Dewsbury Thornhill PCN · Three GP practices · 06 Jul 2026 · GM-CQC-2026-DT
Prepared for Dr Indira Kasibhatla · Clinical Director · Dewsbury Thornhill PCN
Three practices, three different CQC clocks
Albion Mount holds a Good earned in July 2018. Windsor and The Paddock were re-registered in December 2025 and haven't had their first inspection yet — one shows no rating at all, the other a Good inherited from 2016. Three different exposures, but the preparation is one job: the PCN's. Here's the position, practice by practice.
The 30-second read
Albion Mount
Good on all five key questions — but the inspection behind it was July 2018, and a review on 6 July 2023 left it unchanged. The grade is solid; the evidence is eight years old this month.
Windsor
Re-registered 2 December 2025 under WMP Dewsbury Ltd. Not yet inspected — no published rating on the current registration. The first assessment sets the public score from scratch.
The Paddock
Re-registered 16 December 2025 under Paddock Surgery Ltd. Not yet inspected — the profile shows a Good inherited from a report published November 2016.
The 30 minutes
The bar first assessments land against (84% of rated GP practices hold Good), the two key questions that pull practices under — and how one PCN evidence framework covers all three.
Of the 861 GP practices holding a published rating under CQC's current framework in our dataset, 723 — 84% — are Good, and another 3.4% Outstanding. First assessments land against a known bar.
What pulls practices under
2×
Safe (133 practices) and well-led (130) sit below Good more than twice as often as any other key question. Both are evidence-and-oversight disciplines — not clinical surprises.
The PCN advantage
×3
The same quality statements apply to every practice. A PCN-level evidence framework is prepared once — and answers for all three lists, in every assessment that comes.
Practice by practice
CQC public register · verified live 06 Jul 2026
First assessment ahead
Windsor Medical Centre
Registered 2 December 2025 under WMP Dewsbury Ltd; CQC has not inspected it yet. The previous Good (published November 2019) was archived with the old registration in April 2022 — Windsor has been without a current published rating since then, across two registrations. The first assessment sets the score from scratch.
Inherited rating
The Paddock Surgery
Registered 16 December 2025 under Paddock Surgery Ltd; not yet inspected. The Good on its profile is inherited from a report published 7 November 2016 — closing in on a decade old. The first inspection of the new provider replaces it with a fresh score.
Ageing Good
Albion Mount Medical Practice
All five key questions Good — inspected July 2018, published April 2019; a July 2023 review left it unchanged. The grade is a real asset. Under a continuous framework, the age of the evidence is the exposure, not the grade.
Three clocks on one timeline
Why December 2025 changed the picture
Nov 2016
The Paddock's displayed rating is published
Earned under the previous provider and the old inspection model — it is still what the profile shows today.
Jul 2018
Albion Mount inspected — Good
Report published April 2019; all five key questions Good. A 6 July 2023 review left the rating unchanged.
Nov 2019
Windsor rated Good under its previous provider
The last published rating Windsor has held. It was archived with the old registration in April 2022.
2022–25
Registrations churn; the framework changes underneath
An interim Windsor registration (January 2023) comes and goes without a rating. Meanwhile CQC replaces inspection cycles with the continuous, evidence-led Single Assessment Framework.
Dec 2025
Windsor and The Paddock re-register
New providers registered on 2 and 16 December 2025. One profile shows no rating; the other carries 2016 evidence as "inherited" — both pending a first inspection.
2026
Two first assessments ahead — and one ageing Good
CQC's own registration pages note that follow-up inspections of new services are undertaken regularly following registration. The readiness window is now, while the clock is yours.
The bar a first assessment lands against
861 rated GP practices · our dataset · snapshot 31 Mar 2026
Unlike a mid-cycle re-inspection, a first assessment starts with no track record — the practice lands wherever its evidence puts it, alongside every GP practice already scored under the current framework. This is what that field looks like.
Distribution
Good 723 (84.0%) · Outstanding 29 (3.4%) · Requires improvement 101 · Inadequate 8 — 12.7% sit below Good.
Caring almost never drags a practice down — governance and safety systems do. Both are documentation-and-oversight disciplines a PCN can standardise across its practices, rather than three separate scrambles.
What this analysis can't see
The reason for the conversation
Everything above is drawn from outside — the public register and our benchmark dataset. What it cannot show is where the evidence sits inside the three practices today: whether safeguarding trails, prescribing oversight, access data and complaint handling would read as "Good" against the current quality statements — and whether they'd read consistently across all three lists, which is the question a clinical director answers for, not a practice manager. That gap between the register's version of the PCN and the live evidence is the work of the thirty minutes: mapping what you have to what the statements ask, and leaving with the top three priorities for each practice.
What we'd work through together
6 items · the agenda for the call
Not homework to face alone — the agenda we'd work through with you, aimed at two first assessments and one evidence refresh. The first three carry the most weight for where the PCN stands today.
01
First-assessment readiness for Windsor & The Paddock — the newly-registered-provider evidence pack
NowHighest weight
02
Map PCN-level governance to the well-led quality statements
NowRating-setter
03
Safe systems — safeguarding, prescribing and access trails, the highest-failure key question
HighBefore first look
04
Refresh Albion Mount's evidence line — 2018 → 2026
HighAgeing rating
05
One PCN evidence base, three practice views
Continuous
06
Patient experience captured as primary evidence across three lists
Continuous
We'd work each against the three practices' live evidence on the call — not hand them over as a to-do list.
Walk into two first assessments — and one refresh — prepared once
GreenM are healthcare data and AI specialists. We connect the evidence behind a practice — governance, safeguarding, prescribing, access, patient voice — so it reads cleanly against CQC's quality statements, built continuously rather than assembled the week an assessor calls. For a PCN with two unrated registrations and an eight-year-old Good, that's the difference between three separate scrambles and one framework applied three times. In thirty minutes you'll leave with the top three priorities for each practice.
