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Field: Presentation skills necessary to receive CQC outstanding rating

The CQC’s chief inspector of general practice has admitted that presentation skills affect practices’ CQC rating.

Speaking at the Health+Care conference in London today, Professor Steve Field was asked by the audience why some outstanding practices receive only a good rating and vice versa.

Professor Field responded that if a practice was outstanding 'this is up to the practice to tell us'.

He said: 'What we find is that in some surgeries when we go in, that first half hour when people are showing they are a really good practice or an outstanding practice, some surgeries don’t shine. They don’t share and tell as what is really great about them.

‘Everybody around them might know everything is great, but unless they tell us and provide evidence, we can’t prove that. And so that first sort of presentation, the chance you’ve got to give information to us, the practices that do really well shine.

'I’ve been to inspections where people have been showing wonderful slideshows about the care.’

In the session, Professor Field also suggested that CQC inspectors will know upon entering the practice what sort of rating to expect, based on its patient survey results.

He said: 'We know that if you have high scores associated with patients recommending the practice they tend to be outstanding or very good. If GPs show care and concern, higher scores are associated with better ratings… So from the patient survey, we know that where patients are engaged in their care and share decisions with their doctors, the surgeries tend to be rated generally better.'

He also said the CQC is collecting data to show up the BMA's suggestion that poorer CQC ratings is linked to less funding per patient.

Professor Field said it would publish data in the autumn, which he said will show that inadequate practices often receive substantial funding.

He said: 'The BMA produced a press release which basically had three columns and it showed that between outstanding, good and requires improvement there is a correlation with the average income coming into the practice per patient.

'What they didn’t show was that [those rated] inadequate weren’t proportionally down. Because we think that the inadequate practices, often it it’s leadership and some of those practices are getting some good income.'



Readers' comments (39)

  • "...They don’t share and tell as what is really great about them"

    Is that because we are adult professionals who think it should be enough to prove ourselves to our patients and our colleagues without having to try to promote the practice and justify our existence to some random inspector who should have access to all relevant information anyway, meanwhile paying an enormous fee for the privilege? The good/outstanding division is irrelevant in the real world.

    Slideshows? Seriously?

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  • Sorry Mr Field (don't think I can bring my self to call you prof), you have misunderstood your very distant former colleagues.

    Please find any where in Good medical practice, GMS contract, MRCGP curriculum or anywhere else which says requirement of a good practice includes presentation skills. If this was the case, I would have asked about presentation credentials at partnership interview (not that candidates turned up anyway as they seem to have left to country with more sensible health organization).

    As you were embarrassed to be a GP a few months ago, I also am embarrassed to see you calling yourself a GP. Perhaps you should also hone your presentation skills as your comments here suggests you have completely lost your audience and by your own CQC's judging, your practice is also unable to tell the inspectors what is great about the practice.

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  • We have just been inspected. We were told that all the inspectors wanted was a BRIEF presentation and that they didnt want anything too fancy or something that represented the story of 'the industrial revolution'. Total hypocrisy from this man (who's practice still hasnt been inspected- with some dreadful NHS Choices reviews)

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  • Mr Field is woefully out of touch. So he freely admits that a CQC rating is not based on what a practice does but how well it can write powerpoint presentations.

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  • Mr Field is beyond redemption.

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  • Bonkers! It is a PR and marketing exercise; in the words of Prof (Mud)field....joking!

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  • Linguo - gluteal manipulation seems to be the most useful skill in getting a good rating . Old -fashioned arse-licking doesnt present so well or sound as good

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  • Isn't it a failing of the CQC system if a practice had to sell itself to get an excellent rating

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  • So instead of judging a book by its contents the CQC judges a book by it bright shiny bulls*** cover.Most definitely a failure of the CQC processes.

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