During an assessment under our new approach
Date of Assessment: 12 August 2025 to 1 October 2025. Central Surgery is a GP practice and delivers services to approximately 12,900 patients under a contract held with NHS England. The National General Practice Profiles states that the ethnic make-up of the patient population is 73.53% White, 2.68% Black, 14.29% Asian, 5.23% Mixed and 4.27% Other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 9th decile (9 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 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.
We carried out this assessment to follow up on breaches found in our last inspection published in August 2022, at which time the practice was rated as requires improvement for Safe, Effective and for being Well-Led.
SAFE: The practice had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe. Staff understood and managed risks. The facilities and equipment met the needs of people, were clean and well-maintained and any risks mitigated. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care. Staff managed medicines well and involved people in planning any changes.
EFFECTIVE: People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent.
WELL-LED: 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. Managers 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.
Since the last inspection, the practice had made improvements and is no longer in breach of regulations relating to safety and governance.
People’s experience commentary
People were positive about the quality of their care and treatment. Recent survey results, including from the National GP Patient Survey. For example, the GP Patient Survey, 2025, found that the practice performed above local and national averages for a range of issues including, patients finding the reception and administration team helpful, they usually get to see or speak to their preferred clinician and they were offered a choice of appointment The practice also received very positive feedback from the NHS Friends and Family Survey, 100% of patients who responded to the survey found their overall experience of the practice to be very good or good.There was an active patient participation group (PPG) who represented the views of people using the practice.