and mental health, and had implemented whole practice processes to provide intervention holistically. For example, staff had undertaken training to identify and support people at risk of suicide. This involved all staff groups understanding how best to raise the topic and arrange intervention. The practice received an award for this work which had been used to educate staff at other practices. Protocols created had also been adopted by other local healthcare providers.

The practice had identified the need to become a safe space for those experiencing, or at risk of domestic violence. Staff had been trained to understand the need for action at the point of disclosure and work had been undertaken to ensure continuity of care for those affected. The practice maintained an effective system of follow-up and worked with local services to safeguard individuals and families at risk.

The practice also managed health risks for those in the last 12 months of their lives and those with caring responsibilities. They had identified young carers in their patient population by working collaboratively with local schools. Staff could refer people to a health coach and to social prescribing services and the practice offered appointments for advice services with the Department of Work and Pensions and the Citizens Advice Bureau.

Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity. Leaders demonstrated their understanding of the central role the practice played in a small village and its responsibility to the health of the residents. The practice supported a local food bank and staff participated in Park Run to promote active lifestyles. Patients were encouraged to join them. We saw health promotion material and information about local health initiatives displayed at the practice, on the practice website and on the practice social media sites.

The practice routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive, consistent and met the expectations of people themselves.

A programme of audits and quality improvement activity was undertaken, tailored to the patient population and their health needs, to review the effectiveness and appropriateness of the care provided.

Quality improvement work had been undertaken in response to patient feedback. For example, access to appointments had been identified as a negative theme in the responses to the GP Patient Survey 2025. Practice leaders had implemented a new digital triage system which specifically allowed for more choice of appointments. Recent feedback in the Friends and Family tests showed a positive theme of improved accessibility to healthcare, and better choice of day and time of appointments.

The practice met national targets for the uptake of childhood immunisations and promoted targeted vaccinations for at risk groups.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.