Best and Worst Rated GP Surgeries
In July 2023, the results of the official GP Patient Survey 2023 were published by NHS England. The survey assessed the experiences of patients in relation to healthcare services provided by both GP practices, and NHS dental services. The survey covered issues such as accessibility to GP appointments, the quality of care received from healthcare professionals, and their experience of services when a GP practice is closed.
Additionally, the survey captured information about patient health, specifically those suffering with long term conditions, disabilities and illnesses.
Overall, 71.3% of patients reported a good overall experience of their GP practice which is lower than it was in 2022 at 72.4%. Satisfaction with access to primary care generally has declined over the past year with only 49.8% of those surveyed stating that they found it easy to get through to someone on the phone at their GP practice. This result is at its lowest for the 11-year period that this kind of data has been measured over.
Quite alarmingly, although most patients needed an appointment in the last 12 months, 27.9% said that they avoided making the appointment because it was too difficult. Compared with 2021, this figure was at only 11.1%.
Most patients do tend to continue to be positive about their experience during their past GP appointment. Nine out of ten patients reported feeling confidence and trust in their healthcare professional and felt that their needs were met. A total of 85% of people surveyed felt that their healthcare professional listened to them with 84% stating that their healthcare professional gave them enough time and treated them with care and concern.
It seems that many GP practices have started to move some of their services online now too with more than half of patients using an online service on the website for their GP practice in the past 12 months. Online services provided by different GP practices ranged from booking appointments, ordering repeat prescriptions, filling in a form or accessing medication.
Google Reviews of GP Practices in England reveal an average rating of just 2.81 out of 5. In addition to this, 89% of GP practices are rated below 4 out of 5 on Google Reviews. From this information, we could see that Exeter has the highest rated GP surgery in the country with an average score of 3.52 out of 5 on Google Reviews. It also has six ‘Outstanding’ rated surgeries by the Care Quality Commission (CQC).
In contrast, Peterborough has the lowest rated GP surgeries with an average score of 2.4 out of 5 on Google. However, 16% of its practices were awarded ‘Outstanding’ status in their last official inspection.
Out of the 20 worst rated GPs on Google Reviews, Leicester featured a total of six times on the list, with Birmingham featuring a total of four times. Birmingham also has the most GPs that have been rated as ‘Inadequate’ overall by the CQC.
When conducting assessments, the CQC take several different factors into account. They have five key questions to be answered in relation to the care provided which are:
- Is the care safe?
- Is the care effective?
- Is the care caring?
- Is the care responsive?
- Is the care well led?
The ratings that can be provided are Outstanding, Good, Requires Improvement or Inadequate and are provided based on the assessment. In order to conduct an assessment, the CQC gathers evidence which includes the experiences of patients. The experiences of people and patients is defined by the CQC as:
“a person’s needs, expectations, lived experience and satisfaction with their care, support and treatment. This includes access to and transfers between services.”
The assessment framework used by the CQC clearly sets out what people should expect a good service to look like and makes sure that both gathering and responding to feedback is central to their expectations of providers and systems. Additionally, the CQC provides several examples of what would be deemed to be ‘Inadequate’ care on their website.
Every GP service in the country is assessed by the CQC. This means that you will be able to find the latest inspection report and rating on their website, in addition to older reports and information about who is responsible for running the service.
Despite this, when we here at Simpson Millar conducted our own research into the quality of care provided by GP practices in 2022, we found that over half (56%) of the GP practices analysed hadn’t been inspected by the CQC for at least three years. At this time, nearly all GP practices in England had either received a rating of ‘Good’ or ‘Outstanding’.
When conducting our research, we looked at the latest CQC inspection reports and Google Reviews of over 850 different GP practices in 21 major UK towns and cities. We did this with the view of seeing how they compared to one another to determine if it is a ‘postcode lottery’ when it comes to the quality of your local healthcare provision.
According to the CQC figures in 2022, just 2% of the general practices analysed had a rating of ‘Requires Improvement’ and only 1% received an overall ‘Inadequate’ rating following their last inspections.
In comparison, five times as many (15%) GP surgeries had a poor online patient review score of 2 out of 5 or less on Google Reviews with just 11% of the practices having an average Google Review score of 4 out of 5 or higher.