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CQC Assessment Summary
Executive Summary
The Care Quality Commission (CQC) assessed Shirley Health Partnership across all five key domains and rated the practice as Good overall, with Good ratings achieved in Safe, Effective, Caring, Responsive and Well-Led services. The assessment was undertaken following the practice's move to its new purpose-built premises and found that the practice is delivering safe, effective, compassionate and well-managed care to its population of approximately 13,800 patients.
Key Strengths
- Strong learning culture with open reporting of incidents, thorough investigations and shared learning across the organisation.
- Safe and modern premises with robust maintenance, emergency preparedness and infection control arrangements.
- Positive patient feedback, with Friends and Family Test results showing 95% of respondents rating their experience as good or very good.
- Effective multidisciplinary working and strong relationships with community services, including community nursing teams and Change Grow Live.
- Innovative approaches to population health, including health pods, dementia awareness events, smoking cessation support and proactive health promotion initiatives.
- Recognition as a Learning Disability Friendly GP Practice, with excellent examples of personalised and accessible care.
- Positive staff culture, with staff reporting strong leadership support, opportunities for development and a commitment to wellbeing.
- Effective governance systems and a clear commitment to continuous improvement and innovation.
- Areas of Good Practice Highlighted by CQC
The practice demonstrated:
- Strong safeguarding systems, regular multidisciplinary safeguarding discussions and effective partnership working.
- Safe medicines management with structured monitoring and prescribing reviews.
- High-quality clinical care based on current evidence and guidelines.
- Inclusive services with accessible information, interpreter provision, hearing loop facilities and support for vulnerable groups, including homeless patients and travellers.
- A proactive approach to reducing health inequalities and improving access to care.
- Opportunities for Further Improvement
Overall Conclusion
The CQC found Shirley Health Partnership to be a well-led, patient-centred practice that delivers good-quality care across all domains. The assessment recognised a strong organisational culture, effective leadership, positive patient experiences and a clear commitment to learning and continuous improvement. The few areas identified for improvement were already being addressed by the practice, providing assurance that governance and quality systems continue to mature following the move to the new premises in 2024.
Published: Aug 11, 2026