This site is intended for health professionals only

At the heart of general practice since 1960

pul jul aug2020 cover 80x101px
Read the latest issue online

Independents' Day

Practice set to close after GP principal resigns over 'silly' CCG meetings

A GP principal in East London has been forced to quit over the local CCG not being able to provide staff cover while sending him to 'silly' meetings, leading to the closure of a local practice. 

Abney House Medical Centre in Hackney will close in October and 2,700 patients will have to relocate to one of the 15 other practices in the area. The CCG stated surrounding practices in a one-mile radius have been made aware of the situation and will accept patients from Abney House. 

The practice's GP principal, Dr Luke Salih, said recent years have been particularly demanding for him because of 'onerous additional tasks' that do not benefit his patients.

Dr Salih told the Hackney Gazette'I am resigning because of a complete inability to find staff to take my place while the CCG has me running around going to silly meetings.'

Confirming his resignation to Pulse, Dr Salih said: 'It has been a great privilege to be part of my patients’ lives during my decades running the practice, but workload pressures have increased greatly over recent years, particularly demanding for me to perform onerous additional tasks which I do not feel are of direct benefit to my patients.

'We have now reached the point where the practice team and I cannot sustain this workload alone and have not been able to recruit additional staff, or agree a reduction in these extra services we are being asked to provide by the NHS.

'I would like to thank my patients for their kind words over recent days, but I must encourage them to register with nearby practices as we begin the process of winding-up Abney House Medical Centre.'

NHS City and Hackney CCG chair, Dr Mark Rickets said Dr Salih had been unable to resolve staff and premise issues, adding that the practice's lease was expiring and its list size was 'too small' to find a new provider.

Dr Rickets said: 'The CCG is committed to ensuring that all our local GP practices have the help and support needed to provide the best possible service to their patients.

'Although the CCG and the local GP Confederation has provided assistance and support to Dr Salih, he has been unable to resolve a number of staffing and premises issues which has resulted in Abney House Medical Centre permanently closing on 20th October. Following a review, we concluded that the current patient list was too small to advertise for a new provider and due to the lease on the premises expiring, this was unfortunately not an option anyway.'

He added: ’We are confident in saying that due to the already available resource from surrounding GP practices, the closure of this practice should not impact patient outcomes. The quality of primary care in Hackney is something we can be proud of, as shown by the fact that all our practices have CQC ratings of good or outstanding.

’We have already put a range of measures in place to ensure that the impact on patients will be kept to a minimum, including liaising with local community groups such as Derman to support Turkish speaking individuals, and we will continue to work closely with NHS England on the matter. Once registered with a new practice, patient medical records will be transferred electronically and vulnerable patients will also be offered additional support if needed.’

A rural village in Cornwall recently set up a public campaign to prevent its surgery from closing after its only partner resigned and ended their contract to run the surgery.

Readers' comments (13)

  • Dr Rickets. Class.

    Unsuitable or offensive? Report this comment

  • Vinci Ho

    Obviously, there are many pre-existing factors contributing to the closure of a GP practice , as ice deep frozen three feet down is never due to one day cold . But the reality is that practices are currently demanded to spend so much effort and time (which itself is a resource) involving in PCNs , overseen by CCGs . Yes , there might be ‘resources’ there for PCNs to utilise but it also begs the question of whether the ‘leaders’ in PCNs and CCGs actually know how to use these resources to effectively benefit the frontline grass-root GPs which still include many small-sized practices. The ideology of investing through GP networks is always contentious as a ‘step forward’ from the traditional model of funding individual practices directly.
    The government is very clever in turning some of us into ‘cardigans’ to govern the rest of us ( Sorry to sound like the frontline protesters in Hong Kong right now ). ............

    Unsuitable or offensive? Report this comment

  • David Banner

    The real issue here was recruitment/succession. Why on earth would a GP near the end of his career sign a long term lease with no hope of a replacement partner to take it over? Older GPs over the land are waiting out their leases, then planning to jump ship, and quite right too. If HMG don’t firm up their vague promises to take on leases, partners will continue to bail at the first opportunity.

    Unsuitable or offensive? Report this comment

  • Isn't this what NHSE wants? Smaller practices to be swallowed up by bigger ones

    Unsuitable or offensive? Report this comment

  • This is no accident. Singlehanded docs are to be made extinct.

    Unsuitable or offensive? Report this comment

  • CCGs are morphing into Regional Health Authorities- a fact that should surprise no-one.
    All ways of running the NHS apart from privatisation have already been tried yet the merry go round continues to spin.

    Unsuitable or offensive? Report this comment

  • A similar size practice locally to me is likely to close in similar manner.
    They are more than halfway through a 4 week 'consultation'. The lease is expiring and NHS England rejected partners' and architect's plans for suitable surgery, even on temporary basis (extension possible later). It seems utterly outrageous, clearly not in patients' best interests, and will make GPs into locums and excellent staff redundant.
    Neighbouring practices are not able to absorb the work (approaches were made).
    CCG seems useless, and talks have mirriored Brexit talks in timescale and intransigence of the larger party.
    Even if small practices should go, which I'd dispute, this is NOT the way to do it!!
    How can this sort of NHSE/CCG behaviour be resisted or overcome?

    Unsuitable or offensive? Report this comment

  • |Rose Gold | Locum GP|18 Aug 2019 7:12pm
    How can this sort of NHSE/CCG behaviour be resisted or overcome?

    You vote for libertarian/smaller govt, you advocate for healthcare to be decentralised back to the individual.

    Unsuitable or offensive? Report this comment

  • 2700 patient is not too small. This is single handed. Not gp’s fault. He must have worked very hard.
    Good for CCG finance , not for patients

    Unsuitable or offensive? Report this comment

  • Bma is to blame'-a useless bunch of gong chasers

    Unsuitable or offensive? Report this comment

View results 10 results per page20 results per page

Have your say