The Practice Prospect House, Great Missenden: patient reviews and CQC rating
The Practice Prospect House is a GP practice in Great Missenden with 3,473 registered patients (September 2026). In the 2026 GP Patient Survey, 81% of its patients described their overall experience as good, against 77% across England (Thames Valley: 76%). The Care Quality Commission rates it Good overall, in a report published in October 2016. It has 1.4 full-time-equivalent qualified GPs, or 2,457 patients per GP.
Latest data: September 2026. Patient survey 2026; registered patients September 2026; appointments to August 2026.
What patients say about The Practice Prospect House
Its best result against England is the share who found it easy to contact the practice using the NHS App: 77%, above the England figure of 54%. Its result closest to England is the share who had confidence and trust in the healthcare professional they saw: 95%, against 93% across England. Of the 11 results in the table, 2 are above England and 0 below by more than the survey's margin of error, and 9 within it.
77% found it easy to get through by phone (England: 57%). The overall experience result is 3 points higher than in 2025 (78%). 92 patients answered the survey (response rate 25%).
| Survey question | The Practice Prospect House | Thames Valley | England |
|---|---|---|---|
| Overall experience good | 81% | 76% | 77% |
| Easy to contact by phone | 77% | 56% | 57% |
| Easy to contact via the website | 66% | 57% | 58% |
| Easy to contact via the NHS App | 77% | 53% | 54% |
| Reception team helpful | 90% | 84% | 85% |
| Last contact good | 78% | 72% | 73% |
| Wait for appointment about right | 74% | 69% | 69% |
| Listened to well | 92% | 88% | 87% |
| Treated with care and concern | 92% | 87% | 86% |
| Confidence and trust in the clinician | 95% | 93% | 93% |
| Needs met | 95% | 90% | 90% |
In the Friends and Family Test for July 2026, 93% of 102 responses rated the practice good or very good (England: 92%).
CQC's overall rating for The Practice Prospect House is Good, published in October 2016. All 5 key questions are rated Good.
| Key question | Rating |
|---|---|
| Safe | Good |
| Well-led | Good |
| Caring | Good |
| Responsive | Good |
| Effective | Good |
3,473 patients were registered at The Practice Prospect House in September 2026, almost the same as a year earlier.
22% of its patients are aged 65 or over, against 19% across England. With 1.4 full-time-equivalent qualified GPs, there are 2,457 patients per GP, more than the England figure of 2,171 and Thames Valley's 2,121. The practice also has 0.5 nurses and 1.0 other clinical staff such as pharmacists and physiotherapists (full-time equivalent).
| Year | Qualified GPs (FTE) | All GPs incl. trainees (FTE) |
|---|---|---|
| August 2023 | 0.7 | 0.7 |
| August 2024 | 1.4 | 1.4 |
| August 2025 | 1.4 | 1.4 |
| August 2026 | 1.4 | 1.4 |
From June 2026 to August 2026 the practice recorded 1,788 appointments a month, or 515 per 1,000 registered patients (England: 510). 48% were face to face (England: 63%). 40% took place on the day they were booked and 4% more than 28 days after booking (England: 45% and 5%).
56% were with a GP rather than another member of the practice team. 4% of booked patients did not attend.
| Measure | The Practice Prospect House | Thames Valley | England |
|---|---|---|---|
| Appointments per 1,000 patients a month | 515 | 451 | 510 |
| Face to face | 48% | 60% | 63% |
| Same day as booked | 40% | 45% | 45% |
| More than 28 days after booking | 4% | 4% | 5% |
| Did not attend | 4% | 5% | 4% |
Compared with England, the practice has a lower share of patients for palliative or supportive care needs (0.1% against 0.6%), chronic kidney disease (1.4% against 4.6%) and COPD (0.8% against 1.9%). The practice's patients live in areas with an average deprivation score of 8.1 (England: 21.8; higher is more deprived). Life expectancy for its patients' neighbourhoods is 87.5 years for women and 83.6 for men (England: 83.0 and 79.1).
| Condition register | Age group | Practice (2024/25) | England |
|---|---|---|---|
| High blood pressure | All ages | 13.0% | 15.2% |
| Depression | 18+ yrs | 11.0% | 14.3% |
| Asthma | 6+ yrs | 6.7% | 6.6% |
| Diabetes | 17+ yrs | 3.9% | 7.9% |
| Cancer | All ages | 3.8% | 3.8% |
| Coronary heart disease | All ages | 2.3% | 3.0% |
| Atrial fibrillation | All ages | 2.1% | 2.2% |
| Stroke and TIA | All ages | 1.7% | 1.9% |
| Chronic kidney disease | 18+ yrs | 1.4% | 4.6% |
| COPD | All ages | 0.8% | 1.9% |
| Serious mental illness | All ages | 0.7% | 1.0% |
| Epilepsy | 18+ yrs | 0.6% | 0.8% |
| Rheumatoid arthritis | 16+ yrs | 0.6% | 0.8% |
| Osteoporosis | 50+ yrs | 0.5% | 1.2% |
| Heart failure | All ages | 0.5% | 1.1% |
| Dementia | All ages | 0.5% | 0.8% |
| Learning disability | All ages | 0.2% | 0.6% |
| Peripheral arterial disease | All ages | 0.2% | 0.6% |
| Palliative care | All ages | 0.1% | 0.6% |
| Screening coverage | Period | Practice | England |
|---|---|---|---|
| Bowel cancer screening (aged 60 to 74) | 2024/25 | 78.7% | 72.9% |
| Breast cancer screening (women aged 53 to 70) | 2024/25 | 83.7% | 72.2% |
| Cervical screening (women aged 25 to 49) | 2023/24 | 77.5% | 67.5% |
| Cervical screening (women aged 50 to 64) | 2023/24 | 78.9% | 74.9% |
The Practice Prospect House, Prospect House, 108 High Street, Great Missenden, HP16 0BG. Phone: 01494 862325. Website: www.thepracticeplc.com.
| Nearby practice | Distance | Overall experience good |
|---|---|---|
| John Hampden Surgery | 2.4 km | 73% |
| Highfield Surgery | 5.7 km | 86% |
| Water Meadow Surgery | 6.4 km | 79% |
| The New Surgery | 6.8 km | 90% |
| Gladstone Surgery | 6.8 km | 67% |
- Dr Gabe & Partners (78% overall experience good)
- John Hampden Surgery (73% overall experience good)
- Rectory Meadow Surgery (86% overall experience good)
How do patients rate The Practice Prospect House?
In the 2026 GP Patient Survey, 81% of patients described their overall experience of The Practice Prospect House as good, against 77% across England. 77% found it easy to get through by phone.
How many patients are registered at The Practice Prospect House?
3,473 patients were registered in September 2026, down 0.2% on a year earlier.
What is The Practice Prospect House's CQC rating?
Good overall, published in October 2016.
How many GPs does The Practice Prospect House have?
1.4 full-time-equivalent qualified GPs (3 qualified GPs by headcount), which is 2,457 patients per GP against 2,171 across England.
Are appointments at The Practice Prospect House face to face?
48% of appointments from June 2026 to August 2026 were face to face, against 63% across England.
What is The Practice Prospect House's phone number?
01494 862325.