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

GPC chair calls for end to CQC 'Ofsted-style' ratings

The GPC is calling on the CQC to drop its ‘Ofsted-style’ ratings in its strongest criticism of the regulator so far.

Dr Chaand Nagpaul, chair of the GPC, made the call in his speech to the LMCs Conference in London today, at the same time as telling the Government to drop its ‘pipe dream’ of seven-day services.

In a stormy speech today, Dr Nagpaul said that the CQC had ‘mushroomed into an industry of flawed performance management’.

He added that the CQC leaves practices living in ‘fear and threat’, adding that it takes away time that could be spent caring for patients.

As Pulse has already reported, Dr Nagpaul called for an abandonment of seven-day services, calling on Prime Minister David Cameron to ‘get real’.

But the major plea in his speech was around the CQC.

The GPC was successful in calling on the regulator to drop its publication of practices’ ‘risk ratings’, but the CQC has continued giving practices ratings of ‘outstanding’,’good’, ‘needs improvement’ and ‘inadequate’.

But Dr Nagpaul said today that these ratings are ‘not considered necessary’ in the devolved nations, so shouldn’t happen in England.

He said the Government must ‘end the punitive overregulation that’s suffocating general practice- amongst the top four reasons why GPs want to leave the profession.’

UK GPs were subject to ‘more scrutiny, performance management, and targets than anyother nation studied by the Commonwealth Fund’, even before the introduction of the CQC, he added.

He said: ‘It begs the question why England is spending hundreds of millions of pounds on an inspection regime not felt necessary in Wales, Scotland and Northern Ireland. Practices live in fear and threat, with days taken away from caring for patients to prepare for and endure inspections.

‘The problem is that CQC has mushroomed into an industry of flawed performance management. We managed to get rid of the shameful intelligent monitoring bands, but still have practice ratings without context and circumstance, and which misleads the public with crude proxies that demean the holistic care hard working GPs provide.

‘CQC needs to go back to basics of keeping registration simple, abandon ratings and plough the millions saved into patient services instead.’

He also said that the move to seven-day services would damage patient care.

He said: ‘The Government must halt it surreal obsession for practices to open seven days when there aren’t the GPs to even cope with current demands. It would damage quality care by spreading GPs so thinly, and replace continuity of care with impersonal shift-work, and will reduce our availability for older vulnerable patients.’

Related images

  • Dr Chaand Nagpaul - online

Readers' comments (22)

  • Completely agree so why dont we all just say no the BMA, LMCs etc stand up to the government for once and the profession say NO we wont do CQC checks anymore

    Unsuitable or offensive? Report this comment

  • CQC sets its own fees and forces practices to pay up or close - they have no incentive to cut back their remit and no-one outside practices likely to care while we are the ones wasting money

    Unsuitable or offensive? Report this comment

  • House prices could increase around the GP surgeries whose CQC league tables show a high score - just like how house prices are high around schools with a good Ofsted results.

    Unsuitable or offensive? Report this comment

  • And if they don't listen to you to Chaand, then what? You and the GPC have no credibility because you will never take any action and the Govt, NHSE, CQC et al all know it.

    No Sec'y of State is EVER going to remove the CQC from our backs.

    Unsuitable or offensive? Report this comment

  • Chaand is a good speaker. He has to keep the BMA on side with him.

    How about also putting the agenda forward for a fit and proper judicial process to deal with doctors as the GMC is clearly not fit for purpose?

    Unsuitable or offensive? Report this comment

  • Stormy speeches and hard talks will not make any difference. There is no unity between General Practitioners. Partners, Salaried and the Locums would all like to safeguard their own interests but do not want speak for the profession as a whole with one voice. The Government very well knows this.

    Lets not waste on time and just get on with what we all are already busy doing.

    Unsuitable or offensive? Report this comment

  • We are having our say by proxy - retirement , locuming and emigrating ....but nobody is listening and as ALDI says "when its gone its gone"

    ...then they will miss us.

    Unsuitable or offensive? Report this comment

  • @11.35
    I don't think partners, salaried and locums are necessarily in opposition - all have a place and work well in combination if allowed to get on with it

    Unsuitable or offensive? Report this comment

  • I hope our LMC members have jolly good day out today with good lunch and tea during their conference. Such meetings and grand talk will not make any difference to the policies that the Government intends to pursue.

    Unsuitable or offensive? Report this comment

  • so he is against lots of things...

    Unsuitable or offensive? Report this comment

View results 10 results per page20 results per page50 results per page

Have your say