Khattak Memorial Surgery

Updated 16 December 2025

Khattak Memorial Surgery is a GP practice and delivers a service to 6700 patients, under a contract held with NHS England. This is the first inspection for this service since the provider registered with Care Quality Commission (CQC) on 29 May 202, we carried out this inspection to provide a rating.

The National General Practice Profiles states that the ethnic make-up of the service area is 61% Asian, 17% White, 10% Black, 8% Other and 3% Mixed. Information published by Office for Health Improvement and Disparities shows that deprivation within the service population group is in the 1st decile (1 of 10). The lower the decile, the more deprived the service 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.

The service 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.

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. When individuals lacked capacity, staff involved those who were important to them and made decisions in their best interests.

Patients were always treated with kindness and compassion, felt truly respected and valued as individuals and this was reflected in a range of feedback collected as part of this inspection. We saw a variety of examples where staff took account of patient’s strengths, abilities, aspirations, culture and backgrounds in the provision of person-centred care. The service supported and promoted staff wellbeing.

People were involved in decisions about their care. The service provided information people could understand in a variety of languages. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The service 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.

Leaders had established an inclusive, positive, learning and improvement culture and were driving improvements in outcomes for people who accessed services at Khattak Memorial Surgery and wider communities. There were consistent examples of how an inclusive supportive and collaborative leadership approach had driven improvements in safety, sustainability, care integration, meeting people's needs and addressing inequalities for people who used services alongside practice staff.

Governance and management systems enabled leaders to identify and act on information about risks performance and outcomes. Leaders drove continuous efforts to maintain and improve understanding of ways of working, including staff and people's experiences to proactively mitigate risk and improve care delivery. Leaders recognised their role as drivers of a strong safety culture, and this was visible within the service and throughout the inspection. Staff feedback during the inspection was positive with staff stating there was a supportive team-based culture and all staff we spoke to were passionate about delivering a high-quality service.

Updated 16 December 2025

People were positive about the quality of their care and treatment. We received direct positive feedback via our website with people reporting the service was well managed and staff were caring. Recent survey results, including from the National GP Patient Survey and the NHS Friends and Family Test, showed people were satisfied with services.

There was an active patient participation group (PPG) who represented the views of people using the service. We spoke with a representative from the PPG, and they described the strong relationship between the service and the PPG, and how the service encouraged, respected and valued the PPG involvement. They explained that the relationship was proactive, providing a forum to discuss issues important to patients which were then shared with the service team. The meetings provided an environment for discussions and agreements about the practice and services provided and members were encouraged to contribute their views and suggestions. The PPG provided various examples of working together with the service, they felt fully involved in future plans for the surgery. For example, members of the PPG had advised the service from a patient perspective how the waiting areas could be improved to better support autistic people and people with a learning disability. As a result of this insight, the service ensured a box with sensory equipment was available and the practice is currently creating a more inclusive waiting environment, with adaptations aimed at improving accessibility and comfort for autistic people and those with a learning disability.