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Chorley surgery, Lancashire rated as Outstanding by the Care Quality Commission

3 November 2017
The Chorley Surgery

The Care Quality Commission has found the quality of care provided by Chorley Surgery to be Outstanding following an inspection carried out in August 2017.

Inspectors rated the practice as Outstanding for effectiveness and well-led and Good for safety, caring and responsiveness. A full report of the inspection has been published on our website.

Some of the features from the report included:

The partnership and management team were structured with distinct roles and responsibilities, utilising the experience and skills of each member to the full. As a result, all business and clinical matters were delivered effectively at the practice.

The practice had clearly defined and embedded systems to minimise risks to patient safety. There was an effective system in place for the reporting and

recording of significant events. Significant events were investigated and learning outcomes were shared with the practice team to enhance the delivery of safe care to patients.

CQC’s Deputy Chief Inspector of General Practice in the North, Alison Holbourn, said:

“This is an innovative and collaborative practice that has done some outstanding work in partnership with other GP practices. There is a strong commitment to patient centred care. The practice has initiated a range of quality improvement projects for both their own patient population and within a locality of 50000 patients. These included working with the local authority, paramedics, and the Lancashire Wellbeing Services to provide a Primary Care User Support team (PCUST) to identify patients who frequently need to use primary care services to provide them with a personalised care and support programme."

“Additionally, the practice provided clinical support and treatment to their own patients with Type 1 and Type 2 diabetes (including complex cases) and the patients of the five GP practices they worked collaboratively with. The initial impact of the service enabled patients to be seen quickly within a three to four week wait at the diabetic hub as opposed to the secondary care waiting list of 20 weeks or more."

“I was particularly impressed with the way in which the service used its bimonthly staff news bulletin as part of the practice’s learning, development and communication strategy. It provided comprehensive information for staff about the significant events, complaints and patients feedback received in the preceding two months and the changes implemented as a result of these."

“Staff worked with other health care professionals to understand and meet the range and complexity of patients’ needs. For example following a request from the practice the palliative care team now held regularly palliative care clinics at the practice. The practice demonstrated a wider community focus and provided services on site that could be accessed by patients who were registered at one of the five other practices."

“The practice gathered feedback from patients and it had an active patient participation group, which influenced practice development. There was a strong focus on continuous learning and improvement at all levels. These were some of the many reasons why we have found this practice to be Outstanding.”


For further information, please contact David Fryer, Regional Communications Manager - North, on 07754 438750.

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Last updated:
02 November 2017

Notes to editors

To get to the heart of people’s experiences of care, we always ask the following five questions of services.

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?

For every NHS GP practice and out-of-hours service, we will look at the quality of care for the following six population groups: Older people, People with long-term conditions, Families, children and young people, Working age people (including those recently retired and students),People whose circumstances may make them vulnerable, People experiencing poor mental health (including people with dementia). 

Providers are required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.