• Doctor
  • GP practice

The Mill Hill Surgery

Overall: Good read more about inspection ratings

111 Avenue Road, Acton, London, W3 8QH (020) 8992 9955

Provided and run by:
The Mill Hill Surgery

All Inspections

During an assessment under our new approach

Date of Assessment: 17 to 19 March 2026. The inspection was carried out due to the length of time since the last inspection. The Mill Hill Surgery is a GP practice and delivers service to 7,330 patients under a contract held with NHS England. The National General Practice Profiles shows that 55.2% White, 13.9% Asian, 13.9% Black, 6.3% Mixed and 10.7% Other. Information published by 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.

Safe: The practice had a good learning culture and people could raise concerns. People were protected and kept safe. Staff understood and managed risks. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals. Staff managed medicines well and involved people in planning any changes.

Effective: Staff reviewed assessments taking account of people’s communication, personal and health needs. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff involved those important to people took decisions in people’s best interests where they did not have capacity.

Caring: People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The practice supported staff wellbeing.

Responsive: The practice was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The practice worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.

Well-Led: Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. Managers worked with the local community to deliver the best possible care and were receptive to new ideas.

12 April 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Mill Hill Surgery on 12 April 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed, with the exception of managing some medical emergencies and control of substances hazardous to health.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they felt the practice offered an excellent service and staff were helpful, friendly, caring, professional and treated them with dignity and respect
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

  • Undertake a formal risk assessment for not having a defibrillator for use in a medical emergency.
  • Undertake risk assessments for the control of substances hazardous to health (COSHH) and for looped cord window blinds installed.
  • Ensure that separate receptacles are available for the disposal of sharps used to administer live vaccines.
  • Implement a system to monitor and track the distribution of prescription pads kept at the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice