CQC position · group summary · prepared for Dr Abir Shaikh

Bourne Health Partnership

A multi-site NHS GP partnership across south London and Surrey. The CQC register records five locations under the Bourne Health Partnership provider registration; the group's own website presents ten practices, so this read covers what the register attributes to this registration — not the whole footprint.

Prepared 17 August 2026 · every rating below verified against the live CQC register the same day

The 30-second read

Position
Five registrations, all displaying Good — but the only rating earned at a current registration was published 9.2 years ago, past the 7-year re-assessment threshold CQC has named for primary care. The other four sit never-assessed at registrations dated July 2025 – January 2026.
What's changing
The six shifts from the guide you downloaded are the rules the next assessment is judged against — descriptor-led, sector-specific, evidence read continuously rather than on the day.
The pattern
Of the 1,222 GP practices rated under the current framework, 11.1% sit below Good — and where rated practices slip is predictable: governance and medicines optimisation, not the care.
The 30 minutes
Where the group's evidence sits against the incoming descriptors — none of it visible from outside. Your Personalised Assessment is booked for Thursday 27 August, 12:00 (UK); this page is the pre-read.
Book the 30-minute walkthrough

Already booked for 27 August — use this only if you need a different time. Alexey Litvin, GreenM's CEO, takes the call. Nothing to prepare — we bring the analysis.

Your published position

Five registrations, five Goods — and only one of them was earned here

Every location under the Bourne Health Partnership registration displays Good on the live register today. What the framework transition makes visible is the age and the provenance of those Goods: four are carried over from previous registrations of the same practices, and the fifth — Keston Medical Practice — was published in June 2017.

Registered locations

5

under this provider registration (register lists the group's other practices separately)

5 of 5

displaying Good

published Oct 2016 – Jan 2022; none scored under the current framework

4 of 5

never assessed here

at their current registrations — one of CQC's three named re-assessment priorities

9.2y

age of Keston's Good

published 2 Jun 2017 — past the 7-year primary-care threshold CQC has named

PracticeDisplayed ratingReport publishedRegistered hereRegister status
Keston Medical Practice
Purley · HQ
GOOD2 Jun 2017 · 9.2y14 Apr 2014Assessed at this registration; all five key questions Good. CQC reviewed its information on 6 Jul 2023 and did not reassess.
New Addington Group Practice
New Addington
GOOD6 Jan 2022 · 4.6y23 Jul 2025NEVER ASSESSED HERE — rating from the previous registration
Thornton Road Surgery
Croydon
GOOD18 Nov 2016 · 9.7y23 Jul 2025NEVER ASSESSED HERE — rating from the previous registration
Portland Medical Centre
South Norwood
GOOD17 Aug 2017 · 9.0y27 Nov 2025NEVER ASSESSED HERE — rating from the previous registration
Esher Green Surgery
Esher
GOOD14 Oct 2016 · 9.8y21 Jan 2026NEVER ASSESSED HERE — rating from the previous registration

Per the live CQC register, checked 17 August 2026. Rating ages computed from each report's published date. The spread between the group's newest and oldest displayed rating is 5.2 years — and every one of them predates the current scored framework, so no practice in the group has a score to carry forward.

This table is most of what we would walk through live — the 30-minute walkthrough starts from it. Booked for 27 August.

The clock

What the register's dates say, in order

OCT 2016 – AUG 2017

Four of the five displayed ratings are published — Esher Green (Oct 2016), Thornton Road (Nov 2016), Keston (Jun 2017), Portland (Aug 2017).

JAN 2022

New Addington's displayed rating is published — the newest evidence anywhere in the estate.

JUL 2025 – JAN 2026

Four practices are re-registered under Bourne Health Partnership. Each starts a fresh register entry marked "we have not inspected this service yet".

JUN – OCT 2026

CQC pilot assessments run under the new frameworks — a stated target of 9,000+ reports by September; the frameworks take effect at the end of 2026.

17 AUG 2026

No Bourne Health location has been assessed under the current scored framework — and none has a first rating at its new registration.

One line owns the framework story, because you have already read it: the six shifts from the guide you downloaded are the rules this position is judged against next.

Outcomes over processContinuous monitoringHealth inequalities in scopeWorkforce within well-ledDescriptor-led, not score-ledSector-specific KLOEs

The pattern

The bar the group's first ratings will be held to

Because no Bourne Health location carries a scored current-framework assessment, there is no own-score benchmark to draw — that is a statement of the register, not a gap in this analysis. What can be drawn precisely is the bar: the current state of the GP practices already rated under the framework your practices will meet.

Rated GP practices

11.1%

of the 1,222 GP practices rated under the current framework sit below Good today (85.8% Good, 3.1% Outstanding)

Rating age, GP register

47.5%

of GP locations with a datable rating are past the 7-year primary-care threshold; the median GP rating is 6.7 years old

Never assessed

26.8%

of the GP register sits never-assessed at its current registration — the group's four re-registered practices are in this population

Where rated GP practices slip is concentrated and predictable. Per quality statement, the rated GP cohort (n = 1,222) scores lowest on:

Governance, management and sustainability2.64/4 · 29% below Good
Medicines optimisation2.66/4 · 28% below Good
Safe and effective staffing2.74/4 · 24% below Good
Monitoring and improving outcomes2.82/4 · 20% below Good
Safe environments2.80/4 · 18% below Good
Delivering evidence-based care2.85/4 · 15% below Good
Show what inspectors typically find behind each

Governance, management and sustainability — 29% of rated GP practices below Good

The statement that decides well-led. Typical findings: audit cycles that exist but do not close; oversight that lives in individuals rather than systems; multi-site groups where each practice evidences differently. Across every sector, 98% of services rated below Good are below Good on well-led — the rating almost never falls because of the care.

Medicines optimisation — 28% below Good

Typical findings: medication review backlogs, high-risk drug monitoring gaps, safety-alert actions not evidenced. In a group, the question becomes whether ten prescribing systems produce one auditable answer.

Safe and effective staffing — 24% below Good

Typical findings: induction and supervision records incomplete, recruitment checks not consistently evidenced, locum governance thinner than employed-staff governance — a pressure that grows with every site added.

The honest blind-spot. From the outside we can see the register — the five Goods, their dates, the four never-assessed registrations — and the cohort pattern above. What we cannot see is where your evidence actually sits against the incoming descriptors: which systems hold it, how consistently the ten practices produce it, and which of the weak-statement patterns above your group would pass today. That gap is precisely what the 30 minutes covers — it is not something this document can answer.

What we'd work through together

The agenda for the 27 August call

1

The four never-assessed registrations — and which evidence base greets a first inspection

time-sensitive

2

What Keston's 2017 evidence still proves, nine years on

time-sensitive

3

Governance consistency across ten practices under one brand — the "same standard, every unit" test

time-sensitive

4

The two statements where rated GP peers most often slip — governance and medicines optimisation — read against your systems

continuous

5

The evidence estate: which systems hold CQC-relevant data across the group, and who owns each

continuous

6

A first-rating playbook — what the first scored rating at each new registration sets for the whole brand

continuous

Show what each item turns on

1. Turns on which of the four sites' day-one evidence — not their inherited Goods — would satisfy an inspector arriving unannounced; only your side can see that. 2. Turns on how much of the 2017 inspection's evidence base still describes how Keston runs today. 3. Turns on whether the practices evidence the same standard the same way — the register already shows five entries; your site presents ten. 4. Turns on what your prescribing and audit systems can produce on demand, per practice. 5. Turns on an inventory only you hold: clinical systems, HR, complaints, audits — and their owners. 6. Turns on which site CQC's named priorities reach first, and what its first descriptor-led rating would broadcast about the group.

All six are covered live on the call — none of them is homework.

The close

Why this is a now question

Never-assessed services are one of CQC's three named re-assessment priorities, and four of the group's five registrations sit in that population today — and the timing of a first assessment is CQC's choice, not the provider's. Pilot assessments under the new frameworks are already running, at volume, this year. In 30 minutes on 27 August we narrow the six agenda items above to the three that matter first for Bourne Health — with the estate table on this page as the starting point.

Book the 30-minute walkthrough

Already booked — Thursday 27 August, 12:00 (UK). Alexey Litvin, GreenM's CEO, takes the call. Nothing to prepare — we bring the analysis.

Sources: the live CQC register (all five location pages verified 17 August 2026) · GreenM analysis of the CQC register and 68,000+ inspection reports; GP-sector figures re-derived from the register on 17 August 2026 (1,222 GP practices rated under the current framework; per-statement figures from the same cohort) · bournehealth.co.uk, checked 17 August 2026, which states "All of our practices are rated Good by the Care Quality Commission" — true as displayed; this page reads the dates behind it. Ratings quoted per CQC's published register; nothing here asserts what CQC has scheduled or will decide. Illustrative reading of the draft frameworks; the register state is the verified part.