During an assessment under our new approach
Date of Assessment: 10 February to 12 February 2026. Nork Clinic is a GP practice and delivers services to around 8,600 patients under a contract held with NHS England.
We carried out a comprehensive assessment because of the practice’s aged rating, and we reviewed all quality statements.
The National General Practice Profiles states that the ethnic make-up of the practice area is 84% White and 16% Asian, Black, or originating from mixed or other ethnic groups. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 10 decile (10 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the patients using the practice, the context the practice was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
The practice had a good learning culture and patients could raise concerns. Managers investigated incidents thoroughly. The facilities and equipment met the needs of patients, were clean and well-maintained and any risks mitigated. Risks in the environment were managed. There were enough staff with the right skills, qualifications and experience. The practice made sure staff received training and regular appraisals to maintain high-quality care. However, prescription stationery was not tracked, some Patient Group Directives (required to give staff the appropriate authorisations to administer medicines) were not signed correctly, and we found some non-calibrated / portable appliance testing (PAT) tested equipment. The storage of some cleaning equipment was inappropriate, and the practice, although completing salaried GP appraisals, were not formally recording them. The practice acted quickly to resolve the matters raised and demonstrated that improvements had already been put in place by the end of the assessment.
Patients were involved in assessments of their needs. Staff reviewed assessments taking account of patient’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in patient’s care for the best outcomes and smooth transitions when moving services. Staff made sure patients understood their care and treatment to enable them to give informed consent. Staff involved those important to patients and made decisions in patient’s best interests when they did not have capacity.
Patients were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. Patients had choice in their care and treatment. The practice supported staff wellbeing.
Patients were involved in decisions about their care. The practice provided information patients could understand. Patients knew how to give feedback and were confident the practice took it seriously and acted on it. The practice was easy to access and worked to eliminate discrimination. Patients received fair and equal care and treatment. The practice worked to reduce health and care inequalities through training and feedback. Patients were involved in planning their care and understood options around choosing to withdraw or not receive care.
Leaders and staff had a shared vision and culture based on listening, learning and trust. 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. Leaders worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.