The Billesdon Surgery

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

During our assessment we reviewed the quality statement of governance, management and sustainability. We found the practice had good systems for governance across the practice and staff were consistently positive about working at the practice.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Leadership, governance and culture were used to drive and improve delivery of quality care within the practice. The practice completed an annual staff survey to support staff and ensure they were happy within their work. Staff also had annual appraisals and regular check ins with managers. Staff we spoke with were positive about the managers and leaders supporting them in their work and wellbeing. There was a strong sense of team working and support across staff and management. Practice leaders were aware of challenges to sustainability for the practice and had put in place actions to mitigate these risks where possible. The practice reported that there was a small backlog of summarising to complete due to staff shortages and leave, however the practice had an action plan and risk assessed this.

We saw regular meetings were completed within the practice across specific specialties and staffing. All meetings were minuted which captured discussions and actions taken by the practice. It was clear the governance structure was well embedded within the practice.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.