England is the first country in the world to be comprehensively inspecting General Practice. The Care Quality Commission (CQC) has been independently inspecting and rating General Practice in England with a new comprehensive methodology, including out-of-hours services, since October 2014. The CQC have so far inspected over 2000 GP practices in England, amounting to a quarter of all practices. We have found that the vast majority (83.6%) are providing good or outstanding care, 12.2% require improvement and 4.2% have been rated as inadequate. Whilst poor quality care is an exception, the practices rated so far as inadequate we have estimated to have responsibility for over 441,000 patients. Although the data demonstrates some geographical variation, particularly in London, the trends are similar across the country. We discuss the findings of the first 25% of comprehensively inspected GP practices in England.