CQC Data Analysis Report 2026 — Bridgehead Intelligence
CQC
Adult Social Care · England
Bridgehead Intelligence Report

CQC DATA
ANALYSIS
2014 – 2026

A comprehensive analysis of Care Quality Commission ratings and inspection data covering the 30,641 adult social care services currently registered in England. This report examines quality ratings, inspection frequency, regional variation, and the structural factors driving poor outcomes in the sector.
30,641
Registered Services
12 yrs
Data Coverage
51%
Not Inspected or Assessed 5+ Yrs or Never
15.6%
Rated Below Good
Bridgehead Communications Ltd  ·  November 2026
cqcmonitor.co.uk  ·  intelligence@bridgeheadcommunications.com
TABLE OF CONTENTS
01 Executive Summary 3
02 Inspection Timeline & Volume 4
03 Ratings Distribution 5
04 Ratings by Care Type 6
05 Inspection Gap Analysis 7
06 Five Key Questions 8
07 Concern & Strength Themes 8
08 Regional Variation 9
09 Local Authority Hotspots 10
10 The full CQC register 11
11 Conclusions & Recommendations 25
12 Methodology & Data Sources 26
About This Report

This report was produced by Bridgehead Intelligence using the CQC Monitor platform (cqcmonitor.co.uk), which processes CQC open data on adult social care registrations and inspections across England. The dataset covers 30,641 currently registered services and 12 years of published ratings, from October 2014 to November 2026. The CQC publishes ratings under two models: the inspection model, and the assessment model it introduced in late 2023. This report counts both. Quality percentages are calculated on the 23,665 registered services that hold a current published overall rating under either model; inspection-recency percentages are calculated on all 30,641 registered services. Services the CQC has deregistered are excluded from every register-based figure, and appear only in the history of ratings published each year. All analysis is based on publicly available data published by the Care Quality Commission. Figures represent the state of the register as at 6 November 2026.

EXECUTIVE SUMMARY

England's adult social care sector is facing a convergence of three structural failures: an inspection backlog that leaves the regulatory record out of date for more than half of the sector; a workforce crisis of historic severity; and a commissioning model that systematically underinvests in quality in the areas of greatest need. This analysis, drawing on 30,641 registered services and 12 years of published CQC ratings, quantifies the scale of each failure and identifies the points of intervention that evidence suggests can produce sustained quality improvement.

30,641
Registered Services Analysed
51%
Not Inspected or Assessed 5+ Years or Never
1,543
Average Days Since Last Inspection or Assessment
15.6%
Rated RI or Inadequate
Finding 01
THE RATINGS BACKLOG
51.2% of services, 15,701 in total, have gone five years or more without an inspection or assessment, or have never had one. 6,041 (19.7%) have been inspected or assessed in the past two years. A further 6,976 services (22.8%) hold no rating of either kind, and 39.2% of those that are rated hold a rating published more than five years ago.
Finding 02
15.6% BELOW GOOD
Of the 23,665 services that hold a current rating, 3,685 (15.6%) are below Good: 3,519 Requires Improvement and 166 Inadequate. Four in five (79.7%) are Good, and 4.7% are Outstanding. Ratings made under the newer assessment model are less often Good: 23.9% of them are below Good, against 11.9% of those made by inspection.
Finding 03
THE MIDLANDS QUALITY GAP
The weakest regions are in the Midlands. 21.0% of rated services in the West Midlands and 19.0% in the East Midlands are below Good, against a national average of 15.6%. London, at 11.2%, sits below that average.
Finding 04
NURSING HOMES CARRY THE HIGHEST RISK
Nursing homes have the highest below-Good rate (19.9%) of any care type, against 16.5% in residential homes and 13.0% in home care. Inadequate ratings remain rare in every type: 166 services in all, 41 of them nursing homes.
Finding 05
WELL-LED: THE LAGGING DOMAIN
"Well-led" has the lowest Good or Outstanding rate at 79%, 18 points below "Caring" at 97%. Leadership is the question on which failing services most often fall short, yet regulatory attention has historically focused elsewhere.
Finding 06
LEADERSHIP IS THE FAULT LINE
Among services rated below Good, 98.3% have a failing Well-led rating, more than any other domain. Good services are defined by strong leadership and governance, poor ones by its absence.
PUBLISHED RATINGS 2014–2026

The volume of newly published CQC ratings fell by more than four fifths between 2019 and 2024, then began to recover. The busiest year was 2016, with 15,620 ratings published, and the busiest single quarter was the second of 2016, with 4,209. COVID interrupted the programme in 2020, and the Single Assessment Framework, introduced in late 2023, replaced routine ratings inspections with ongoing assessments. Publication reached its low in 2024, at 2,377 ratings, recovered to 3,310 in 2025 and stands at 3,792 so far in 2026.

Quarterly Published Ratings 2014–2026
5,000 4,000 3,000 2,000 0 COVID SAF PEAK 4,209 1,248 2014 2016 2018 2020 2022 2024 2026

Newly published ratings per quarter, from both rating models (assessment ratings are dated by the CQC's write-up of the assessment). The COVID interruption in 2020 and the Single Assessment Framework transition from late 2023 are the defining features. Publication fell from 3,230 in the second quarter of 2019 to 461 in the second quarter of 2024. It has risen in every quarter since, to 1,248 in the third quarter of 2026. The fourth quarter of 2026 is part-complete (388 to 5 November) and is not plotted.

The Backlog Problem
6,041 of the 30,641 registered services (19.7%) have been inspected or assessed in the past two years, and 4,994 (16.3%) within the CQC's own 18-month target window. At the 2025 rate of 3,310 ratings a year, a full cycle of the register would take about 9 years. CQC's own target frequency is three to four years for Good providers and annually for those rated Requires Improvement or Inadequate.
Single Assessment Framework Impact
The CQC's single assessment framework, introduced in late 2023, replaced routine ratings inspections with ongoing assessments of each service. The transition suppressed publication during 2023 and 2024 as inspectors were retrained and the new quality statement method was bedded in; assessment ratings have grown in every quarter since. On 6 November 2026, 7,266 registered services (23.7% of the register) held a rating made under the new model. Of the 5,765 that previously held an inspection rating, 57.8% kept the same overall rating, 24.7% were rated higher and 17.5% lower.
RATINGS DISTRIBUTION

Of the 23,665 services that hold a current published overall rating, 15.6% fall below Good, representing 3,685 services where the Care Quality Commission has found the service is not yet performing as well as it should. A further 6,976 services, 22.8% of the register, hold no current rating of either kind. 16,399 services hold a rating made by inspection and 7,266 a rating made under the newer assessment model.

Overall Ratings Distribution
Outstanding
4.7%
1,115
Good
79.7%
18,865
Req. Improvement
14.9%
3,519
Inadequate
0.7%
166
No current rating
6,976
Outstanding
1,115 4.7%
The ceiling of excellence. Outstanding accounted for 4.2% of ratings published in 2020 but only 1.4% in 2023, so few new Outstanding ratings were being awarded. The share has recovered only in 2026, to 4.7%.
Inadequate
166 0.7%
Failing on fundamental safety and quality standards. Services rated Inadequate rarely stay on the register: 1,493 of the 1,661 locations whose latest rating was Inadequate have since been deregistered. Ratings made under the assessment model are far more likely to be Inadequate (146 of 7,266, 2.0%) than those made by inspection (20 of 16,399, 0.1%).
The Known Unknowns Problem
The 3,685 services rated Requires Improvement or Inadequate represent only those known to be failing. Given that 51.2% of services have gone five years or more without an inspection or assessment, or have never had one, that 39.2% of rated services hold a rating more than five years old, and that the sector has experienced its worst workforce crisis since records began in the intervening period, the true current proportion of failing services is likely to be higher. The inspection backlog is not just a regulatory inconvenience; it represents a fundamental failure of public protection, leaving commissioners, families, and placing authorities without the information they need to make safe decisions.
RATINGS BY CARE TYPE

Breaking down ratings by care type reveals significantly different quality profiles across the three main service models — residential, nursing, and domiciliary care. Nursing homes carry the most risk: they have the highest below-Good rate (19.9%), against 16.5% in residential care and 13.0% in home care. Inadequate ratings are rare in all three types. Home care has the lowest below-Good rate, but it is also the hardest type of service to inspect.

Stacked Ratings by Care Type
Outstanding
Good
Req. Improvement
Inadequate
Residential
4.5%
79.0%
15.8%
Nursing
5.0%
75.2%
18.8%
Domiciliary
4.9%
82.2%
12.4%

Ratings distribution by care type, on the rated cohort. Inadequate ratings are 1.0% of nursing homes (41 services), 0.7% of residential homes (65) and 0.6% of home care (60), too few to show as more than a sliver.

Nursing: Highest Risk
Highest below-Good rate at 19.9%, and the highest Inadequate rate at 1.0%. The most medically complex residents, strict staffing-to-resident ratios and a 24/7 operational model mean workforce gaps have immediate consequences.
Residential: The Middle Ground
Residential homes sit between nursing and home care on every measure, with 16.5% below Good and a 0.7% Inadequate rate. They carry a 24/7 model without the clinical staffing of nursing homes, and the lowest Outstanding rate of the three at 4.5%.
Domiciliary: Best Rated, Least Seen
Home care has the lowest below-Good rate at 13.0%, but it is also the largest and least inspected part of the register, at 51% of all registered services, and 36% of home care services have never been inspected or assessed. Short visit windows, zero-hours contracts and geographic dispersal make non-compliance harder to detect before harm occurs.
INSPECTION GAP ANALYSIS

The inspection gap analysis quantifies how far the sector has drifted from the CQC's own inspection frequency targets. Only 16.3% of the register sits inside the CQC's 18-month target window, and 51.2% has gone five years or more without an inspection or assessment, or has never had one. For 22% of services, 6,883 in total, no inspection or assessment is on record, and more than nine in ten of those were registered in 2022 or later.

Time Since Last Inspection or Assessment
Never inspected
22.5%
5+ years ago
28.8%
3–5 years ago
23.0%
2–3 years ago
6.1%
Within 2 years
19.7%
0%25%50%75%100%

% of registered services by time since last inspection or assessment. 4,994 services (16.3%) fall within the CQC's own 18-month target window.

Gap Bucket Services % of Total
Never inspected6,88322.5%
5+ years ago8,81828.8%
3–5 years ago7,03823.0%
2–3 years ago1,8616.1%
Within 2 years6,04119.7%
TOTAL30,641100%
Key Metric
1,543 days
Average time since last inspection or assessment, among services that have ever had one. Just over four years.
FIVE KEY QUESTIONS
% Rated Good or Outstanding by Domain
Caring
97%
Responsive
94%
Effective
92%
Safe
83%
Well-led
79%
0%25%50%75%100%

"Well-led" trails "Caring" by 18 percentage points, the largest domain gap in the dataset. Leadership is the question on which failing services most often fall short.

"Caring" consistently achieves the highest scores because frontline workers maintain compassionate relationships even under severe systemic pressure. This resilience is the sector's greatest asset and remains remarkably robust across all care types and regions.

"Well-led" records the lowest score because governance quality is the hardest thing to maintain under financial pressure, the last thing to recover after a leadership transition, and the most easily deprioritised when operational demands are acute.

In this dataset, 98.3% of services rated below Good also carry a failing Well-led rating, a higher rate than any other domain. Well-led is the clearest marker separating adequate services from failing ones, which makes leadership development the highest-leverage intervention available to commissioners and providers.
CONCERN VS STRENGTH THEMES
% Appearing in Below-Good Reports vs Good/Outstanding Reports

Based on AI analysis of 2,829 inspection reports (2,410 below Good, 419 Good or Outstanding). The sample is weighted towards below-Good reports and is not representative of the register. 2,020 of the 2,829 reports (71%) are for services that have since been deregistered. Leadership and governance appears in effectively every report at both ends of the scale, so its presence alone does not distinguish good providers from poor ones. Dignity and respect is the clearest differentiator.

Theme RI/Inad (concern) Good/Outst. (strength) Differential
Leadership / governance100%100%0pp
Safeguarding94%100%+6pp ▲
Medication90%96%+6pp ▲
Risk management84%75%−9pp ▼
Training77%95%+18pp ▲
Care planning76%94%+18pp ▲
Dignity / respect32%87%+55pp ▲
REGIONAL VARIATION

Regional variation is real but not where it is usually assumed. The weak spot is the Midlands, not London and not the North. 21.0% of rated services in the West Midlands and 19.0% in the East Midlands are below Good, the highest rates in England, against a national average of 15.6%. The North East is strongest at 7.4%, and London sits at 11.2%, below the national average. The best-to-worst gap is 14 percentage points.

% Rated RI or Inadequate by Region (with national average)
West Midlands
21.0%
East Midlands
19.0%
East of England
18.0%
South East
16.6%
Yorkshire & Humber
16.4%
North West
16.0%
London
11.2%
South West
10.4%
North East
7.4%
0%10%20%30%

National average is 15.6%. Bars show % of rated services below Good. No region exceeds 22%, and the best-to-worst spread is 14 percentage points.

The Midlands, Not the North
The two weakest regions in England are the West Midlands (21.0% below Good) and the East Midlands (19.0%). The three northern regions (14.7%) and the four southern ones (14.3%) perform almost identically, so the familiar north-south framing does not hold. This dataset does not say why the Midlands lag. Local authority fee rates and reliance on publicly funded placements are plausible factors, and would need separate data to test.
North East: A Gap Worth Explaining
At 7.4% below Good (80 of 1,074 rated services), the North East is well below every other region. A gap that large deserves explanation before it is reported as a finding. It may reflect commissioning practice and market conditions, or which services have been re-assessed so far, and the data here cannot separate the two.
LOCAL AUTHORITY HOTSPOTS

Local authority-level analysis identifies the most acute concentrations of poor quality, among the 146 councils with at least 50 registered and 30 rated services. The gap between the weakest and strongest councils is just over 36 percentage points. One council has no rated service below Good, and 17 have more than one in four below Good.

Highest Below-Good Rate (Local Authorities)
Local AuthorityBelow Good %Risk
Luton36.1%CRITICAL
Bexley32.9%CRITICAL
Medway32.1%CRITICAL
Southwark31.6%CRITICAL
Bracknell Forest31.4%CRITICAL
West Northamptonshire31.3%CRITICAL
Greenwich31.1%CRITICAL
Wolverhampton30.7%CRITICAL
Lowest Below-Good Rates (Local Authorities)
Local AuthorityBelow Good %Rated services
Merton0.0%87
Gateshead2.2%91
Hammersmith and Fulham2.7%37
Richmond upon Thames3.1%64
Bristol, City of3.4%149
Wandsworth3.4%58
Bournemouth, Christchurch and Poole3.6%225
Dorset4.0%177
The Structural Trap in Hotspot Areas
Councils such as Luton, Bexley and Medway have around one in three rated services below Good, while Merton has none. 2 of the 8 councils in the right-hand table, and Southwark among the weakest (38 rated), have fewer than 60 rated services, so a handful of ratings can move the figure. This dataset cannot say why councils differ. Commissioning practice, fee levels and market conditions are plausible factors that separate data would be needed to test.

The full CQC register

Sections 1 to 9 deal with adult social care services registered on 6 November 2026. This part extends the analysis to the whole CQC register. It covers the rating history of each care service still registered, named care groups, care homes by specialism, services that have deregistered, GP practices, dentists, other primary medical services and aesthetic clinics, and ends with every Westminster constituency. Each sub-section gives its findings first, then the charts behind them.

Figures as at 6 November 2026
Every figure in this part is computed from the CQC register as at 6 November 2026 (CQC Monitor database). Sections 1 to 9 use the same date, so the register counts agree.

Adult social care: beds, home care and new services

Further analysis of the 30,641 registered adult social care services.

  1. 85,710 care home beds are in homes rated below Good.

    That is 17.5% of 489,327 beds. 4,183 beds sit in 106 homes rated Inadequate, and a further 51,649 (10.6%) are in homes with no rating at all.

  2. Home care is where CQC is thinnest on the ground.

    Home care agencies are 15,708 services, just over half the sector. 63.8% hold a rating, against 92.4% of residential homes and 89.2% of nursing homes; 61.8% have not been seen in five years or ever.

  3. New services wait years for a first inspection.

    58% of services registered in 2023 have still never been inspected or assessed. For 2024 it is 69%, for 2025 77%. For 2019 registrations the figure was 2.5%.

  4. Outstanding ratings are the oldest in the system.

    59.0% of Outstanding ratings are more than five years old, against 41.1% of Good ratings. Many of the sector's top grades describe services as they were in 2021 or earlier.

  5. Mid-sized care homes do worst; the smallest do best.

    20.2% of rated homes with 30 to 59 beds are below Good, against 11.8% of homes with fewer than 10.

Never inspected or assessed, by year registered

Share of services registered in each year

0%25%50%75%100%
0.0%
2015
0.0%
2016
0.6%
2017
1.1%
2018
2.5%
2019
3.9%
2020
11.0%
2021
34.9%
2022
58.2%
2023
68.5%
2024
76.7%
2025
73.4%
2026*
0%25%50%75%100%

2026* covers 1 January to 6 November 2026.

Figures
Never inspected
20150.0%
20160.0%
20170.6%
20181.1%
20192.5%
20203.9%
202111.0%
202234.9%
202358.2%
202468.5%
202576.7%
2026*73.4%
Care home beds by the home's rating

Registered beds in residential and nursing homes

Outstanding
20,849
Good
331,119
Requires improvement
81,527
Inadequate
4,183
No rating
51,649
0100,000200,000300,000400,000
Figures
Beds
Outstanding20,849
Good331,119
Requires improvement81,527
Inadequate4,183
No rating51,649
Rating coverage by type of service

Share of services

Holds a ratingNot inspected in 5 years, or ever
0%25%50%75%100%
63.8%
61.8%
Home care
92.4%
42.2%
Residential homes
89.2%
35.2%
Nursing homes
0%25%50%75%100%
Figures
Holds a ratingNot inspected in 5 years, or ever
Home care63.8%61.8%
Residential homes92.4%42.2%
Nursing homes89.2%35.2%
Care homes below Good, by size

Share of rated homes

0%5%10%15%20%25%
11.8%
Under 10 beds
18.3%
10 to 29
20.2%
30 to 59
19.7%
60 or more
0%5%10%15%20%25%
Figures
Below Good
Under 10 beds11.8%
10 to 2918.3%
30 to 5920.2%
60 or more19.7%

Adult social care: rating history

From CQC's full rating history for each service still registered: what happened before, how long poor ratings stand, and what CQC finds when it returns.

  1. 1,381 services below Good were also below Good last time.

    That is 37.4% of the 3,688 services currently rated below Good; 648 have been below Good at each of their last three ratings.

  2. 1,003 services below Good have never been rated Good.

    203 of them have had three or more ratings without reaching Good.

  3. Requires improvement ratings stand for years.

    The 3,519 services rated Requires improvement have waited a median of 2.9 years since that rating. 2,071 (59%) have waited more than two years and 868 more than four.

  4. 47 services have been rated Inadequate for more than a year.

    Of the 166 services currently rated Inadequate, 23 have held that rating for more than two years. After an Inadequate rating, only 48.3% of services were re-rated within six months (median 188 days).

  5. Inadequate services rarely go straight back to Good.

    When an Inadequate service is re-rated, 64.7% move to Requires improvement, 18.9% to Good and 16.3% stay Inadequate.

  6. One in four old Good ratings no longer holds.

    Since January 2024, CQC has re-rated 3,014 services whose Good rating was five years old or more; 24.0% came out below Good. Recent Good ratings revisited sooner fared worse (39.3%), because CQC returns early where it has concerns.

  7. Outstanding is hard to keep.

    Of 191 Outstanding services re-rated since 2024, 90 kept Outstanding, 75 dropped to Good and 26 fell below Good.

  8. Downgrades are more common than before the pandemic.

    16.0% of re-ratings in 2019 were downgrades; since 2022 it has run between 19.7% and 28.1%.

Adult social care ratings published per year

Full CQC rating history, including services since closed

05,00010,00015,00020,000
11,285
2015
15,620
2016
13,301
2017
11,648
2018
12,834
2019
5,184
2020
4,729
2021
5,769
2022
5,502
2023
2,377
2024
3,310
2025
3,792
2026*
05,00010,00015,00020,000

2026* covers 1 January to 6 November 2026.

Figures
Ratings published
201511,285
201615,620
201713,301
201811,648
201912,834
20205,184
20214,729
20225,769
20235,502
20242,377
20253,310
2026*3,792
What CQC finds when it returns to a Good service

Re-ratings since January 2024 by the age of the previous Good rating: share now below Good

0%10%20%30%40%
39.3%
Under 3 years
39.4%
3 to 5 years
24.0%
5 years or more
0%10%20%30%40%
Figures
Now below Good
Under 3 years39.3%
3 to 5 years39.4%
5 years or more24.0%
How long current poor ratings have stood

Services by time since their current rating

Requires improvementInadequate
05001,0001,500
931
119
Under 1 year
516
24
1 to 2 years
1,204
19
2 to 4 years
868
4
4 years or more
05001,0001,500
Figures
Requires improvementInadequate
Under 1 year931119
1 to 2 years51624
2 to 4 years1,20419
4 years or more8684
Direction of re-ratings by year

Share of re-ratings compared with the previous rating

UpgradedSameDowngraded
0%25%50%75%100%
45.3%
45.3%
2016
27.2%
59.6%
13.3%
2017
27.9%
57.1%
15.0%
2018
23.4%
60.6%
16.0%
2019
26.2%
56.5%
17.3%
2020
29.2%
40.2%
30.6%
2021
27.7%
44.2%
28.1%
2022
25.7%
50.4%
23.9%
2023
24.8%
54.3%
20.9%
2024
31.4%
47.0%
21.6%
2025
20.7%
59.6%
19.7%
2026*
0%25%50%75%100%

2026* covers 1 January to 6 November 2026.

Figures
UpgradedSameDowngraded
201645.3%45.3%9.4%
201727.2%59.6%13.3%
201827.9%57.1%15.0%
201923.4%60.6%16.0%
202026.2%56.5%17.3%
202129.2%40.2%30.6%
202227.7%44.2%28.1%
202325.7%50.4%23.9%
202424.8%54.3%20.9%
202531.4%47.0%21.6%
2026*20.7%59.6%19.7%

Adult social care: named groups

Care groups with 40 or more rated services, grouped by the brand CQC records (57 groups). Welltower (599 services) is left out: it is the landlord, and CQC's Welltower brand covers homes run by Care UK, HC-One, Aria and others. Care UK's ratings are thin because its homes re-registered in 2024 to 2026 and new registrations start unrated.

  1. Leonard Cheshire Disability has the highest share of services below Good.

    34.0% of its 47 rated services, then Maria Mallaband Care Group (29.9%), Deer Capital (27.5%), Bondcare (27.3%) and Care Concern Group (25.5%). The sector average is 15.6%.

  2. The best-rated groups are mostly home care brands and retirement housing.

    Right at Home (none below Good), Home Instead (2.1%), Midshires Care Ltd (2.2%) and Yourlife Management Services (2.9%).

  3. Home care franchises dominate Outstanding ratings.

    Home Instead has 41.5% of its 142 rated services Outstanding, Right at Home 33.3% and Bluebird Care 20.0%, against 4.7% across the sector.

  4. Big groups do better than the sector overall.

    Across these 57 groups, 12.0% of rated services are below Good. Single-service providers run 44% of all services.

Groups with the highest share below Good

Share of rated services; rated services in brackets

Leonard Cheshire Disability (47)
34.0%
Maria Mallaband Care Group (67)
29.9%
Deer Capital (51)
27.5%
Bondcare (55)
27.3%
Care Concern Group (47)
25.5%
Gold Care Homes (43)
23.3%
North Bay Group (44)
22.7%
Radis Community Care (47)
21.3%
Agincare (86)
20.9%
Lifeways Community Care (105)
19.0%
Caremark (54)
18.5%
Ivolve Group Limited (72)
18.1%
0%10%20%30%40%
Figures
Below Good
Leonard Cheshire Disability (47)34.0%
Maria Mallaband Care Group (67)29.9%
Deer Capital (51)27.5%
Bondcare (55)27.3%
Care Concern Group (47)25.5%
Gold Care Homes (43)23.3%
North Bay Group (44)22.7%
Radis Community Care (47)21.3%
Agincare (86)20.9%
Lifeways Community Care (105)19.0%
Caremark (54)18.5%
Ivolve Group Limited (72)18.1%
Groups with the lowest share below Good

Share of rated services; rated services in brackets

Right at Home (51)
0.0%
Home Instead (142)
2.1%
Midshires Care Ltd (134)
2.2%
Yourlife Management Services (105)
2.9%
Milestones Trust (45)
4.4%
Bluebird Care (125)
4.8%
Orders of St John Care Trust (57)
5.3%
Consensus Support Services Limited (56)
5.4%
Sanctuary Care Limited (122)
5.7%
Exemplar Health Care Limited (50)
6.0%
Potensial Limited (49)
6.1%
Royal Mencap Society (63)
6.3%
0%2%4%6%8%
Figures
Below Good
Right at Home (51)0.0%
Home Instead (142)2.1%
Midshires Care Ltd (134)2.2%
Yourlife Management Services (105)2.9%
Milestones Trust (45)4.4%
Bluebird Care (125)4.8%
Orders of St John Care Trust (57)5.3%
Consensus Support Services Limited (56)5.4%
Sanctuary Care Limited (122)5.7%
Exemplar Health Care Limited (50)6.0%
Potensial Limited (49)6.1%
Royal Mencap Society (63)6.3%
Groups with the highest share Outstanding

Share of rated services; rated services in brackets

Home Instead (142)
41.5%
Right at Home (51)
33.3%
Bluebird Care (125)
20.0%
Elysium Healthcare (44)
15.9%
Choice Care Group (82)
14.6%
Care UK (64)
10.9%
Exemplar Health Care Limited (50)
10.0%
Consensus Support Services Limited (56)
8.9%
Abbeyfield Society (49)
8.2%
Salutem Bid Co Ltd (75)
8.0%
0%10%20%30%40%50%
Figures
Outstanding
Home Instead (142)41.5%
Right at Home (51)33.3%
Bluebird Care (125)20.0%
Elysium Healthcare (44)15.9%
Choice Care Group (82)14.6%
Care UK (64)10.9%
Exemplar Health Care Limited (50)10.0%
Consensus Support Services Limited (56)8.9%
Abbeyfield Society (49)8.2%
Salutem Bid Co Ltd (75)8.0%
All 57 groups
GroupServicesRatedBelow Good %Outstanding %InadequateCare home beds
Voyage3283089.44.203,363
Care UK2526412.510.9017,210
Barchester Healthcare23719811.65.1214,945
Achieve Together19418116.07.701,206
City and County Healthcare Group18615216.43.30102
Priory Group1811779.65.601,756
Midshires Care Ltd1511342.20.000
CareTech Community Services1491459.76.901,220
Cera Care14711414.02.610
Home Instead1451422.141.500
Bluebird Care1331254.820.0080
Anchor13112914.02.306,424
BUPA Group13012913.26.207,136
Yourlife Management Services1271052.90.000
Sanctuary Care Limited1251225.75.704,869
Lifeways Community Care11410519.00.02561
Avery1019213.02.208,332
Agincare998620.93.502,460
Methodist Homes939310.86.503,701
Creative Support Limited89766.66.60110
Ivolve Group Limited887218.16.90544
Radis Community Care834721.30.006
Choice Care Group83827.314.61662
Housing & Care 2179726.96.9080
Salutem Bid Co Ltd757513.38.00612
Cygnet Health Care736713.44.50801
Clece Care Services704610.90.000
Maria Mallaband Care Group696729.93.014,002
Minster Care Group665817.20.003,468
Runwood666214.51.604,637
Royal Mencap Society64636.36.30176
Community Integrated Care (CIC)634810.40.00227
Dimensions605514.53.60211
Accomplish Group60588.61.70428
Consensus Support Services Limited59565.48.90485
Prime Life Limited595817.20.012,317
Orders of St John Care Trust59575.37.002,964
Exemplar Health Care Limited58506.010.001,730
National Care Group57517.80.00393
Bondcare565527.31.813,475
Caremark565418.53.7086
Deer Capital565127.52.002,517
Care Concern Group544725.52.103,354
Healthcare Homes545411.15.602,512
Abbeyfield Society534910.28.201,314
Right at Home53510.033.300
North Bay Group504422.72.303,025
Leonard Cheshire Disability494734.00.00741
Potensial Limited49496.14.10375
HF Trust Limited484413.64.50206
Country Court Care484117.10.002,990
Gold Care Homes464323.34.702,876
Elysium Healthcare46449.115.91835
Sense - The National Deafblind and Rubella Association454511.16.70226
Milestones Trust45454.44.40313
St Annes Community Services434211.92.40204
Shaw Healthcare404015.05.001,650

Adult social care: by specialism

Care homes by the specialisms they register with CQC. A home can list several, so the groups overlap.

  1. Dementia care homes hold 81% of all care home beds, and rate worse.

    8,470 homes list dementia, with 395,233 beds. 20.3% of rated dementia homes are below Good, against 13.9% of other homes; 71,063 dementia beds are in homes rated below Good.

  2. Dementia homes fall short most on safety.

    22.9% are below Good on Safe and 25.5% on Well-led, against 15.1% and 18.4% for other homes. Dementia homes are also larger, and larger homes rate worse.

  3. Learning disability homes rate better but are seen least.

    5,014 care homes list learning disabilities, with a median of 7 beds. 14.0% of those rated are below Good, but 45.8% have not been inspected in five years or ever.

  4. Home care specialisms say little.

    75% of home care agencies list dementia care and 20% list children, so registered specialisms do not separate agencies; their ratings barely differ by specialism.

Care homes below Good, by specialism

Share of rated homes listing each specialism; rated homes in brackets

Dementia (7,681)
20.3%
Caring for adults over 65 yrs (10,539)
19.2%
Physical disabilities (5,786)
18.5%
Mental health conditions (4,011)
18.5%
Caring for adults under 65 yrs (8,608)
18.1%
Sensory impairment (3,355)
17.6%
Learning disabilities (4,708)
14.0%
0%5%10%15%20%25%
Figures
Below Good
Dementia (7,681)20.3%
Caring for adults over 65 yrs (10,539)19.2%
Physical disabilities (5,786)18.5%
Mental health conditions (4,011)18.5%
Caring for adults under 65 yrs (8,608)18.1%
Sensory impairment (3,355)17.6%
Learning disabilities (4,708)14.0%
Dementia care homes and other homes, by key question

Share of rated homes below Good on each key question

Dementia homesOther homes
0%10%20%30%
22.9%
15.1%
Safe
10.5%
7.7%
Effective
5.0%
3.1%
Caring
7.7%
4.8%
Responsive
25.5%
18.4%
Well-led
0%10%20%30%
Figures
Dementia homesOther homes
Safe22.9%15.1%
Effective10.5%7.7%
Caring5.0%3.1%
Responsive7.7%4.8%
Well-led25.5%18.4%

Adult social care: by council

Worst: Luton (36.1% of rated services below Good), Bexley (32.9%), Medway (32.1%). Best: Merton (none of its 87), Gateshead (2.2%), Richmond upon Thames (3.1%). By region, the West Midlands is worst and the North East best.

Councils with the most and fewest services below Good

Share of rated services. Councils with 60 or more; count in brackets

Most below GoodFewest below Good
Luton (72)
36.1%
Bexley (70)
32.9%
Medway (112)
32.1%
West Northamptonshire (198)
31.3%
Greenwich (103)
31.1%
Wolverhampton (137)
30.7%
Reading (70)
30.0%
Norfolk (435)
29.4%
Rochdale (88)
28.4%
Windsor and Maidenhead (60)
28.3%
Merton (87)
0.0%
Gateshead (91)
2.2%
Richmond upon Thames (64)
3.1%
Bristol, City of (149)
3.4%
Bournemouth, Christchurch and Poole (225)
3.6%
Dorset (177)
4.0%
Sunderland (126)
4.8%
Sutton (118)
5.1%
Hillingdon (111)
5.4%
Hounslow (85)
5.9%
0%10%20%30%40%
Figures
Most below GoodFewest below Good
Luton (72)36.1%
Bexley (70)32.9%
Medway (112)32.1%
West Northamptonshire (198)31.3%
Greenwich (103)31.1%
Wolverhampton (137)30.7%
Reading (70)30.0%
Norfolk (435)29.4%
Rochdale (88)28.4%
Windsor and Maidenhead (60)28.3%
Merton (87)0.0%
Gateshead (91)2.2%
Richmond upon Thames (64)3.1%
Bristol, City of (149)3.4%
Bournemouth, Christchurch and Poole (225)3.6%
Dorset (177)4.0%
Sunderland (126)4.8%
Sutton (118)5.1%
Hillingdon (111)5.4%
Hounslow (85)5.9%
Ratings by region

Share of rated services, worst first; rated services in brackets

OutstandingGoodRequires improvementInadequate
West Midlands (2573)
75.7%
20.2%
East Midlands (2247)
75.0%
18.2%
East (2679)
76.4%
16.8%
South East (4268)
78.7%
15.9%
Yorkshire & Humberside (2326)
78.8%
15.6%
North West (2858)
79.6%
15.0%
London (2881)
86.3%
11.0%
South West (2753)
83.7%
10.1%
North East (1074)
86.0%
Figures
OutstandingGoodRequires improvementInadequate
West Midlands (2573)3.3%75.7%20.2%0.8%
East Midlands (2247)6.1%75.0%18.2%0.8%
East (2679)5.6%76.4%16.8%1.2%
South East (4268)4.8%78.7%15.9%0.7%
Yorkshire & Humberside (2326)4.7%78.8%15.6%0.8%
North West (2858)4.4%79.6%15.0%0.9%
London (2881)2.4%86.3%11.0%0.2%
South West (2753)5.9%83.7%10.1%0.4%
North East (1074)6.5%86.0%7.1%0.4%

Adult social care (closed)

36,440 services

Services whose CQC registration has ended. A deregistration is not always a closure: when a home changes owner, the old registration ends and a new one starts at the same address.

  1. Most care home deregistrations are changes of owner, not closures.

    In 2025, 51.7% of care home deregistrations were followed by a new registration at the same postcode within 45 days. In 2026 so far it is 61.4%.

  2. Genuine care home closures have more than halved since 2016.

    Deregistrations with no re-registration at the same address fell from 806 in 2016 to 387 in 2025, with 285 so far in 2026. Genuine nursing home closures fell from 92 in 2022 to 54 in 2025.

  3. Home care's growth has stalled.

    Net of genuine closures, the sector added 1,335 home care agencies in 2023 and 589 in 2025. In 2026 so far, 812 opened and 766 closed. The rise and fall follows the timing of the overseas care worker visa route, though this data cannot show cause.

  4. Home care agencies are short-lived.

    Agencies that deregistered since January 2023 had been registered for a median of 3.4 years. 29.6% deregistered within two years and 7.7% within one. Residential homes that deregistered had been registered for a median of 12.3 years.

  5. Half of the home care agencies that deregistered were never inspected.

    51.9% of the 3,951 agencies that deregistered since January 2023 had no CQC inspection on record, against 11.2% of residential homes.

  6. Services that close carry far worse ratings than those that stay open.

    31.9% of closed services with a rating were below Good when they closed, and 1,486 (9.1%) were Inadequate. Among open services the figures are 15.6% and 0.7%.

  7. 373 services have closed holding an Inadequate rating since January 2023.

    That is 7.5% of rated services that closed in that period.

  8. Learning disability providers lead the closure list.

    Six of the ten providers with the most deregistrations since 2023 run learning disability and autism services: Achieve Together Limited, Choice Support, Royal Mencap Society, Ambient Support Limited, Dimensions (UK) Limited and Community Integrated Care. Between them they deregistered 239 services, mostly residential homes, and 90% of those services list learning disabilities. 70 were changes of owner.

  9. HC-One's deregistrations are restructuring, not closures.

    HC-One companies deregistered 205 services since 2023, the most of any group, but 180 (88%) re-registered at the same address within 45 days.

  10. 2,323 services were dormant when they deregistered.

    6.4% of closed services had told CQC they were not providing care before their registration ended.

Caveat
Change of owner is inferred: a deregistration followed within 45 days by a new registration at the same postcode. Some transfers with a longer gap or a changed postcode will be counted as closures, so genuine closures are an upper bound.
Geography
Deregistered services were most often below Good in Walsall (51.4%), Medway (50.0%) and Barnsley (49.2%); least often in Brighton and Hove (15.1%) and Wigan (15.4%). Includes changes of owner, which carry the old rating.
Care home deregistrations per year

Change of owner (re-registered at the same postcode within 45 days) against genuine closure

Genuine closureChange of owner
05001,0001,500
806
575
2016
715
637
2017
610
360
2018
568
381
2019
427
395
2020
543
424
2021
457
346
2022
472
355
2023
408
360
2024
387
414
2025
285
454
2026*
05001,0001,500

2026* covers 1 January to 6 November 2026.

Figures
Genuine closureChange of owner
2016806575
2017715637
2018610360
2019568381
2020427395
2021543424
2022457346
2023472355
2024408360
2025387414
2026*285454
Home care agencies opened and closed per year

Excluding changes of owner

OpenedClosed
05001,0001,5002,0002,500
1,920
1,700
2016
1,641
1,211
2017
1,319
902
2018
1,428
870
2019
1,379
694
2020
1,602
799
2021
1,706
843
2022
2,154
819
2023
1,877
757
2024
1,606
1,017
2025
812
766
2026*
05001,0001,5002,0002,500

2026* covers 1 January to 6 November 2026.

Figures
OpenedClosed
20161,9201,700
20171,6411,211
20181,319902
20191,428870
20201,379694
20211,602799
20221,706843
20232,154819
20241,877757
20251,6061,017
2026*812766
Services deregistered since 2023: how soon, and whether inspected

Share of deregistrations, including changes of owner

Closed within 2 years of registeringNever inspected
0%25%50%75%100%
29.6%
51.9%
Home care
8.3%
11.2%
Residential homes
12.2%
14.3%
Nursing homes
0%25%50%75%100%
Figures
Closed within 2 years of registeringNever inspected
Home care29.6%51.9%
Residential homes8.3%11.2%
Nursing homes12.2%14.3%
Ratings of open services and of services when they closed

Share of rated services

OutstandingGoodRequires improvementInadequate
Open services (current rating)
79.7%
14.9%
Closed services (rating at closure)
66.6%
22.8%
9.1%
Figures
OutstandingGoodRequires improvementInadequate
Open services (current rating)4.7%79.7%14.9%0.7%
Closed services (rating at closure)1.5%66.6%22.8%9.1%
Providers with the most deregistrations since 2023

Services deregistered

Genuine closureChange of owner
HC-One Limited
10 / 126
Achieve Together Limited
65 / 3
HC-One No.1 Limited
14 / 40
Choice Support
11 / 33
Care UK Community Partnerships Ltd
3 / 38
Royal Mencap Society
29 / 6
Dimensions (UK) Limited
29 / 3
Ambient Support Limited
15 / 17
Signature Senior Lifestyle Operations Ltd
0 / 29
Community Integrated Care
20 / 8
050100150
Figures
Genuine closureChange of owner
HC-One Limited10126
Achieve Together Limited653
HC-One No.1 Limited1440
Choice Support1133
Care UK Community Partnerships Ltd338
Royal Mencap Society296
Dimensions (UK) Limited293
Ambient Support Limited1517
Signature Senior Lifestyle Operations Ltd029
Community Integrated Care208
Councils where deregistered services were most and least often below Good

Share of deregistered services that held a rating. Councils with 60 or more; count in brackets

Most below GoodFewest below Good
Walsall (74)
51.4%
Medway (78)
50.0%
Barnsley (63)
49.2%
Haringey (70)
48.6%
Portsmouth (67)
47.8%
Kirklees (106)
46.2%
Sandwell (87)
46.0%
Norfolk (305)
44.6%
Hillingdon (71)
43.7%
Buckinghamshire (118)
43.2%
Brighton and Hove (119)
15.1%
Wigan (65)
15.4%
Cambridgeshire (169)
17.2%
Cumberland (115)
17.4%
Westmorland and Furness (85)
17.6%
County Durham (124)
18.5%
Bolton (62)
19.4%
Bournemouth, Christchurch and Poole (173)
19.7%
Gloucestershire (212)
19.8%
Peterborough (70)
20.0%
0%20%40%60%
Figures
Most below GoodFewest below Good
Walsall (74)51.4%
Medway (78)50.0%
Barnsley (63)49.2%
Haringey (70)48.6%
Portsmouth (67)47.8%
Kirklees (106)46.2%
Sandwell (87)46.0%
Norfolk (305)44.6%
Hillingdon (71)43.7%
Buckinghamshire (118)43.2%
Brighton and Hove (119)15.1%
Wigan (65)15.4%
Cambridgeshire (169)17.2%
Cumberland (115)17.4%
Westmorland and Furness (85)17.6%
County Durham (124)18.5%
Bolton (62)19.4%
Bournemouth, Christchurch and Poole (173)19.7%
Gloucestershire (212)19.8%
Peterborough (70)20.0%
Rating held at deregistration, by region

Share of deregistered services that held a rating; count in brackets

OutstandingGoodRequires improvementInadequate
Yorkshire & Humberside (1573)
62.6%
25.8%
10.4%
West Midlands (1747)
63.8%
26.1%
9.7%
East Midlands (1576)
66.1%
24.1%
8.3%
London (1865)
66.8%
25.7%
South East (2947)
66.6%
22.0%
9.7%
East (1791)
66.4%
21.6%
10.0%
North West (2160)
68.4%
21.5%
8.8%
North East (743)
70.1%
21.4%
South West (2014)
69.2%
18.4%
9.2%
Figures
OutstandingGoodRequires improvementInadequate
Yorkshire & Humberside (1573)1.2%62.6%25.8%10.4%
West Midlands (1747)0.4%63.8%26.1%9.7%
East Midlands (1576)1.5%66.1%24.1%8.3%
London (1865)0.8%66.8%25.7%6.7%
South East (2947)1.7%66.6%22.0%9.7%
East (1791)2.1%66.4%21.6%10.0%
North West (2160)1.3%68.4%21.5%8.8%
North East (743)1.3%70.1%21.4%7.1%
South West (2014)3.1%69.2%18.4%9.2%

GP practices (registered)

8,801 locations

Locations registered with CQC as doctors or GPs, aesthetic clinics excluded. 6,143 carry an NHS practice code; the findings are on those unless stated.

  1. A third of this list is not NHS general practice.

    2,658 of the 8,801 locations have no NHS practice code: private GPs, online doctors, occupational health and urgent care. They behave very differently, so the findings below separate them.

  2. NHS practices are rated, but the ratings are old.

    96.6% hold a rating, yet 57.4% were last inspected or assessed more than five years ago. The median gap is 7.3 years; 2,566 practices (42%) have waited eight years or more and 1,198 ten or more.

  3. 1,266 practices were last visited in 2016.

    2016 is still the most common year of last inspection; the next, 2017, has 676.

  4. Ratings are almost uniformly Good.

    5,412 of 5,933 rated practices (91.2%) are Good. 4.1% are below Good and 11 are Inadequate. In adult social care, 15.6% are below Good.

  5. Most Outstanding ratings date from years ago.

    76.6% of the 278 Outstanding practices were last inspected or assessed more than five years ago.

  6. The assessment model is three times as likely to find a problem.

    8.5% of practices rated under assessment are below Good, against 2.6% under inspection. The same caveat applies: CQC chose which practices to assess first.

  7. Inspection gaps vary widely between ICBs.

    In Gloucestershire, 84.1% of practices have not been inspected or assessed in five years or ever. In Herefordshire and Worcestershire it is 30.8%. By region, the South West is worst (70.7%) and the West Midlands best (53.6%).

  8. London has the fewest Outstanding practices.

    1.1% of rated London practices are Outstanding, against 8.9% in the South West.

  9. Safe is the weakest key question, and a few councils stand out.

    5.7% of rated practices are below Good on Safe and 4.6% on Well-led; Caring is 1.0%. Lincolnshire (11.7%) and Cambridgeshire (9.4%) have the highest shares below Good; 7 councils with 40 or more rated practices have none.

  10. Private doctor services are multiplying, and most are uninspected.

    New non-NHS registrations rose from 84 in 2019 to 477 in 2025, four times the 117 new NHS practice registrations. Of the 2,658 non-NHS locations, 62.9% have never been inspected, and 35.3% are in London, against 18.4% of NHS practices.

Geography
Outstanding practices cluster in Devon (19.5%), Derbyshire (16.5%) and Nottinghamshire (16.2%); 10 councils with 40 or more rated practices have none. The highest shares below Good are in Lincolnshire (11.7%), Cambridgeshire (9.4%) and East Sussex (9.1%).
NHS practices by year last inspected or assessed

Number of practices

05001,0001,500
189
Never
117
2014-15
1,266
2016
676
2017
623
2018
513
2019
152
2020
248
2021
458
2022
353
2023
362
2024
603
2025
583
2026*
05001,0001,500

2026* covers 1 January to 6 November 2026.

Figures
Practices
Never189
2014-15117
20161,266
2017676
2018623
2019513
2020152
2021248
2022458
2023353
2024362
2025603
2026*583
NHS practices not inspected in five years, or ever, by ICB

Share of practices, ICBs with 60 or more practices

Gloucestershire
84.1%
Dorset
77.5%
Coventry and Warwickshire
75.0%
Bristol, North Somerset and South Gloucestershire
74.0%
Surrey and Sussex
73.9%
Bath and North East Somerset, Swindon and Wiltshire
73.8%
Thames Valley
72.0%
Derby and Derbyshire
70.3%
Nottingham and Nottinghamshire
70.2%
South Yorkshire
69.8%
Devon
69.6%
Central East
69.0%
Hampshire and Isle of Wight
66.9%
Lincolnshire
65.0%
Leicester, Leicestershire and Rutland
63.8%
Lancashire and South Cumbria
62.3%
Norfolk and Suffolk
62.2%
Birmingham and Solihull
61.5%
Essex
60.5%
South East London
60.5%
North East and North Cumbria
58.6%
West Yorkshire
57.9%
South West London
56.8%
Cheshire and Merseyside
55.8%
North East London
55.3%
Kent and Medway
55.1%
West and North London
54.1%
Staffordshire and Stoke-on-Trent
53.2%
Greater Manchester
53.0%
Humber and North Yorkshire
51.3%
Northamptonshire
47.0%
Black Country
42.3%
Herefordshire and Worcestershire
30.8%
0%25%50%75%100%
Figures
Not inspected in 5 years, or ever
Gloucestershire84.1%
Dorset77.5%
Coventry and Warwickshire75.0%
Bristol, North Somerset and South Gloucestershire74.0%
Surrey and Sussex73.9%
Bath and North East Somerset, Swindon and Wiltshire73.8%
Thames Valley72.0%
Derby and Derbyshire70.3%
Nottingham and Nottinghamshire70.2%
South Yorkshire69.8%
Devon69.6%
Central East69.0%
Hampshire and Isle of Wight66.9%
Lincolnshire65.0%
Leicester, Leicestershire and Rutland63.8%
Lancashire and South Cumbria62.3%
Norfolk and Suffolk62.2%
Birmingham and Solihull61.5%
Essex60.5%
South East London60.5%
North East and North Cumbria58.6%
West Yorkshire57.9%
South West London56.8%
Cheshire and Merseyside55.8%
North East London55.3%
Kent and Medway55.1%
West and North London54.1%
Staffordshire and Stoke-on-Trent53.2%
Greater Manchester53.0%
Humber and North Yorkshire51.3%
Northamptonshire47.0%
Black Country42.3%
Herefordshire and Worcestershire30.8%
NHS practice ratings by CQC model

Share of current ratings

OutstandingGoodRequires improvementInadequate
Inspection
92.1%
Assessment
88.6%
8.1%
Figures
OutstandingGoodRequires improvementInadequate
Inspection5.3%92.1%2.5%0.1%
Assessment2.9%88.6%8.1%0.4%
Outstanding NHS practices, by region

Share of rated practices

South West
8.9%
East Midlands
8.1%
North East
7.3%
North West
5.7%
Yorkshire & Humberside
4.7%
East
4.0%
West Midlands
3.9%
South East
3.8%
London
1.1%
0%2.5%5%7.5%10%
Figures
Outstanding
South West8.9%
East Midlands8.1%
North East7.3%
North West5.7%
Yorkshire & Humberside4.7%
East4.0%
West Midlands3.9%
South East3.8%
London1.1%
New registrations per year

Locations registered as doctors or GPs, aesthetic clinics excluded

NHS practicesPrivate and other
0100200300400500
188
62
2017
177
93
2018
177
84
2019
181
106
2020
127
147
2021
175
223
2022
136
287
2023
125
370
2024
117
477
2025
82
444
2026*
0100200300400500

2026* covers 1 January to 6 November 2026.

Figures
NHS practicesPrivate and other
201718862
201817793
201917784
2020181106
2021127147
2022175223
2023136287
2024125370
2025117477
2026*82444
NHS practices below Good on each key question

Share of rated practices

0%2%4%6%
5.7%
Safe
3.6%
Effective
1.0%
Caring
4.3%
Responsive
4.6%
Well-led
0%2%4%6%
Figures
Below Good
Safe5.7%
Effective3.6%
Caring1.0%
Responsive4.3%
Well-led4.6%
Councils with the highest share of Outstanding NHS practices

Share of rated NHS practices. Councils with 40 or more; count in brackets

Devon (82)
19.5%
Derbyshire (85)
16.5%
Nottinghamshire (74)
16.2%
Wiltshire (45)
15.6%
Wigan (49)
12.2%
Nottingham (44)
11.4%
County Durham (60)
10.0%
Buckinghamshire (46)
8.7%
North Yorkshire (61)
8.2%
Cornwall (52)
7.7%
Manchester (79)
7.6%
Suffolk (68)
7.4%
0%5%10%15%20%
Figures
Outstanding
Devon (82)19.5%
Derbyshire (85)16.5%
Nottinghamshire (74)16.2%
Wiltshire (45)15.6%
Wigan (49)12.2%
Nottingham (44)11.4%
County Durham (60)10.0%
Buckinghamshire (46)8.7%
North Yorkshire (61)8.2%
Cornwall (52)7.7%
Manchester (79)7.6%
Suffolk (68)7.4%
Councils with the highest share of NHS practices below Good

Share of rated NHS practices. Councils with 40 or more; count in brackets

Lincolnshire (77)
11.7%
Cambridgeshire (64)
9.4%
East Sussex (44)
9.1%
Liverpool (86)
8.1%
Ealing (65)
7.7%
Hillingdon (43)
7.0%
Birmingham (150)
6.7%
Barnet (46)
6.5%
Essex (140)
6.4%
Hertfordshire (96)
6.2%
Norfolk (85)
5.9%
Lancashire (119)
5.9%
0%2%4%6%8%10%12%
Figures
Below Good
Lincolnshire (77)11.7%
Cambridgeshire (64)9.4%
East Sussex (44)9.1%
Liverpool (86)8.1%
Ealing (65)7.7%
Hillingdon (43)7.0%
Birmingham (150)6.7%
Barnet (46)6.5%
Essex (140)6.4%
Hertfordshire (96)6.2%
Norfolk (85)5.9%
Lancashire (119)5.9%
NHS practice ratings by region

Share of rated practices, worst first; rated practices in brackets

OutstandingGoodRequires improvementInadequate
East (573)
88.5%
East Midlands (484)
8.1%
86.6%
London (1083)
93.8%
South East (769)
92.5%
North West (935)
90.7%
West Midlands (710)
92.7%
Yorkshire & Humberside (570)
92.6%
North East (302)
90.4%
South West (507)
8.9%
89.2%
Figures
OutstandingGoodRequires improvementInadequate
East (573)4.0%88.5%7.3%0.2%
East Midlands (484)8.1%86.6%5.4%0.0%
London (1083)1.1%93.8%4.9%0.2%
South East (769)3.8%92.5%3.8%0.0%
North West (935)5.7%90.7%3.0%0.6%
West Midlands (710)3.9%92.7%3.2%0.1%
Yorkshire & Humberside (570)4.7%92.6%2.6%0.0%
North East (302)7.3%90.4%2.3%0.0%
South West (507)8.9%89.2%1.8%0.2%

GP practices (registered): rating history and groups

From CQC's rating history for each NHS practice still registered, and the providers running ten or more NHS practices.

  1. 5 NHS practices have been rated Inadequate for more than two years.

    They are North Park Health Centre (Sefton, 3.7 years); Great Staughton Surgery (Cambridgeshire, 3.6 years); Prince of Wales Medical Centre (Camden, 3.6 years); Salisbury Avenue Surgery (Barking and Dagenham, 3.5 years); Waterloo Medical Centre (Tameside, 3.2 years). Charlton House Medical Centre in Haringey has been rated Inadequate for 5.2 years but carries no NHS code in CQC's record, so it is not counted here.

  2. Inadequate practices wait longer than care services for a return visit.

    Only 18.9% of NHS practices rated Inadequate were re-rated within six months (median 238 days), against 48.3% of care services. When re-rated, 45.2% reached Good.

  3. Half of Requires improvement practices have waited more than two years.

    117 of 232 (50%); the median wait is 2.1 years.

  4. GP inspection activity is a fraction of what it was.

    CQC rated 3,198 NHS practices still open today in 2016, against 497 in 2024 and 836 so far in 2026.

  5. Old Good GP ratings mostly hold.

    Of 1002 practices re-rated since 2024 after a Good rating at least five years old, 12.5% came out below Good, against one in four in adult social care.

  6. Large GP providers are rare and rate like everyone else.

    11 providers run ten or more NHS practices; the largest, Our Health Partnership, runs 29. Between them 183 practices, 3.5% below Good.

NHS practices rated per year

Ratings for practices still registered today

01,0002,0003,0004,000
1,527
2015
3,198
2016
2,167
2017
1,353
2018
1,405
2019
546
2020
448
2021
778
2022
456
2023
497
2024
484
2025
836
2026*
01,0002,0003,0004,000

Practices that have since closed are not counted, so earlier years understate activity. 2026* covers 1 January to 6 November 2026.

Figures
Practices rated
20151,527
20163,198
20172,167
20181,353
20191,405
2020546
2021448
2022778
2023456
2024497
2025484
2026*836
NHS practices currently rated Inadequate

Years since the Inadequate rating

North Park Health Centre (Sefton)
3.7
Great Staughton Surgery (Cambridgeshire)
3.6
Prince of Wales Medical Centre (Camden)
3.6
Salisbury Avenue Surgery (Barking and Dagenham)
3.5
Waterloo Medical Centre (Tameside)
3.2
Glenroyd Medical (Blackpool)
1.4
Naseby Medical Centre (Birmingham)
0.6
Castlegate & Derwent Surgery (Cumberland)
0.5
Cricklade Surgery (Wiltshire)
0.2
Dr I K Babar & Partners (Rochdale)
0.2
Dr Murthy Motupalli (Lancashire)
0.1
01234
Figures
Years since rating
North Park Health Centre (Sefton)3.7
Great Staughton Surgery (Cambridgeshire)3.6
Prince of Wales Medical Centre (Camden)3.6
Salisbury Avenue Surgery (Barking and Dagenham)3.5
Waterloo Medical Centre (Tameside)3.2
Glenroyd Medical (Blackpool)1.4
Naseby Medical Centre (Birmingham)0.6
Castlegate & Derwent Surgery (Cumberland)0.5
Cricklade Surgery (Wiltshire)0.2
Dr I K Babar & Partners (Rochdale)0.2
Dr Murthy Motupalli (Lancashire)0.1
Providers running ten or more NHS practices

Share of rated practices; practices in brackets

OutstandingBelow Good
Our Health Partnership (29)
10.7%
0.0%
AT Medics Limited (28)
0.0%
0.0%
Modality Partnership (25)
4.2%
4.2%
SSP Health GPMS Ltd (21)
5.0%
0.0%
The Practice Surgeries Limited (17)
0.0%
13.3%
SSP Health Primary Care Limited (11)
30.0%
0.0%
Primary Care 24 (Merseyside) Limited (11)
0.0%
22.2%
Symphony Healthcare Services Limited (11)
9.1%
0.0%
The Village Surgery (10)
0.0%
0.0%
Hurley Clinic Partnership (10)
0.0%
10.0%
Hope Citadel Healthcare Community Interest Company (10)
50.0%
0.0%
0%10%20%30%40%50%
Figures
OutstandingBelow Good
Our Health Partnership (29)10.7%0.0%
AT Medics Limited (28)0.0%0.0%
Modality Partnership (25)4.2%4.2%
SSP Health GPMS Ltd (21)5.0%0.0%
The Practice Surgeries Limited (17)0.0%13.3%
SSP Health Primary Care Limited (11)30.0%0.0%
Primary Care 24 (Merseyside) Limited (11)0.0%22.2%
Symphony Healthcare Services Limited (11)9.1%0.0%
The Village Surgery (10)0.0%0.0%
Hurley Clinic Partnership (10)0.0%10.0%
Hope Citadel Healthcare Community Interest Company (10)50.0%0.0%

Dentists (registered)

12,084 locations

Dental practices registered with CQC, aesthetic clinics excluded. 6,660 carry an NHS dental contract code.

  1. Patients have no CQC rating to compare dentists by.

    CQC does not routinely rate dental practices: 4 of 12,084 locations hold a rating, one of them Inadequate.

  2. 40.8% of dental locations have never been inspected.

    That is 4,933 practices. Adding the 3,037 last inspected more than five years ago takes it to 66.0%.

  3. New practices are almost never visited.

    Of the 3,841 dental locations registered since January 2022, 89% have never been inspected. Even among 2019 registrations, 51% are still waiting after six years.

  4. Practices without an NHS contract are the least inspected.

    63.5% of the 5,424 locations with no NHS dental code have never been inspected, against 22.3% of NHS-coded practices.

  5. The South of England has the longest gaps.

    In the South West, 80.8% of practices have not been inspected in five years or ever; in the South East, 77.4%. The West Midlands is lowest at 44.9%.

  6. Some councils have barely been visited.

    In Bournemouth, Christchurch and Poole, 90.1% of 101 practices have not been inspected in five years or ever; Greenwich 86.9%, West Sussex 86.8%. In Birmingham it is 37.7% (councils with 60 or more practices).

  7. 954 practices have gone ten years or more without an inspection.

    1,891 have gone eight years or more.

  8. Corporate groups differ sharply.

    83.0% of Envisage Dental's 88 practices have never been inspected and 59.2% of Portman's 169; at IDH (mydentist) it is 18.5%.

  9. Most dental providers run a single practice.

    89.2% of the 8,729 dental providers run a single site, and the ten largest groups hold 8.6% of locations. The largest, Whitecross Dental Care, has 196.

  10. London has the most never-inspected practices.

    46.2% of London's 2,410 dental locations have never been inspected, the highest of any region.

Geography
CQC does not rate dentists, so geography here means inspection coverage. Least inspected: Greenwich (62.3% never inspected), Bournemouth, Christchurch and Poole (60.4%), Harrow (54.1%). Best covered: Staffordshire (29.4%), Devon (30.3%).
Dental locations never inspected, by year registered

Share of locations registered in each year

0%25%50%75%100%
1.0%
2012
3.5%
2013
6.1%
2014
8.1%
2015
13.3%
2016
22.9%
2017
33.1%
2018
50.8%
2019
59.2%
2020
65.1%
2021
76.1%
2022
83.6%
2023
89.8%
2024
94.9%
2025
98.2%
2026*
0%25%50%75%100%

2026* covers 1 January to 6 November 2026.

Figures
Never inspected
20121.0%
20133.5%
20146.1%
20158.1%
201613.3%
201722.9%
201833.1%
201950.8%
202059.2%
202165.1%
202276.1%
202383.6%
202489.8%
202594.9%
2026*98.2%
Time since last inspection

Number of dental locations

01,0002,0003,0004,0005,000
4,933
Never
1,742
Under 2 years
2,372
2 to 5
1,146
5 to 8
937
8 to 10
954
10 or more
01,0002,0003,0004,0005,000
Figures
Locations
Never4,933
Under 2 years1,742
2 to 52,372
5 to 81,146
8 to 10937
10 or more954
NHS-coded and other dental practices

Share of locations

Inspected in the last 5 yearsLast inspected 5+ years agoNever inspected
NHS-coded
42.4%
35.3%
22.3%
No NHS code
23.8%
12.6%
63.5%
Figures
Inspected in the last 5 yearsLast inspected 5+ years agoNever inspected
NHS-coded42.4%35.3%22.3%
No NHS code23.8%12.6%63.5%
Not inspected in five years, or ever, by region

Share of dental locations

South West
80.8%
South East
77.4%
London
71.7%
Yorkshire & Humberside
61.8%
North West
61.2%
East Midlands
60.4%
East
56.9%
North East
55.8%
West Midlands
44.9%
0%25%50%75%100%
Figures
Not inspected in 5 years, or ever
South West80.8%
South East77.4%
London71.7%
Yorkshire & Humberside61.8%
North West61.2%
East Midlands60.4%
East56.9%
North East55.8%
West Midlands44.9%
Never inspected, largest dental groups

Share of each group's practices

Whitecross Dental Care (196)
49.5%
Portman Healthcare (169)
59.2%
Rodericks Dental Partners (138)
46.4%
Time for Teeth (88)
35.2%
Envisage Dental UK (88)
83.0%
IDH (81)
18.5%
Dentex Clinical (71)
90.1%
Balbir Singh Bhandal, Amrik Singh Bhandal & Baljit Singh Bhandal (69)
8.7%
0%25%50%75%100%
Figures
Never inspected
Whitecross Dental Care (196)49.5%
Portman Healthcare (169)59.2%
Rodericks Dental Partners (138)46.4%
Time for Teeth (88)35.2%
Envisage Dental UK (88)83.0%
IDH (81)18.5%
Dentex Clinical (71)90.1%
Balbir Singh Bhandal, Amrik Singh Bhandal & Baljit Singh Bhandal (69)8.7%
Councils with the most and fewest never-inspected dental practices

Share of dental locations. Councils with 60 or more; count in brackets

Most never inspectedFewest never inspected
Greenwich (61)
62.3%
Bournemouth, Christchurch and Poole (101)
60.4%
Harrow (85)
54.1%
Tower Hamlets (61)
54.1%
Hammersmith and Fulham (78)
53.8%
Kensington and Chelsea (78)
53.8%
Cheshire West and Chester (78)
53.8%
Southwark (66)
53.0%
County Durham (86)
52.3%
Wirral (61)
50.8%
Staffordshire (177)
29.4%
Devon (155)
30.3%
Milton Keynes (62)
30.6%
Leicester (81)
30.9%
Brighton and Hove (86)
31.4%
Newcastle upon Tyne (65)
32.3%
Stockport (80)
32.5%
Hillingdon (61)
32.8%
Trafford (67)
32.8%
Dudley (61)
32.8%
0%20%40%60%80%
Figures
Most never inspectedFewest never inspected
Greenwich (61)62.3%
Bournemouth, Christchurch and Poole (101)60.4%
Harrow (85)54.1%
Tower Hamlets (61)54.1%
Hammersmith and Fulham (78)53.8%
Kensington and Chelsea (78)53.8%
Cheshire West and Chester (78)53.8%
Southwark (66)53.0%
County Durham (86)52.3%
Wirral (61)50.8%
Staffordshire (177)29.4%
Devon (155)30.3%
Milton Keynes (62)30.6%
Leicester (81)30.9%
Brighton and Hove (86)31.4%
Newcastle upon Tyne (65)32.3%
Stockport (80)32.5%
Hillingdon (61)32.8%
Trafford (67)32.8%
Dudley (61)32.8%
Inspection coverage by region

Share of dental locations, least inspected first; locations in brackets

Inspected in the last 5 yearsLast inspected 5+ years agoNever inspected
London (2410)
28.3%
25.6%
46.2%
South West (1159)
19.2%
36.2%
44.6%
South East (2221)
22.6%
33.5%
43.8%
North East (455)
44.2%
16.5%
39.3%
East (1268)
43.1%
18.6%
38.3%
East Midlands (861)
39.6%
23.0%
37.4%
Yorkshire & Humberside (1044)
38.2%
24.5%
37.3%
North West (1518)
38.8%
24.2%
37.0%
West Midlands (1146)
55.1%
10.7%
34.1%
Figures
Inspected in the last 5 yearsLast inspected 5+ years agoNever inspected
London (2410)28.3%25.6%46.2%
South West (1159)19.2%36.2%44.6%
South East (2221)22.6%33.5%43.8%
North East (455)44.2%16.5%39.3%
East (1268)43.1%18.6%38.3%
East Midlands (861)39.6%23.0%37.4%
Yorkshire & Humberside (1044)38.2%24.5%37.3%
North West (1518)38.8%24.2%37.0%
West Midlands (1146)55.1%10.7%34.1%

Other primary medical (registered)

156 locations

Primary medical services that are neither GP practices nor dentists. A small group, so treat the percentages with care.

  1. This is mostly online doctors and urgent care.

    65 offer phone or online advice and 53 are urgent care centres; 15 do diagnosis or screening.

  2. More than half have never been inspected.

    88 of 156 (56.4%).

  3. Online services are the least inspected.

    69.2% of phone and online advice services have never been inspected, against 45.3% of urgent care centres.

  4. Where they are rated, they rate well.

    58 hold a rating: 50 Good, 4 Outstanding, 4 Requires improvement, none Inadequate.

  5. Registrations are rising.

    30 registered in 2025, against 7 in 2019.

  6. More online-advice services have closed than are open.

    95 phone and online advice services have deregistered, against 65 registered now. For urgent care centres it is 66 closed and 53 open.

  7. Urgent care is largely run by the NHS and social enterprises.

    18 of the 53 urgent care centres are run by NHS trusts or community interest companies; FCMS and Partnering Health run 6 services each.

  8. London hosts a quarter of them.

    41 of 156 (26.3%).

  9. Almost none carry an NHS practice code.

    9 have an NHS organisation code of any kind.

  10. Big consumer health brands sit in this group.

    They include Boots Online Doctor, Doctor Care Anywhere and Randox Health (3 locations).

Geography
With 156 locations and 58 ratings, this group is too small to map by council. No region has an Inadequate service.
What these services do

Number of locations

Phone and online advice
65
Urgent care centres
53
Diagnosis and screening
15
Other
23
020406080
Figures
Locations
Phone and online advice65
Urgent care centres53
Diagnosis and screening15
Other23
Never inspected, by type

Share of locations

0%25%50%75%100%
69.2%
Phone and online advice
45.3%
Urgent care centres
60.0%
Diagnosis and screening
43.5%
Other
0%25%50%75%100%
Figures
Never inspected
Phone and online advice69.2%
Urgent care centres45.3%
Diagnosis and screening60.0%
Other43.5%
Registrations per year

Locations still registered

0102030
7
2019
15
2020
11
2021
12
2022
12
2023
22
2024
30
2025
17
2026*
0102030

2026* covers 1 January to 6 November 2026.

Figures
Registered
20197
202015
202111
202212
202312
202422
202530
2026*17
Open and closed, by type

Number of locations

Registered nowClosed
0255075100
65
95
Phone and online advice
53
66
Urgent care centres
15
22
Diagnosis and screening
0255075100
Figures
Registered nowClosed
Phone and online advice6595
Urgent care centres5366
Diagnosis and screening1522
Ratings by region, including unrated services

Share of locations; locations in brackets

OutstandingGoodRequires improvementInadequateNo rating
Yorkshire & Humberside (9)
11.1%
11.1%
11.1%
66.7%
East Midlands (11)
27.3%
9.1%
63.6%
South East (28)
28.6%
60.7%
London (41)
29.3%
68.3%
East (10)
20.0%
80.0%
North East (6)
100.0%
North West (23)
60.9%
39.1%
South West (11)
9.1%
27.3%
63.6%
West Midlands (17)
41.2%
58.8%
Figures
OutstandingGoodRequires improvementInadequateNo rating
Yorkshire & Humberside (9)11.1%11.1%11.1%0.0%66.7%
East Midlands (11)0.0%27.3%9.1%0.0%63.6%
South East (28)7.1%28.6%3.6%0.0%60.7%
London (41)0.0%29.3%2.4%0.0%68.3%
East (10)0.0%20.0%0.0%0.0%80.0%
North East (6)0.0%0.0%0.0%0.0%100.0%
North West (23)0.0%60.9%0.0%0.0%39.1%
South West (11)9.1%27.3%0.0%0.0%63.6%
West Midlands (17)0.0%41.2%0.0%0.0%58.8%

Aesthetic clinics (registered)

514 clinics

Private aesthetic and cosmetic clinics, which register with CQC as doctors or dentists because there is no aesthetics category. Identified by name, provider and website, then checked by hand.

  1. Aesthetic clinic registrations have more than doubled since 2019.

    40 clinics registered in 2019 and 96 in 2025. 65% of today's clinics registered since January 2022.

  2. 56.0% have never been inspected.

    288 of 514 clinics.

  3. Almost no clinic registered in 2025 has been inspected.

    99% of 2025 registrations and 76% of 2023 registrations have never had a visit.

  4. Fewer than half hold a rating.

    211 are rated (41.1%): 197 Good, 12 below Good.

  5. The one Inadequate rating was published in 2026.

    Pharma Aesthetics in Havering (28 August 2026).

  6. Safety is the weak point.

    16 of 211 rated clinics (7.6%) are below Good on Safe, more than on any other key question.

  7. London has three in ten clinics; Westminster alone has one in eight.

    151 clinics (29.4%) are in London and 61 in Westminster.

  8. Two chains, then hundreds of independents.

    Lasercare Clinics (47 sites) and sk:n under Lorena Cosmetics (31) hold 15% of clinics. 92.2% of the 399 providers run one site.

  9. Chains get inspected; independents mostly do not.

    34.6% of chain clinics have never been inspected, against 59.9% of independents.

  10. The gap here is new clinics, not old ratings.

    Only 10.9% were last inspected more than five years ago, against 57.4% of NHS GP practices.

Geography
The 12 clinics rated below Good are spread across 10 councils; only Leicester and Westminster have more than one. Leicester's two are both sk:n sites. Westminster has 61 clinics, 38 of them unrated.
Aesthetic clinics registered per year

By whether the clinic is still registered

Still registeredSince closed
0255075100
11
10
2016
10
2017
16
17
2018
19
21
2019
51
34
2020
34
23
2021
51
29
2022
68
15
2023
65
10
2024
88
2025
62
2026*
0255075100

2026* covers 1 January to 6 November 2026.

Figures
Still registeredSince closed
20161110
2017510
20181617
20191921
20205134
20213423
20225129
20236815
20246510
2025888
2026*622
Never inspected, by year registered

Share of clinics registered in each year

0%25%50%75%100%
15.7%
2020
17.6%
2021
47.1%
2022
76.5%
2023
72.3%
2024
98.9%
2025
95.2%
2026*
0%25%50%75%100%

2026* covers 1 January to 6 November 2026.

Figures
Never inspected
202015.7%
202117.6%
202247.1%
202376.5%
202472.3%
202598.9%
2026*95.2%
Clinics by region

Number of registered clinics

London
151
South East
92
North West
69
East
46
West Midlands
44
Yorkshire & Humberside
38
South West
36
East Midlands
21
North East
17
050100150200
Figures
Clinics
London151
South East92
North West69
East46
West Midlands44
Yorkshire & Humberside38
South West36
East Midlands21
North East17
Never inspected: chains and independents

Share of clinics

0%25%50%75%100%
34.6%
Lasercare and sk:n
59.9%
Independents
0%25%50%75%100%
Figures
Never inspected
Lasercare and sk:n34.6%
Independents59.9%
Ratings by region, including unrated clinics

Share of clinics, worst first; clinics in brackets

OutstandingGoodRequires improvementInadequateNo rating
East Midlands (21)
28.6%
9.5%
61.9%
West Midlands (44)
43.2%
50.0%
East (46)
37.0%
58.7%
London (151)
32.5%
64.9%
North West (69)
49.3%
49.3%
North East (17)
52.9%
47.1%
South East (92)
31.5%
67.4%
South West (36)
41.7%
58.3%
Yorkshire & Humberside (38)
50.0%
47.4%
Figures
OutstandingGoodRequires improvementInadequateNo rating
East Midlands (21)0.0%28.6%9.5%0.0%61.9%
West Midlands (44)0.0%43.2%6.8%0.0%50.0%
East (46)0.0%37.0%4.3%0.0%58.7%
London (151)0.0%32.5%2.0%0.7%64.9%
North West (69)0.0%49.3%1.4%0.0%49.3%
North East (17)0.0%52.9%0.0%0.0%47.1%
South East (92)1.1%31.5%0.0%0.0%67.4%
South West (36)0.0%41.7%0.0%0.0%58.3%
Yorkshire & Humberside (38)2.6%50.0%0.0%0.0%47.4%
Councils with the most aesthetic clinics

Clinics by rating

Good or OutstandingBelow GoodNo rating
Westminster
21 / 2 / 38
Essex
8 / 1 / 13
Birmingham
7 / 1 / 9
Camden
4 / 0 / 9
Hampshire
4 / 0 / 8
Kent
4 / 0 / 8
Surrey
3 / 0 / 9
Leeds
9 / 0 / 3
Kensington and Chelsea
4 / 1 / 5
Cheshire West and Chester
6 / 0 / 4
Bournemouth, Christchurch and Poole
3 / 0 / 7
Manchester
4 / 1 / 4
020406080
Figures
Good or OutstandingBelow GoodNo rating
Westminster21238
Essex8113
Birmingham719
Camden409
Hampshire408
Kent408
Surrey309
Leeds903
Kensington and Chelsea415
Cheshire West and Chester604
Bournemouth, Christchurch and Poole307
Manchester414

Primary medical (closed)

18,354 locations

GP, dental and other primary medical locations whose registration has ended (9,741 dental, 8,381 GP, 232 other), aesthetic clinics excluded. As with care homes, many deregistrations are changes of owner.

  1. NHS practice closures have fallen by more than three quarters.

    NHS-coded GP locations deregistered without re-registering at the same address fell from 514 in 2016 to 113 in 2025, with 75 so far in 2026. These include practices absorbed in mergers.

  2. Private doctor closures now outnumber NHS ones.

    Since 2022, more non-NHS doctor services have closed each year than NHS practices: 220 against 113 in 2025.

  3. Private doctor services are short-lived.

    Those that closed since January 2023 lasted a median of 2.9 years; 36.4% closed within two years and 63.3% were never inspected.

  4. NHS practices that closed had much worse ratings.

    19.7% of closed NHS practices with a rating were below Good when they closed, and 212 were Inadequate. Among open practices, 4.1% are below Good.

  5. A quarter of GP deregistrations are changes of owner.

    2,097 of 8,381 (25.0%) re-registered at the same postcode within 45 days.

  6. Most dental deregistrations are changes of owner.

    5,689 of 9,741 (58.4%) re-registered at the same postcode within 45 days.

  7. Genuine dental closures have held steady while openings rose.

    Between 255 and 413 dental locations a year closed without re-registering between 2016 and 2026. New dental registrations rose from 355 in 2020 to 626 in 2025.

  8. The new dental capacity is not NHS.

    In 2025, 207 NHS-coded dental locations closed and 62 new NHS-coded locations appeared. A new practice can gain its NHS code after registering, so the most recent years understate NHS openings.

  9. 5,051 NHS-coded GP locations have deregistered since GPs came under CQC registration in 2013.

    That is equal to 82% of the 6,143 NHS practices registered today, a measure of how much general practice has merged, moved and changed hands.

  10. Online and urgent care services churn heavily.

    95 phone and online advice services and 66 urgent care centres have closed, against 65 and 53 open now.

Caveat
Change of owner is inferred from a new registration at the same postcode within 45 days. NHS codes come from CQC's record of each location.
Geography
Closed NHS practices were most often below Good in the East Midlands (30.1%) and least often in the North East (7.7%). By council: Medway (33.3%), Lincolnshire (30.0%), Nottinghamshire (27.6%). Dental closures carry no ratings.
NHS GP practice deregistrations per year

Change of owner against genuine closure, including mergers

Genuine closureChange of owner
0200400600800
141
2014
266
150
2015
514
203
2016
441
229
2017
357
180
2018
366
201
2019
305
181
2020
230
115
2021
195
143
2022
132
111
2023
108
86
2024
113
2025
2026*
0200400600800

2026* covers 1 January to 6 November 2026.

Figures
Genuine closureChange of owner
201414176
2015266150
2016514203
2017441229
2018357180
2019366201
2020305181
2021230115
2022195143
2023132111
202410886
202511377
2026*7556
Genuine closures: NHS practices and private doctor services

Locations closed per year

NHS practicesPrivate and other doctors
02004006002014201520162017201820192020202120222023202420252026*2014, NHS practices: 1412015, NHS practices: 2662016, NHS practices: 5142017, NHS practices: 4412018, NHS practices: 3572019, NHS practices: 3662020, NHS practices: 3052021, NHS practices: 2302022, NHS practices: 1952023, NHS practices: 1322024, NHS practices: 1082025, NHS practices: 1132026*, NHS practices: 75514752014, Private and other doctors: 1042015, Private and other doctors: 2022016, Private and other doctors: 3812017, Private and other doctors: 3012018, Private and other doctors: 2752019, Private and other doctors: 2502020, Private and other doctors: 2382021, Private and other doctors: 2062022, Private and other doctors: 2112023, Private and other doctors: 2222024, Private and other doctors: 1822025, Private and other doctors: 2202026*, Private and other doctors: 232381232

2026* covers 1 January to 6 November 2026.

Figures
NHS practicesPrivate and other doctors
2014141104
2015266202
2016514381
2017441301
2018357275
2019366250
2020305238
2021230206
2022195211
2023132222
2024108182
2025113220
2026*75232
NHS practice ratings: open and closed

Share of rated practices

OutstandingGoodRequires improvementInadequate
Open practices (current rating)
91.2%
Closed practices (rating at closure)
78.1%
9.9%
9.8%
Figures
OutstandingGoodRequires improvementInadequate
Open practices (current rating)4.7%91.2%3.9%0.2%
Closed practices (rating at closure)2.1%78.1%9.9%9.8%
Dental deregistrations per year

Change of owner against genuine closure

Genuine closureChange of owner
02505007501,000
303
576
2016
327
444
2017
322
518
2018
343
518
2019
413
355
2020
255
434
2021
302
472
2022
329
466
2023
271
286
2024
373
270
2025
322
215
2026*
02505007501,000

2026* covers 1 January to 6 November 2026.

Figures
Genuine closureChange of owner
2016303576
2017327444
2018322518
2019343518
2020413355
2021255434
2022302472
2023329466
2024271286
2025373270
2026*322215
NHS-coded dental locations opened and closed

Excluding changes of owner

OpenedClosed
050100150200250
198
89
2017
171
172
2018
244
207
2019
83
223
2020
78
156
2021
96
162
2022
57
179
2023
104
150
2024
62
207
2025
30
150
2026*
050100150200250

Recent years understate openings: a practice can gain its NHS code after registering. 2026* covers 1 January to 6 November 2026.

Figures
OpenedClosed
201719889
2018171172
2019244207
202083223
202178156
202296162
202357179
2024104150
202562207
2026*30150
NHS practices that closed: rating at closure, by region

Share of closed practices that held a rating, worst first; count in brackets

OutstandingGoodRequires improvementInadequate
East Midlands (156)
65.4%
16.0%
14.1%
London (381)
72.7%
12.3%
14.7%
West Midlands (227)
77.1%
11.5%
9.7%
South East (307)
78.5%
11.4%
9.1%
East (223)
81.2%
10.8%
North West (336)
80.7%
8.6%
South West (196)
80.6%
9.7%
Yorkshire & Humberside (223)
83.4%
North East (104)
87.5%
Figures
OutstandingGoodRequires improvementInadequate
East Midlands (156)4.5%65.4%16.0%14.1%
London (381)0.3%72.7%12.3%14.7%
West Midlands (227)1.8%77.1%11.5%9.7%
South East (307)1.0%78.5%11.4%9.1%
East (223)0.9%81.2%7.2%10.8%
North West (336)3.0%80.7%7.7%8.6%
South West (196)3.6%80.6%9.7%6.1%
Yorkshire & Humberside (223)3.1%83.4%6.3%7.2%
North East (104)4.8%87.5%4.8%2.9%
Councils where closed NHS practices were most often below Good

Share of closed practices that held a rating. Councils with 25 or more; count in brackets

Medway (27)
33.3%
Lincolnshire (30)
30.0%
Nottinghamshire (29)
27.6%
Birmingham (54)
24.1%
Surrey (30)
23.3%
Kent (61)
21.3%
Liverpool (26)
19.2%
Hampshire (41)
17.1%
Essex (54)
14.8%
Kingston upon Hull, City of (28)
14.3%
Lancashire (52)
13.5%
Bradford (31)
12.9%
0%10%20%30%40%
Figures
Below Good at closure
Medway (27)33.3%
Lincolnshire (30)30.0%
Nottinghamshire (29)27.6%
Birmingham (54)24.1%
Surrey (30)23.3%
Kent (61)21.3%
Liverpool (26)19.2%
Hampshire (41)17.1%
Essex (54)14.8%
Kingston upon Hull, City of (28)14.3%
Lancashire (52)13.5%
Bradford (31)12.9%

Aesthetic clinics (closed)

284 clinics

Aesthetic and cosmetic clinics whose CQC registration has ended.

  1. Over a third of all aesthetic clinics ever registered have closed.

    284 of the 798 clinics in the data (35.6%).

  2. Most closures come within three years.

    Closed clinics lasted a median of 2.6 years. 35.2% closed within two years and 12.3% within one.

  3. Half closed without ever being inspected.

    52.1% have no CQC inspection on record.

  4. Openings far outpace closures.

    96 clinics registered in 2025 and 25 closed.

  5. Closures peaked in 2023.

    46 clinics deregistered that year, against 23 in 2024 and 25 in 2025.

  6. These are real exits, not changes of owner.

    Only 26 (9%) re-registered at the same postcode within 45 days, against about half of care home deregistrations.

  7. The big chains have closed the most sites.

    The Harley Medical Group companies closed 22, Aesthetic and Cosmetic Surgery Limited 18 and Lasercare 16.

  8. London accounts for a third of closures.

    99 of 284 (34.9%).

  9. Few closed clinics were ever rated.

    60 held a Good rating and 4 Requires improvement; none were Inadequate. The other 220 closed with no rating.

  10. The pattern is not slowing.

    121 clinics have closed since January 2023, 55.4% of them never inspected.

Geography
Most closed clinics never held a rating, so geography mostly shows where closures happen: Westminster (47), Kent (12) and Essex (9) lead.
Aesthetic clinics opened and closed per year

Number of clinics

OpenedClosed
0255075100
21
14
2016
15
6
2017
33
14
2018
40
22
2019
85
24
2020
57
20
2021
80
30
2022
83
46
2023
75
23
2024
96
25
2025
64
27
2026*
0255075100

2026* covers 1 January to 6 November 2026.

Figures
OpenedClosed
20162114
2017156
20183314
20194022
20208524
20215720
20228030
20238346
20247523
20259625
2026*6427
How long closed clinics were registered

Number of clinics

020406080
35
Under 1 year
65
1 to 2
59
2 to 3
61
3 to 5
45
5 to 10
19
10 or more
020406080
Figures
Clinics
Under 1 year35
1 to 265
2 to 359
3 to 561
5 to 1045
10 or more19
Providers with the most closed clinics

Number of clinics

Aesthetic and Cosmetic Surgery Limited
18
LCHMG Limited
17
Lasercare Clinics (Harrogate) Limited
16
Destination Skin Group Limited
6
THMG Limited
5
Lorena Cosmetics Holdings SPV Limited
4
Illuminate Skin Clinics Ltd
4
Urban Medical & Aesthetics Clinic Ltd
4
05101520
Figures
Closed clinics
Aesthetic and Cosmetic Surgery Limited18
LCHMG Limited17
Lasercare Clinics (Harrogate) Limited16
Destination Skin Group Limited6
THMG Limited5
Lorena Cosmetics Holdings SPV Limited4
Illuminate Skin Clinics Ltd4
Urban Medical & Aesthetics Clinic Ltd4
Rating held at closure, by region

Share of closed clinics; clinics in brackets

OutstandingGoodRequires improvementInadequateNo rating
East (24)
8.3%
8.3%
83.3%
East Midlands (20)
15.0%
80.0%
London (99)
21.2%
77.8%
South West (22)
31.8%
68.2%
North West (27)
18.5%
81.5%
South East (50)
22.0%
78.0%
North East (8)
25.0%
75.0%
Yorkshire & Humberside (22)
27.3%
72.7%
West Midlands (12)
25.0%
75.0%
Figures
OutstandingGoodRequires improvementInadequateNo rating
East (24)0.0%8.3%8.3%0.0%83.3%
East Midlands (20)0.0%15.0%5.0%0.0%80.0%
London (99)0.0%21.2%1.0%0.0%77.8%
South West (22)0.0%31.8%0.0%0.0%68.2%
North West (27)0.0%18.5%0.0%0.0%81.5%
South East (50)0.0%22.0%0.0%0.0%78.0%
North East (8)0.0%25.0%0.0%0.0%75.0%
Yorkshire & Humberside (22)0.0%27.3%0.0%0.0%72.7%
West Midlands (12)0.0%25.0%0.0%0.0%75.0%
Councils with the most aesthetic clinic closures

Closed clinics

Westminster
47
Kent
12
Essex
9
Kensington and Chelsea
9
Surrey
7
Leeds
7
Hammersmith and Fulham
6
Brighton and Hove
6
Liverpool
6
Manchester
5
01020304050
Figures
Closed clinics
Westminster47
Kent12
Essex9
Kensington and Chelsea9
Surrey7
Leeds7
Hammersmith and Fulham6
Brighton and Hove6
Liverpool6
Manchester5

By constituency

543 constituencies

Every registered adult social care service, NHS GP practice and dental practice, by 2024 Westminster constituency. The full table at the end of this section lists every seat. Rankings only include seats with enough services to compare.

  1. High Peak has the highest share of care services below Good.

    44.4% of its 36 rated services, then South West Norfolk (42.1%), Broadland and Fakenham (39.0%) and Smethwick (38.8%). Seats with 30 or more rated services.

  2. 4 constituencies with 30 or more rated care services have none below Good.

    They are Wimbledon (57), Gateshead Central and Whickham (53), Mitcham and Morden (43), Melksham and Devizes (39).

  3. Broadland and Fakenham has the most care home beds in homes rated below Good.

    724 beds, then Southport (602) and Farnham and Bordon (535).

  4. In 8 seats, no NHS practice has been inspected or assessed in five years.

    Among seats with ten or more practices: Bournemouth East (10), Coventry South (14), Exeter (12), North Cotswolds (10), Leeds South West and Morley (10), Broxtowe (11), Slough (11), South Shields (11).

  5. In Bournemouth East, 76.0% of dental practices have never been inspected.

    Then Havant (75.0%) and Brent East (68.0%), among seats with 20 or more dental practices.

Caveat
Constituency is as CQC records it, on the 2024 boundaries; 72 records still carrying a pre-2024 or unspecified seat name are left out. Small seats move a lot on one or two ratings, so compare like with like.
Seats with the highest share of care services below Good

Share of rated adult social care services; rated services in brackets. Seats with 30 or more

High Peak (36)
44.4%
South West Norfolk (38)
42.1%
Broadland and Fakenham (59)
39.0%
Smethwick (49)
38.8%
Lewisham North (39)
38.5%
Great Yarmouth (42)
38.1%
Spen Valley (37)
37.8%
Luton South and South Bedfordshire (53)
37.7%
Birmingham Perry Barr (30)
36.7%
Rochester and Strood (49)
36.7%
Dudley (38)
34.2%
Watford (41)
34.1%
0%10%20%30%40%50%
Figures
Below Good
High Peak (36)44.4%
South West Norfolk (38)42.1%
Broadland and Fakenham (59)39.0%
Smethwick (49)38.8%
Lewisham North (39)38.5%
Great Yarmouth (42)38.1%
Spen Valley (37)37.8%
Luton South and South Bedfordshire (53)37.7%
Birmingham Perry Barr (30)36.7%
Rochester and Strood (49)36.7%
Dudley (38)34.2%
Watford (41)34.1%
Seats with the lowest share of care services below Good

Share of rated adult social care services; rated services in brackets

Gateshead Central and Whickham (53)
0.0%
Wimbledon (57)
0.0%
Mitcham and Morden (43)
0.0%
Melksham and Devizes (39)
0.0%
Bournemouth West (63)
1.6%
Hornchurch and Upminster (55)
1.8%
Poole (51)
2.0%
West Dorset (51)
2.0%
Bristol North West (47)
2.1%
Twickenham (45)
2.2%
South Derbyshire (36)
2.8%
Bournemouth East (68)
2.9%
0%1%2%3%
Figures
Below Good
Gateshead Central and Whickham (53)0.0%
Wimbledon (57)0.0%
Mitcham and Morden (43)0.0%
Melksham and Devizes (39)0.0%
Bournemouth West (63)1.6%
Hornchurch and Upminster (55)1.8%
Poole (51)2.0%
West Dorset (51)2.0%
Bristol North West (47)2.1%
Twickenham (45)2.2%
South Derbyshire (36)2.8%
Bournemouth East (68)2.9%
Seats with the longest NHS GP inspection gaps

Share of NHS practices not inspected in five years, or ever; practices in brackets. Seats with 10 or more

Bournemouth East (10)
100.0%
Coventry South (14)
100.0%
Exeter (12)
100.0%
North Cotswolds (10)
100.0%
Leeds South West and Morley (10)
100.0%
Broxtowe (11)
100.0%
Slough (11)
100.0%
South Shields (11)
100.0%
Tunbridge Wells (13)
92.3%
Cheltenham (12)
91.7%
Lincoln (12)
91.7%
Kenilworth and Southam (12)
91.7%
0%25%50%75%100%
Figures
Not inspected in 5 years
Bournemouth East (10)100.0%
Coventry South (14)100.0%
Exeter (12)100.0%
North Cotswolds (10)100.0%
Leeds South West and Morley (10)100.0%
Broxtowe (11)100.0%
Slough (11)100.0%
South Shields (11)100.0%
Tunbridge Wells (13)92.3%
Cheltenham (12)91.7%
Lincoln (12)91.7%
Kenilworth and Southam (12)91.7%
Seats with the most never-inspected dental practices

Share of dental locations; locations in brackets. Seats with 20 or more

Bournemouth East (25)
76.0%
Havant (24)
75.0%
Brent East (25)
68.0%
Greenwich and Woolwich (29)
65.5%
Horsham (29)
65.5%
South Dorset (20)
65.0%
Sunderland Central (22)
63.6%
Morecambe and Lunesdale (24)
62.5%
Esher and Walton (32)
62.5%
Harrow West (37)
62.2%
Old Bexley and Sidcup (29)
62.1%
Queen's Park and Maida Vale (39)
61.5%
0%25%50%75%100%
Figures
Never inspected
Bournemouth East (25)76.0%
Havant (24)75.0%
Brent East (25)68.0%
Greenwich and Woolwich (29)65.5%
Horsham (29)65.5%
South Dorset (20)65.0%
Sunderland Central (22)63.6%
Morecambe and Lunesdale (24)62.5%
Esher and Walton (32)62.5%
Harrow West (37)62.2%
Old Bexley and Sidcup (29)62.1%
Queen's Park and Maida Vale (39)61.5%
Every constituency

Blank means none of that service type.

All 543 constituencies
ConstituencyRegionCare servicesCare: below Good %Care: InadequateCare: not inspected 5y %Beds in homes below GoodNHS practicesGP: below Good %GP: not inspected 5y %Dental practicesDental: never inspected %
AldershotSouth East619.3070.534110.072.71414.3
Aldridge-BrownhillsWest Midlands3833.3055.3121147.157.11520.0
Altrincham and Sale WestNorth West597.0145.86120.050.03540.0
Amber ValleyEast Midlands4812.2141.7113100.070.01233.3
Arundel and South DownsSouth East408.1040.06390.066.72445.8
AshfieldEast Midlands6513.7049.2243120.075.0825.0
AshfordSouth East6617.0066.7137100.070.02339.1
Ashton-under-LyneNorth West3428.0047.1213157.140.01729.4
AylesburySouth East7826.1065.4271714.342.92339.1
BanburySouth East5118.6064.7240100.090.02334.8
BarkingLondon12410.0058.9302015.840.01145.5
Barnsley NorthYorkshire & Humberside727.5131.9203160.087.52245.5
Barnsley SouthYorkshire & Humberside4914.3038.8118128.366.7147.1
Barrow and FurnessNorth West449.1047.784130.069.21729.4
Basildon and BillericayEast5913.5169.5140138.353.82718.5
BasingstokeSouth East6413.7053.125040.050.02536.0
BassetlawEast Midlands6717.3061.228050.080.01315.4
BathSouth West4416.7043.286110.081.84153.7
BatterseaLondon190.0036.80120.050.03745.9
BeaconsfieldSouth East5220.0167.313290.066.74042.5
Beckenham and PengeLondon3511.1051.40128.341.72755.6
BedfordEast12717.2347.2204912.577.84240.5
Bermondsey and Old SouthwarkLondon3033.3060.019060.050.03455.9
Bethnal Green and StepneyLondon4810.3056.201327.346.22857.1
Beverley and HoldernessYorkshire & Humberside5614.0055.430060.033.31428.6
Bexhill and BattleSouth East7511.4040.0348925.077.81931.6
Bexleyheath and CrayfordLondon4546.4153.38960.0100.02250.0
Bicester and WoodstockSouth East416.9165.9080.062.52142.9
BirkenheadNorth West6122.4145.9374170.082.41747.1
Birmingham EdgbastonWest Midlands7119.1173.2159170.052.93441.2
Birmingham ErdingtonWest Midlands8620.6069.8192150.066.71338.5
Birmingham Hall Green and MoseleyWest Midlands6818.9070.6133185.972.22934.5
Birmingham Hodge Hill and Solihull NorthWest Midlands4229.4159.53051817.661.11533.3
Birmingham LadywoodWest Midlands9632.1175.080358.857.14134.1
Birmingham NorthfieldWest Midlands6920.0173.9174130.053.81625.0
Birmingham Perry BarrWest Midlands5136.7170.6130166.262.51435.7
Birmingham Selly OakWest Midlands4916.7063.3137912.566.72128.6
Birmingham YardleyWest Midlands6132.6060.757130.061.51921.1
Bishop AucklandNorth East3713.3127.024120.066.71266.7
BlackburnNorth West6213.3159.7155195.368.42050.0
Blackley and Middleton SouthNorth West5013.8064.0712010.535.01833.3
Blackpool North and FleetwoodNorth West5310.6050.91741010.090.0922.2
Blackpool SouthNorth West7521.5042.7375120.083.31650.0
Blaydon and ConsettNorth East356.7048.6141010.020.01942.1
Blyth and AshingtonNorth East486.2027.199616.733.31330.8
Bognor Regis and LittlehamptonSouth East10019.5043.0452120.083.32540.0
BolsoverEast Midlands5513.6138.2119110.081.8966.7
Bolton North EastNorth West597.0052.5117210.061.92955.2
Bolton South and WalkdenNorth West4115.6058.5298250.032.01942.1
Bolton WestNorth West3812.9047.49890.088.91225.0
BootleNorth West408.8057.5128186.744.41741.2
Boston and SkegnessEast Midlands5020.9058.01971118.272.72250.0
Bournemouth EastSouth West772.9022.123100.0100.02576.0
Bournemouth WestSouth West821.6036.6060.083.32755.6
BracknellSouth East4132.1161.015190.044.41926.3
Bradford EastYorkshire & Humberside3424.0164.7329195.342.12326.1
Bradford SouthYorkshire & Humberside4016.1152.54260.050.01421.4
Bradford WestYorkshire & Humberside6611.5045.5160170.076.52040.0
BraintreeEast6020.8060.033670.085.71330.8
Brent EastLondon6915.7046.4242210.063.62568.0
Brent WestLondon6711.9034.369240.062.52924.1
Brentford and IsleworthLondon535.1032.10130.076.92842.9
Brentwood and OngarEast5412.5046.31191010.090.02744.4
BridgwaterSouth West5417.0033.356911.155.61723.5
Bridlington and The WoldsYorkshire & Humberside6120.4034.440060.066.71735.3
Brigg and ImminghamYorkshire & Humberside6216.4054.8292911.166.7944.4
Brighton Kemptown and PeacehavenSouth East514.3043.117100.060.02540.0
Brighton PavilionSouth East3815.6055.341147.185.73225.0
Bristol CentralSouth West360.0047.2070.071.43447.1
Bristol EastSouth West585.1063.868110.090.92334.8
Bristol North EastSouth West663.8060.6070.071.41040.0
Bristol North WestSouth West482.1041.7070.085.72937.9
Bristol SouthSouth West2710.5055.66911.177.81250.0
Broadland and FakenhamEast7339.0153.4724812.575.01346.2
Bromley and Biggin HillLondon6511.1058.5120130.084.62744.4
BromsgroveWest Midlands6118.2155.7199120.033.32626.9
BroxbourneEast4219.4152.487119.163.62433.3
BroxtoweEast Midlands4518.2042.2144110.0100.01838.9
Buckingham and BletchleySouth East7922.0259.525370.057.11827.8
BurnleyNorth West8515.4051.8294128.358.32334.8
Burton and UttoxeterWest Midlands7620.0060.5220147.771.4219.5
Bury NorthNorth West735.5046.671147.771.42330.4
Bury SouthNorth West4720.5044.790156.760.02326.1
Bury St Edmunds and StowmarketEast6223.4048.4455100.050.02040.0
Calder ValleyYorkshire & Humberside3621.9055.6307100.040.02142.9
Camborne and RedruthSouth West6518.2046.213470.028.61361.5
CambridgeEast378.3086.5109140.064.33737.8
Cannock ChaseWest Midlands5722.0064.966170.052.91833.3
CanterburySouth East6720.8256.734070.0100.03050.0
CarlisleNorth West6811.5039.79980.037.52245.5
Carshalton and WallingtonLondon593.7018.60120.033.32025.0
Castle PointEast3910.7059.0921416.757.11625.0
Central DevonSouth West5113.6043.1128100.080.01457.1
Central Suffolk and North IpswichEast4215.6050.012250.040.01136.4
Chatham and AylesfordSouth East5527.0069.154130.038.51145.5
CheadleNorth West5025.0152.017590.088.93528.6
ChelmsfordEast6612.2062.111380.075.02711.1
Chelsea and FulhamLondon180.0022.20180.061.15251.9
CheltenhamSouth West5422.4048.1285120.091.73330.3
Chesham and AmershamSouth East5320.8058.5302100.090.03647.2
Chester North and NestonNorth West5522.4147.3490150.080.03253.1
Chester South and EddisburyNorth West314.5058.1381011.120.01752.9
ChesterfieldEast Midlands7515.2044.026590.066.72133.3
ChichesterSouth East788.3051.318880.0100.03040.0
Chingford and Woodford GreenLondon505.4056.05120.083.32055.0
ChippenhamSouth West7210.5043.113680.087.51735.3
Chipping BarnetLondon658.3060.024380.050.03135.5
ChorleyNorth West5022.2044.0256149.142.91827.8
ChristchurchSouth West848.6038.12611011.180.01861.1
Cities of London and WestminsterLondon387.1065.80224.840.926342.2
City of DurhamNorth East408.3037.58090.077.82250.0
ClactonEast10515.3054.32861110.036.41513.3
Clapham and Brixton HillLondon189.1066.760130.076.91947.4
ColchesterEast10515.8253.323580.050.03429.4
Colne ValleyYorkshire & Humberside3624.2136.1218119.154.51428.6
CongletonNorth West4024.2052.519580.050.01741.2
Corby and East NorthamptonshireEast Midlands9422.6146.8253911.155.61952.6
Coventry EastWest Midlands8120.8071.643240.066.71637.5
Coventry North WestWest Midlands7430.0060.8416128.358.31020.0
Coventry SouthWest Midlands7426.1066.2183140.0100.02236.4
Cramlington and KillingworthNorth East4111.8126.8211010.070.01250.0
CrawleySouth East7512.8056.065120.083.32634.6
Crewe and NantwichNorth West6215.2059.720390.044.42334.8
Croydon EastLondon459.7151.10170.029.42360.9
Croydon SouthLondon1016.7039.66470.085.72638.5
Croydon WestLondon12818.2146.1224140.064.32842.9
Dagenham and RainhamLondon10610.5053.8122211.854.51323.1
DarlingtonNorth East489.3035.416190.077.82035.0
DartfordSouth East8626.7168.6389912.555.61942.1
DaventryEast Midlands3842.3250.0509812.562.51435.7
Derby NorthEast Midlands8017.2047.5259911.177.82114.3
Derby SouthEast Midlands10719.4054.2380129.175.02540.0
Derbyshire DalesEast Midlands314.0051.615128.350.02025.0
Dewsbury and BatleyYorkshire & Humberside4111.8041.554170.058.81338.5
Didcot and WantageSouth East587.1162.1070.085.71838.9
Doncaster CentralYorkshire & Humberside799.4229.180130.076.92825.0
Doncaster East and the Isle of AxholmeYorkshire & Humberside3532.3122.9339911.155.61643.8
Doncaster NorthYorkshire & Humberside3212.5043.8821111.163.61233.3
Dorking and HorleySouth East6220.0029.032870.057.12634.6
Dover and DealSouth East8322.5251.8387110.072.71952.6
Droitwich and EveshamWest Midlands506.7054.013090.022.22356.5
DudleyWest Midlands5234.2159.6415140.021.41421.4
Dulwich and West NorwoodLondon2312.5047.8127110.054.52958.6
Dunstable and Leighton BuzzardEast4728.9040.4375911.144.42450.0
Ealing Central and ActonLondon7216.1036.1842111.842.94639.1
Ealing NorthLondon3716.0045.983210.047.62254.5
Ealing SouthallLondon544.9037.002910.355.22330.4
Earley and WoodleySouth East4520.7071.112060.083.31844.4
EasingtonNorth East484.8029.2121128.366.7933.3
East Grinstead and UckfieldSouth East4317.5044.215870.042.92653.8
East HamLondon306.2053.35160.031.21127.3
East HampshireSouth East6010.9055.017590.066.72045.0
East SurreySouth East7118.3139.437160.083.32560.0
East ThanetSouth East5811.4058.6201922.222.21729.4
East WiltshireSouth West449.3127.31890.088.91435.7
East Worthing and ShorehamSouth East5014.0044.011380.075.02055.0
EastbourneSouth East10111.9049.525380.087.52853.6
EastleighSouth East5518.9052.79870.085.71963.2
Edmonton and Winchmore HillLondon7114.8054.963170.029.42236.4
Ellesmere Port and BromboroughNorth West5811.4055.213590.055.61471.4
Eltham and ChislehurstLondon3719.4054.1050.080.02853.6
Ely and East CambridgeshireEast6612.3071.21361011.190.01145.5
Enfield NorthLondon9312.7052.711260.033.31428.6
Epping ForestEast6222.7054.84761010.020.03655.6
Epsom and EwellSouth East8510.0141.26380.075.03240.6
ErewashEast Midlands4410.5038.6711011.160.01637.5
Erith and ThamesmeadLondon7229.3066.782140.050.01968.4
Esher and WaltonSouth East4416.7052.3178137.776.93262.5
ExeterSouth West467.9050.032120.0100.02718.5
Exmouth and Exeter EastSouth West637.3069.879100.060.01233.3
Fareham and WaterloovilleSouth East7312.9041.11361110.063.63250.0
Farnham and BordonSouth East6920.3046.453580.037.52441.7
Faversham and Mid KentSouth East466.7163.04170.028.61850.0
Feltham and HestonLondon636.5030.2108229.159.12245.5
Filton and Bradley StokeSouth West656.4150.83360.066.71752.9
Finchley and Golders GreenLondon7410.0036.51382110.061.95639.3
Folkestone and HytheSouth East8619.5062.8349110.063.62259.1
Forest of DeanSouth West6014.5053.3100110.081.81060.0
Frome and East SomersetSouth West3512.5037.113580.075.01163.6
FyldeNorth West7214.5052.8493911.155.62060.0
GainsboroughEast Midlands5532.6152.73981010.060.01030.0
Gateshead Central and WhickhamNorth East610.0036.10150.046.72326.1
GedlingEast Midlands5914.6150.81701010.030.02454.2
Gillingham and RainhamSouth East5729.4264.92341325.07.71421.4
Glastonbury and SomertonSouth West346.5038.24390.088.92552.0
GloucesterSouth West13316.5057.911280.050.02334.8
Godalming and AshSouth East5117.9049.027980.050.02025.0
Goole and PocklingtonYorkshire & Humberside5522.2050.932480.025.01926.3
Gorton and DentonNorth West375.0062.20100.060.01936.8
GosportSouth East5422.7055.620960.016.71625.0
Grantham and BourneEast Midlands5414.6053.7208110.063.61553.3
GraveshamSouth East5231.0063.5225922.244.41936.8
Great Grimsby and CleethorpesYorkshire & Humberside487.3160.497160.037.51838.9
Great YarmouthEast5038.1356.027660.083.31618.8
Greenwich and WoolwichLondon9032.8155.6431514.366.72965.5
GuildfordSouth East4011.8037.56590.066.73754.1
Hackney North and Stoke NewingtonLondon2113.3061.915160.043.81266.7
Hackney South and ShoreditchLondon3312.0054.54175.958.82352.2
HalesowenWest Midlands3719.2062.2243140.028.61533.3
HalifaxYorkshire & Humberside6511.8052.31890.033.31723.5
Hamble ValleySouth East7616.7051.327830.033.32352.2
Hammersmith and ChiswickLondon314.5045.2146200.060.05653.6
Hampstead and HighgateLondon304.0040.00140.050.04742.6
Harborough, Oadby and WigstonEast Midlands6116.0042.6256911.144.42733.3
HarlowEast5420.0063.0117933.333.31546.7
Harpenden and BerkhamstedEast2921.1072.46660.083.33138.7
Harrogate and KnaresboroughYorkshire & Humberside879.1042.530690.055.63633.3
Harrow EastLondon709.1045.701414.342.93855.3
Harrow WestLondon853.4050.637150.040.03762.2
HartlepoolNorth East405.4027.575110.072.71442.9
Harwich and North EssexEast7211.3169.412090.055.61936.8
Hastings and RyeSouth East8716.0032.23851011.160.02846.4
HavantSouth East568.7046.466520.060.02475.0
Hayes and HarlingtonLondon627.3035.5911421.428.61428.6
Hazel GroveNorth West3524.1051.4230140.064.32138.1
Hemel HempsteadEast5628.2062.5217812.575.02458.3
HendonLondon465.4067.412166.750.04450.0
Henley and ThameSouth East4612.9065.298911.177.83046.7
Hereford and South HerefordshireWest Midlands7014.8158.624790.033.32934.5
Herne Bay and SandwichSouth East7825.8041.053280.075.02050.0
Hertford and StortfordEast4116.1173.26590.0100.02630.8
HertsmereEast6319.6071.4396110.081.83650.0
HexhamNorth East496.7036.792160.037.51735.3
Heywood and Middleton NorthNorth West5525.7060.0209140.057.1175.9
High PeakEast Midlands4344.4053.5465120.083.32030.0
Hinckley and BosworthEast Midlands4812.2041.711590.055.61656.2
HitchinEast4914.3049.083714.357.11735.3
Holborn and St PancrasLondon3512.5057.160205.365.07048.6
Honiton and SidmouthSouth West6310.2057.14480.062.51838.9
Hornchurch and UpminsterLondon681.8042.67185.944.42552.0
Hornsey and Friern BarnetLondon195.9036.80130.046.23850.0
HorshamSouth East5118.2045.1164911.188.92965.5
Houghton and Sunderland SouthNorth East445.1036.430100.060.0785.7
Hove and PortsladeSouth East818.3044.48780.075.03231.2
HuddersfieldYorkshire & Humberside8817.6045.5171220.045.52846.4
HuntingdonEast5315.0052.8203128.358.32231.8
HyndburnNorth West6011.1050.0177137.746.21936.8
Ilford NorthLondon8413.8047.646190.047.43046.7
Ilford SouthLondon1119.9051.4162156.760.02544.0
IpswichEast8315.8061.469129.166.73636.1
Isle of Wight EastSouth East5522.2132.7310616.783.32035.0
Isle of Wight WestSouth East4523.7248.937850.060.01127.3
Islington NorthLondon373.2040.50147.157.11729.4
Islington South and FinsburyLondon345.9073.50190.068.44452.3
Jarrow and Gateshead EastNorth East405.6035.00130.076.9137.7
Keighley and IlkleyYorkshire & Humberside5520.4150.917760.033.32142.9
Kenilworth and SouthamWest Midlands3417.9138.295120.091.71233.3
Kensington and BayswaterLondon269.5026.94273.770.47451.4
KetteringEast Midlands8715.2040.221670.042.91827.8
Kingston and SurbitonLondon686.7025.048119.145.54231.0
Kingston upon Hull EastYorkshire & Humberside5924.0054.246770.057.1944.4
Kingston upon Hull North and CottinghamYorkshire & Humberside5416.7053.7223100.060.01637.5
Kingston upon Hull West and HaltempriceYorkshire & Humberside6825.5051.536480.037.52634.6
Kingswinford and South StaffordshireWest Midlands4611.1069.684110.054.51816.7
KnowsleyNorth West4119.4139.0148160.068.81747.1
Lancaster and WyreNorth West447.9047.74650.0100.01844.4
Leeds Central and HeadingleyYorkshire & Humberside6725.0153.7112140.071.43237.5
Leeds EastYorkshire & Humberside5329.7143.4411130.076.91844.4
Leeds North EastYorkshire & Humberside5316.3052.812380.050.02729.6
Leeds North WestYorkshire & Humberside3710.7045.93060.033.32445.8
Leeds SouthYorkshire & Humberside9421.4051.1221140.064.32751.9
Leeds South West and MorleyYorkshire & Humberside3210.3037.5110100.0100.01136.4
Leeds West and PudseyYorkshire & Humberside4329.0037.2148100.090.01729.4
Leicester EastEast Midlands7314.0052.1154140.064.32326.1
Leicester SouthEast Midlands11221.6051.843180.050.02934.5
Leicester WestEast Midlands11126.0156.8362166.256.22931.0
Leigh and AthertonNorth West4112.1056.149210.071.41838.9
LewesSouth East6111.5047.523380.0100.02445.8
Lewisham EastLondon6213.6053.217912.577.82245.5
Lewisham NorthLondon6338.5166.70128.341.71942.1
Lewisham West and East DulwichLondon1813.3061.101030.030.01625.0
Leyton and WansteadLondon4711.6134.020215.361.92352.2
LichfieldWest Midlands3824.1065.825380.062.5156.7
LincolnEast Midlands6320.8047.6371120.091.72548.0
Liverpool GarstonNorth West3830.0244.72311811.844.42119.0
Liverpool RiversideNorth West6911.1076.8169214.861.93348.5
Liverpool WaltonNorth West4112.1161.0242166.256.21643.8
Liverpool WavertreeNorth West3318.5054.51811910.531.62433.3
Liverpool West DerbyNorth West4030.0152.5393166.768.81526.7
LoughboroughEast Midlands5617.0142.9283110.054.52532.0
Louth and HorncastleEast Midlands6920.0034.83481415.442.91650.0
LowestoftEast6012.2065.013390.044.41258.3
Luton NorthEast3225.0150.01841127.372.71553.3
Luton South and South BedfordshireEast8337.7061.41471425.085.71741.2
MacclesfieldNorth West5918.8059.335980.025.02634.6
MaidenheadSouth East4629.7050.0284110.081.81533.3
Maidstone and MallingSouth East6925.0362.325370.057.12548.0
MakerfieldNorth West323.7059.450147.757.11540.0
MaldonEast447.9147.7124100.050.01833.3
Manchester CentralNorth West7111.8064.879190.057.94146.3
Manchester RusholmeNorth West4920.7061.2154170.070.61729.4
Manchester WithingtonNorth West279.5166.791120.058.33237.5
MansfieldEast Midlands7312.5053.497100.080.0185.6
Melksham and DevizesSouth West440.0047.7090.088.91741.2
Melton and SystonEast Midlands4328.6048.82561111.172.71931.6
Meriden and Solihull EastWest Midlands6311.3066.718780.050.02540.0
Mid BedfordshireEast5525.0158.211570.085.71758.8
Mid BuckinghamshireSouth East3127.3054.8203100.070.02157.1
Mid CheshireNorth West4430.8043.2300120.025.01546.7
Mid DerbyshireEast Midlands297.7048.311080.075.01560.0
Mid Dorset and North PooleSouth West343.3020.61790.077.82458.3
Mid LeicestershireEast Midlands5417.6053.70120.083.31643.8
Mid NorfolkEast5920.8139.028290.077.81127.3
Mid SussexSouth East595.6049.29090.088.92751.9
Middlesbrough South and East ClevelandNorth East366.1030.63570.071.41435.7
Middlesbrough and Thornaby EastNorth East718.9049.3151200.045.01764.7
Milton Keynes CentralSouth East9820.4062.21851011.180.02832.1
Milton Keynes NorthSouth East746.5066.229911.166.72227.3
Mitcham and MordenLondon500.0026.001010.050.01566.7
Morecambe and LunesdaleNorth West7013.8148.6174520.060.02462.5
New Forest EastSouth East5415.9046.321970.071.42650.0
New Forest WestSouth East794.2057.05470.0100.02544.0
NewarkEast Midlands5513.0041.8134100.090.01844.4
NewburySouth East537.9071.712690.077.82524.0
Newcastle upon Tyne Central and WestNorth East584.5039.746147.164.32040.0
Newcastle upon Tyne East and WallsendNorth East3717.6121.621090.044.41625.0
Newcastle upon Tyne NorthNorth East425.0038.126110.081.83528.6
Newcastle-under-LymeWest Midlands5716.7166.7103130.069.22142.9
Newton AbbotSouth West734.5058.92090.066.71915.8
Newton Aycliffe and SpennymoorNorth East3912.5041.0160100.040.01560.0
Normanton and HemsworthYorkshire & Humberside4525.0146.7451100.050.01421.4
North BedfordshireEast3929.0051.3203912.577.81942.1
North CornwallSouth West5622.0042.916690.033.31625.0
North CotswoldsSouth West3912.1043.6184100.0100.01450.0
North DevonSouth West4815.6043.816790.0100.02020.0
North DorsetSouth West300.0030.0090.077.82142.9
North DurhamNorth East323.3018.87137.761.51637.5
North East CambridgeshireEast516.8068.6871030.040.01323.1
North East DerbyshireEast Midlands3812.9042.1169129.166.71717.6
North East HampshireSouth East6210.0058.13260.083.32552.0
North East HertfordshireEast3717.9056.8202911.177.82119.0
North East Somerset and HanhamSouth West4911.9036.71690.077.82142.9
North HerefordshireWest Midlands676.5061.218390.044.41526.7
North NorfolkEast6631.7251.5521100.090.01546.7
North NorthumberlandNorth East4112.5112.2109110.054.52035.0
North ShropshireWest Midlands5820.0162.1127100.070.02544.0
North SomersetSouth West356.2037.11650.0100.02552.0
North Warwickshire and BedworthWest Midlands5718.6042.130990.055.61127.3
North West CambridgeshireEast8410.5081.014490.055.61984.2
North West EssexEast5310.0060.41890.088.91827.8
North West HampshireSouth East5517.8052.713380.075.01957.9
North West LeicestershireEast Midlands3820.0050.0165128.383.31435.7
North West NorfolkEast5225.5359.6373911.188.92045.0
Northampton NorthEast Midlands14931.8244.33341712.535.32835.7
Northampton SouthEast Midlands6919.4062.315560.016.71435.7
Norwich NorthEast5626.8169.61471010.040.01833.3
Norwich SouthEast6520.4061.525290.088.93847.4
Nottingham EastEast Midlands12919.5265.9161170.064.74643.5
Nottingham North and KimberleyEast Midlands6620.0057.6233147.164.31435.7
Nottingham SouthEast Midlands4514.3051.143156.773.31533.3
NuneatonWest Midlands5734.1040.4310130.061.51435.7
Old Bexley and SidcupLondon3922.2053.89290.044.42962.1
Oldham East and SaddleworthNorth West3916.7048.7146110.018.22638.5
Oldham West, Chadderton and RoytonNorth West5210.8057.7170190.031.62138.1
OrpingtonLondon295.6062.10160.068.82445.8
Ossett and Denby DaleYorkshire & Humberside3613.3152.815480.062.51637.5
Oxford EastSouth East5523.1060.0146100.090.01838.9
Oxford West and AbingdonSouth East446.2070.559110.090.93743.2
PeckhamLondon2427.3066.701316.769.21770.6
Pendle and ClitheroeNorth West5510.9058.272120.083.33030.0
Penistone and StocksbridgeYorkshire & Humberside3622.6047.2274100.060.01450.0
Penrith and SolwayNorth West4812.2060.496137.761.52347.8
PeterboroughEast1017.0069.31861110.054.53040.0
Plymouth Moor ViewSouth West3620.0038.916790.055.61127.3
Plymouth Sutton and DevonportSouth West8220.0056.117080.050.03033.3
Pontefract, Castleford and KnottingleyYorkshire & Humberside5220.0048.111090.044.41225.0
PooleSouth West582.0027.6070.0100.02441.7
Poplar and LimehouseLondon404.3070.075119.172.73053.3
Portsmouth NorthSouth East4229.6261.98550.040.01850.0
Portsmouth SouthSouth East5322.9052.820050.040.02441.7
PrestonNorth West847.4060.7118130.069.23043.3
PutneyLondon270.0025.90130.069.22828.6
Queen's Park and Maida ValeLondon206.7055.002010.555.03961.5
Rawmarsh and ConisbroughYorkshire & Humberside5811.3027.61471110.081.81266.7
Rayleigh and WickfordEast333.4051.54110.072.71250.0
Reading CentralSouth East7322.9063.0103110.045.52540.0
Reading West and Mid BerkshireSouth East4917.5067.314080.00.01618.8
RedcarNorth East5011.6040.024390.066.71631.2
RedditchWest Midlands3410.0038.265110.027.31216.7
ReigateSouth East9016.2141.1326100.050.03256.2
Ribble ValleyNorth West529.3151.9175911.155.61540.0
Richmond ParkLondon289.1025.083140.071.44533.3
Richmond and NorthallertonYorkshire & Humberside4321.6153.5186138.338.52343.5
RochdaleNorth West6029.8145.02381910.557.91915.8
Rochester and StroodSouth East8936.7062.92721025.030.02552.0
RomfordLondon7713.2048.113290.066.71827.8
Romsey and Southampton NorthSouth East5017.9044.0150616.750.01942.1
Rossendale and DarwenNorth West4820.9037.5339100.070.01612.5
Rother ValleyYorkshire & Humberside3025.0023.3276911.133.31233.3
RotherhamYorkshire & Humberside715.3036.686130.069.22532.0
RugbyWest Midlands6017.5051.7262120.066.72138.1
Ruislip, Northwood and PinnerLondon408.8032.544170.041.25038.0
Runcorn and HelsbyNorth West2824.0046.417380.062.51258.3
Runnymede and WeybridgeSouth East6520.8032.314780.037.54560.0
RushcliffeEast Midlands6311.1052.414390.044.42222.7
Rutland and StamfordEast Midlands4015.2037.548911.155.61758.8
SalfordNorth West489.7060.453140.035.72725.9
SalisburySouth West7111.5040.841100.060.02927.6
Scarborough and WhitbyYorkshire & Humberside859.6060.0179110.054.52441.7
ScunthorpeYorkshire & Humberside4517.1051.1170110.063.61656.2
Sefton CentralNorth West3021.4050.0259110.063.61650.0
SelbyYorkshire & Humberside4022.9050.02051010.050.01070.0
SevenoaksSouth East4119.2161.0139812.562.53348.5
Sheffield Brightside and HillsboroughYorkshire & Humberside5017.0124.03491910.578.91850.0
Sheffield CentralYorkshire & Humberside699.6044.9208140.071.43537.1
Sheffield HallamYorkshire & Humberside245.0029.23080.037.51729.4
Sheffield HeeleyYorkshire & Humberside419.1041.5182150.080.02114.3
Sheffield South EastYorkshire & Humberside504.7032.00130.076.91526.7
Sherwood ForestEast Midlands6014.6246.787110.072.71050.0
ShipleyYorkshire & Humberside3528.6048.625290.055.62245.5
ShrewsburyWest Midlands7319.3163.0224137.738.52931.0
Sittingbourne and SheppeySouth East6420.8053.1123129.158.32133.3
Skipton and RiponYorkshire & Humberside5212.2144.221170.085.72035.0
Sleaford and North HykehamEast Midlands7010.3041.4171922.255.61421.4
SloughSouth East8629.3174.4282110.0100.02231.8
SmethwickWest Midlands6238.8059.7198160.037.52236.4
Solihull West and ShirleyWest Midlands5413.6051.912370.071.42250.0
South Basildon and East ThurrockEast4417.6050.01581712.564.71723.5
South CambridgeshireEast320.0071.9060.083.32030.0
South CotswoldsSouth West4112.5058.5186911.166.72552.0
South DerbyshireEast Midlands442.8031.83860.066.71145.5
South DevonSouth West389.1052.6117100.080.02231.8
South DorsetSouth West527.0038.562812.537.52065.0
South East CornwallSouth West5119.0145.119190.033.31464.3
South Holland and The DeepingsEast Midlands6026.5045.0460911.166.71250.0
South LeicestershireEast Midlands4333.3144.2179100.090.01553.3
South NorfolkEast3917.9159.0167812.562.51225.0
South NorthamptonshireEast Midlands3830.0042.111480.050.01040.0
South RibbleNorth West485.3060.4991111.145.52142.9
South ShieldsNorth East287.7050.053110.0100.01216.7
South ShropshireWest Midlands5917.3252.5279130.053.81729.4
South SuffolkEast5219.5142.3251616.750.01533.3
South West DevonSouth West5310.0143.419670.028.61752.9
South West HertfordshireEast4320.6053.53341010.060.02138.1
South West NorfolkEast4642.1163.0506137.761.51250.0
South West WiltshireSouth West759.4052.011450.080.01450.0
Southampton ItchenSouth East8811.6071.614280.075.02227.3
Southampton TestSouth East6615.6051.591100.090.02445.8
Southend East and RochfordEast8918.5144.995137.761.52227.3
Southend West and LeighEast924.2140.2181010.060.01637.5
Southgate and Wood GreenLondon7015.7057.11101613.350.04045.0
SouthportNorth West9820.9243.9602110.054.51631.2
SpelthorneSouth East3710.3056.8511010.070.02236.4
Spen ValleyYorkshire & Humberside3937.8038.53031010.050.01546.7
St AlbansEast4917.1075.511190.055.62642.3
St Austell and NewquaySouth West6111.1044.394812.537.51553.3
St Helens NorthNorth West376.9167.60120.058.3140.0
St Helens South and WhistonNorth West5314.6256.6274170.058.8156.7
St IvesSouth West353.0045.714120.050.01758.8
St Neots and Mid CambridgeshireEast478.8072.310119.163.61936.8
StaffordWest Midlands4432.0068.2204100.050.03043.3
Staffordshire MoorlandsWest Midlands3831.0152.6307119.163.61942.1
Stalybridge and HydeNorth West3116.0051.6179156.726.71030.0
StevenageEast6518.6055.420260.083.32152.4
StockportNorth West6220.0054.826080.062.52433.3
Stockton NorthNorth East645.5035.979147.164.32437.5
Stockton WestNorth East3612.5047.220950.040.01741.2
Stoke-on-Trent CentralWest Midlands9625.0171.9331120.041.72729.6
Stoke-on-Trent NorthWest Midlands5516.3076.4308140.042.91540.0
Stoke-on-Trent SouthWest Midlands4720.5051.1261140.050.01020.0
Stone, Great Wyrley and PenkridgeWest Midlands4715.8059.6196119.118.21526.7
StourbridgeWest Midlands6422.2160.9205128.350.02944.8
Stratford and BowLondon5613.9057.143220.072.71833.3
Stratford-on-AvonWest Midlands595.5033.90110.090.92544.0
Streatham and Croydon NorthLondon7614.3034.2112160.056.22035.0
Stretford and UrmstonNorth West4921.1151.0203110.045.52227.3
StroudSouth West499.5055.184110.090.92356.5
Suffolk CoastalEast506.5140.0102100.060.01827.8
Sunderland CentralNorth East754.3041.387200.070.02263.6
Surrey HeathSouth East688.2052.9129100.080.03339.4
Sussex WealdSouth East5822.0043.1357912.588.92231.8
Sutton ColdfieldWest Midlands5422.7061.1305425.075.03132.3
Sutton and CheamLondon716.2019.74790.055.63946.2
Swindon NorthSouth West4921.1140.89350.040.01275.0
Swindon SouthSouth West4812.5033.3111110.045.52860.7
TamworthWest Midlands4723.7057.4165933.355.61723.5
TattonNorth West569.3062.584119.145.53834.2
Taunton and WellingtonSouth West1074.7041.186100.070.02222.7
TelfordWest Midlands7313.6068.56880.050.01421.4
TewkesburySouth West357.4054.39970.0100.01758.8
The WrekinWest Midlands5616.7066.112280.037.52236.4
Thirsk and MaltonYorkshire & Humberside554.5056.40138.361.52045.0
Thornbury and YateSouth West415.9061.01090.066.71758.8
ThurrockEast887.4163.690180.072.22050.0
Tipton and WednesburyWest Midlands6525.0066.2284156.740.01428.6
Tiverton and MineheadSouth West3611.4141.715890.044.4911.1
TonbridgeSouth East3920.0164.121180.087.52450.0
TootingLondon249.5025.0131100.040.02441.7
TorbaySouth West9518.6332.6337912.555.62035.0
Torridge and TavistockSouth West7111.5152.1146119.181.81637.5
TottenhamLondon6814.9047.1471712.547.12152.4
Truro and FalmouthSouth West6119.6042.6131100.060.03636.1
Tunbridge WellsSouth East4720.5253.2181130.092.33545.7
TwickenhamLondon522.2021.26180.066.74339.5
TynemouthNorth East519.3035.313280.050.01833.3
Uxbridge and South RuislipLondon614.2026.28160.062.51428.6
Vauxhall and Camberwell GreenLondon3133.3064.5154130.061.51741.2
Wakefield and RothwellYorkshire & Humberside6620.4239.4385120.075.02944.8
WallaseyNorth West4124.4141.5431176.264.71764.7
Walsall and BloxwichWest Midlands8921.7143.8349230.047.81952.6
WalthamstowLondon3416.7055.901618.862.51450.0
Warrington NorthNorth West4218.2050.0415110.063.61631.2
Warrington SouthNorth West5918.2059.3298137.784.62222.7
Warwick and LeamingtonWest Midlands5921.6035.6194130.084.63548.6
Washington and Gateshead SouthNorth East323.4043.865100.050.01233.3
WatfordEast6834.1072.1355520.060.02634.6
Waveney ValleyEast3819.4155.393100.030.0119.1
Weald of KentSouth East5312.2054.770139.146.22347.8
Wellingborough and RushdenEast Midlands8420.0146.4248119.163.62138.1
Wells and Mendip HillsSouth West4817.1033.3921010.080.01241.7
Welwyn HatfieldEast8115.4172.82191010.060.02035.0
West BromwichWest Midlands6325.0071.4121138.330.81723.5
West DorsetSouth West622.0043.536129.166.72740.7
West Ham and BecktonLondon436.5048.80120.066.71656.2
West LancashireNorth West3815.2139.5221140.028.62020.0
West SuffolkEast5115.8152.9110120.050.01936.8
West WorcestershireWest Midlands5715.6057.9305110.036.42040.0
Westmorland and LonsdaleNorth West504.9060.030140.050.02532.0
Weston-super-MareSouth West957.6040.013270.042.91353.8
Wetherby and EasingwoldYorkshire & Humberside3518.8045.7177100.020.01827.8
Whitehaven and WorkingtonNorth West4427.3056.829270.028.61250.0
Widnes and HalewoodNorth West3323.1154.5351100.060.01921.1
WiganNorth West429.1047.692147.771.42025.0
WimbledonLondon680.0020.60150.073.34143.9
WinchesterSouth East617.5063.98080.075.03056.7
WindsorSouth East5225.0069.2233120.083.33528.6
Wirral WestNorth West4325.0241.9308714.342.92339.1
WithamEast6610.0051.5165130.061.52147.6
WitneySouth East4812.5075.013990.066.71963.2
WokingSouth East6211.4056.527120.083.33855.3
WokinghamSouth East697.1068.15360.066.72245.5
Wolverhampton North EastWest Midlands4048.1152.5310150.040.01225.0
Wolverhampton South EastWest Midlands7823.9156.4156180.044.41225.0
Wolverhampton WestWest Midlands12926.8149.6451100.080.02828.6
WorcesterWest Midlands5512.5069.1181922.222.22552.0
Worsley and EcclesNorth West4413.9050.0191150.046.72339.1
Worthing WestSouth East11711.9042.726050.060.02123.8
WycombeSouth East4520.0071.17590.077.82642.3
Wyre ForestWest Midlands5414.6050.02690.022.21926.3
Wythenshawe and Sale EastNorth West4920.5140.8248156.746.72429.2
YeovilSouth West556.5047.38100.060.02060.0
York CentralYorkshire & Humberside3311.1063.621616.750.03438.2
York OuterYorkshire & Humberside5616.7150.09440.0100.01936.8
CONCLUSIONS & RECOMMENDATIONS

The data demands a systemic response. The convergence of inspection backlog, workforce crisis, and commissioning failure is not three separate problems — it is a single structural failure with three symptoms. Policy responses that address only one dimension will not produce sustained quality improvement. The following recommendations are grounded in the evidence and focus on the highest-leverage points for intervention.

Recommendation 01
EMERGENCY INSPECTION TRIAGE

Prioritise re-inspection of the 15,701 services never inspected or assessed, or last inspected or assessed more than five years ago, starting with the Midlands, where about one in five rated services is below Good (21.0% in the West Midlands, 19.0% in the East Midlands), with nursing homes, which have the highest below-Good rate of any care type (19.9%), and with the 6,883 services that have no inspection or assessment on record. A triage model using self-reported data and automated risk-scoring could identify the highest-risk cohort within six months.

Recommendation 02
NATIONAL MINIMUM FEE FLOOR

Establish a statutory minimum fee floor for adult social care, indexed to the real cost of care as calculated by LaingBuisson or equivalent. Areas below the floor should be required to produce a credible transition plan. The regional and council patterns in this dataset are consistent with funding pressure, although the dataset itself holds no fee data.

Recommendation 03
WORKFORCE STABILISATION

Skills for Care puts sector vacancies at roughly 152,000, a figure outside this dataset but consistent with what inspection reports describe. It demands action beyond the current Skills for Care workforce strategy. Specific measures: sector-specific immigration fast-tracks, mandatory registration for senior care workers (creating a retention incentive), and a portable CPD framework that makes training investment transferable between employers. None of these require new primary legislation.

Recommendation 04
LEADERSHIP INVESTMENT

The Well-led gap is the highest-return intervention available. A ring-fenced leadership development fund — modelled on the NHS's Topol Programme — focused on RI and Inadequate providers in hotspot areas could directly address the domain where improvement has the highest multiplier effect on overall quality.

Recommendation 05
LONGER-TERM CONTRACTING

Mandate minimum 3-year contract terms for publicly-funded social care placements. Short-term contracts are the single greatest driver of operational instability — they prevent workforce planning, training investment, and capital maintenance that are prerequisites of sustained quality.

Recommendation 06
OPEN DATA COMMITMENT

The CQC's open data programme should be extended to include quarterly provider-level financial data (currently only collected, not published) and mandatory self-reported staffing metrics. Transparency creates accountability: markets and commissioners cannot price quality risk they cannot see.

METHODOLOGY & DATA SOURCES
Data Sources

All data in this report is sourced from the Care Quality Commission's open data publication via the CQC API (api.cqc.org.uk). The primary datasets used are:

Locations dataset: Registration data for all adult social care locations in England, including current rating, care type, local authority, region, and last inspection date. Figures derived on 6 November 2026 from the CQC Monitor database, which was reconciled against the live CQC API the same day, for the 30,641 locations whose registration status is Registered.

Inspections dataset: Every rating the CQC has published for adult social care, from both rating models, with publication date and overall rating. Ratings made under the assessment model are dated by the CQC's write-up of the assessment, which usually precedes publication by about two weeks. Coverage: Q4 2014 – Q4 2026 (to 5 November).

Analytical Platform

Analysis was conducted using the CQC Monitor platform (cqcmonitor.co.uk), built by Bridgehead Intelligence. The platform ingests the CQC API daily, processes and normalises location and inspection records into a structured Postgres database (Neon), and exposes analysis endpoints used in this report.

Chart data in Sections 2–9 is derived from the platform's database as at 6 November 2026, which was checked against the live CQC API the same day. Historical series (ratings published per year, quarterly publication) come from the same database and include services since deregistered.

Scope and Limitations

Scope: Adult social care services currently registered with CQC in England only (30,641 at 6 November 2026); deregistered services are excluded from register-based figures. This includes residential care homes, nursing homes, domiciliary care agencies, supported living services, and extra care housing. NHS-run services are excluded.

Ratings currency: A key limitation of this analysis, and of CQC data generally, is that 51.2% of registered services have gone five years or more without an inspection or assessment, or have never had one, 22.8% of the register holds no current rating of either kind, and 39.2% of rated services hold a rating more than five years old. The CQC publishes ratings under two models, and its open data reports assessment ratings in a separate field from inspection ratings. The 6 October 2026 edition of this report counted only the inspection field and so understated the number of rated services. A service counts as never inspected when it has no inspection or assessment on record and no rating carried over from an earlier registration (1,674 services hold such a carried-over rating). Figures for the proportion below Good should be treated as lower bounds of the true current quality distribution.

Local authority figures: LA-level analysis covers the 146 upper-tier and unitary authorities with at least 50 registered services and 30 rated services. Smaller authorities, including the City of London and the Isles of Scilly, are excluded.

Theme analysis: Report language analysis applies AI to the narrative text of 2,829 CQC inspection reports (2,410 below Good, 419 Good or Outstanding). 2,020 of them (71%) are for services that have since deregistered, so the sample is weighted towards poor and historical reports and is not representative of the register today. Figures represent frequency of theme occurrence, not a clinical or regulatory assessment of significance.

About Bridgehead Intelligence

Bridgehead Intelligence is the research and analytics division of Bridgehead Communications Ltd (Companies House #12736276). We build data-driven intelligence products for the public affairs, policy, and regulatory sectors.

Contact: intelligence@bridgeheadcommunications.com
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BRIDGEHEAD INTELLIGENCE
© Bridgehead Communications Ltd 2026. All rights reserved.
Data sourced from CQC open data. Analysis by Bridgehead Intelligence. This document is prepared for press and public distribution.
cqcmonitor.co.uk
intelligence@bridgeheadcommunications.com
November 2026