The Three Shires Medical Practice - Wick

Updated 25 June 2026

Date of Assessment: 14 July 2026. The Three Shires Surgery is a GP practice and delivers services to approximately 9,600 people under a contract held with NHS England. The service also operates 3 branch sites, Pucklechurch Surgery, Marshfield Surgery and Colerne Surgery. According to the latest available data, the ethnic make-up of the service area is approximately 95% White, 2% Asian, 1% Mixed, 1% Black and 1% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 9th decile (9 of 10). The lower the decile, the more deprived the service population is relative to others.

This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements from across all 5 key questions. 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.

Staff kept facilities clean and maintained equipment appropriately to ensure people were kept safe. There were enough staff with the right skills, qualifications and experience, however there were some shortfalls in the oversight of training and clinical supervision.

Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes.

Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity.

People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers. The service consistently performed better than local and national averages in the National GP Patient Survey, demonstrated by data collected from the last 2 years, across a range of indicators.

The service had a clear vision and strategy, which considered the needs of the people who used their service and the wider community. Staff understood their individual roles and responsibilities. The service acted quickly to address the identified gaps in regular supervision and role-specific training after our onsite visit.

Updated 25 June 2026

As part of our assessment, we reviewed feedback from people who used the service to understand their views and experience of the service. This included speaking with people using the service at the time of our assessment and reviewing other feedback available to us. People were positive about the quality of their care and treatment. They described how staff treated them with kindness and compassion and respected their privacy. These findings are consistent with the National GP Patient Survey. Since the assessment, the newly published 2026 data shows a notable increase in overall service satisfaction, rising from 88% in 2025 to 95% in 2026.There was an active patient participation group (PPG) who represented the views of people using the service. Representatives from the PPG described how leaders made positive changes because of feedback.