I think it's important to keep in mind that the 1-6 scale applied by CQC is merely their prioritisation for inspection and, therefore, should not be given undue significance (notwithstanding our great leader JH and the DM). There's no reason why a practice identified for early inspection shouldn't be graded outstanding at the inspection itself.
I think the bigger issue is the flawed data, including the patient survey. As with all these things, the interpretation by the reader will not always match the intention of the author; for example, in our Friends and Family responses we got 2 patients who answered that they wouldn't recommend us and in the explanatory remarks were the following reasons:
"I haven't got any friends" and
"My family all live up north"
Sad, but true.
"We are concerned by reports that some households have not received a leaflet and are following this up with Royal Mail as a matter of urgency."
Not surprising - it was like a Lidl weekend flyer and went straight in the recycling along with all the other rubbish - it only caught my attention because I knew it was coming and wanted to see what they said in it - which was confusing and inadequate anyway.
I would genuinely like 1.32pm to "come out" "man up" and give us his/her potted bio. I advise, in the meantime, an anger management course, a reality check, and a large dose of humility medicine; perhaps even another career?
If more GP's did this:
What’s the most common advice you give patients?
I’m all for self-care, so probably: ‘let’s watch and wait, you don’t need any medicine at the moment’.
What phrase do you most overuse?
‘I think a man of your age with a sore throat for 12 hours should be looking after himself, not phoning the doctor.’
How would your patients describe you?
I’d like to think they think I’m straight-talking but sympathetic. Some would call me the ‘one who doesn’t give antibiotics’.
We'd be a lot better off!
For goodness sake. We have tried really hard to be as economical with prescribing as reasonable and continue to make essential savings against budget only to be exposed to this sort of venture which can only undo our good work or, equally annoyingly, involve us in more management of "sub-contractors" who don't have any responsibility for their prescribing regime.
Two points if I may:
Firstly, that the essence of the problem is an unreasonable approach by the Government to a reasonable solution to a National problem - getting better value for money in a declining economy. So the draconian, revolutionary and destructive abandon with which the Health secretary inflicts change is completely unhelpful and demoralising to all.
Secondly, the grass, as ever, is not always greener. The cost of living in Australia, especially Western Australia, has escalated beyond belief in the past 5 years causing most basic elements of life to cost about 20-30% more than the UK. Petrol is considerably cheaper however!
I'm lucky, I've got a great team of receptionists who are really sympathetic and supportive - and all of them have the odd bad day, and all get abused by unpleasant patients from time to time, and all get unfair criticism from demanding managers and doctors from time to time as well.
I agree a lot of this can be mitigated by training, as well as clear leadership and support, good appraisal and, in my view above all else, mutual respect.
I'm really seriously grumpy at times too...like this morning!
Amazing. We've been saying this from day one. And how much did this fantastic revelation cost to research, pray?