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Independents' Day

One in seven practices told they require improvement by CQC

Around 14% of practices have been told they required improvement by the CQC following the first rounds of inspections, the regulator has announced today.

The CQC released details about 50 practices today, finding that seven had been told they require improvement, while one was rated outstanding, with the rest rated as good.

It follows the first two reports it released last year, which gave both practices a rating of outstanding.

The new inspection process was introduced in October, with each practice being given an ‘Ofsted-style’ rating of ‘outstanding’, ‘good’, ‘requires improvement’ or ‘inadequate’.

No practices were rated as inadequate.

Professor Nigel Sparrow, CQC’s Senior National GP Advisor said: ‘We know that the vast majority of England’s GPs are providing a service which is safe, effective, caring, responsive and well led.  If that is what we find on inspection - we give it a rating of good, and I congratulate the GPs and staff in these practices.

‘Patients should be able to expect high quality and consistent care from every GP practice. Where we have required improvement, we will expect the practice to take the necessary steps to address the issue, and we will return at a later date to check that those improvements have been made.’

It comes after the CQC published its ‘intelligent monitoring’ data based on QOF achievement and patient survey scores, which it claimed showed that one in six practices were ‘at risk’ of providing poor care.

It used the scores to prioritise which practices should be inspected, with those ‘at risk’ being inspected first.

A Pulse analysis of the practice ratings revealed that three practices rated as risky by the intelligent monitoring data were found to be ‘good’, with five more found to require improvement.

It also revealed that two practices given the highest intelligent monitoring scores were found to be inadequate, while a further 35 given the highest scores were rated as ‘outstanding’ or ‘good’.

Dr Robert Morley, chair of the GPC’s contracts and regulations subcommittee, said: ‘The overwhelming majority of practices are providing what CQC determine to be “good care” even better.

‘By the incredibly tough and far-reaching criteria that the CQC uses to determine that a practice is good rather than “requires improvement”  in the incredibly difficult circumstances under which practices are currently having to work this once again confirms the absolutely fantastic job that GPs and their practice staff are doing for patients and the NHS across the country.’

Readers' comments (26)

  • experienced GPs lining up to retire and falling numbers of inexperienced trainees wanting to join the profession.

    in order to take on the massive bureaucracy (CQC, revalidation, QOF, NICE etc etc)created by 'we are going to cut bureaucracy politicians and improve the service you need experienced motivated staff - exactly what we are losing.

    there is only one direction of travel - worsening of service.

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  • Is that 1 in 7 of some randomly collated number, or have they failed to add up again?

    I believe nothing the CQC says - waste of space organisational parasites on the health sector, and government poodles to drive privatisation and massive corporate primary care provision.

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  • Cue outrage from those with the divine right to treat without safeguards, but that number doesn't sound so unreasonable.

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  • Being one of the seven anjd interestingly four of the seven were by the the same investigator, all the requires imporvements were process driven things and not about patient care, All infuraiting and totally uneccesary. Hopefully patients can read the small print rather than just the traffic lights !

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  • System failure in progress abandon ship every man for themselves!!!

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  • @11.53
    You have my sympathy.
    Would you be able to indicate what kind of things they criticised?

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  • The sooner that organisation of PCT failure staff is closed down the better.

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  • No safeguards against the incompetent and arrogant CQC/NHS/DOH Managers who have reduced this great health system to ashes. We are now waiting for the election gales to blow over and then the shambles will be exposed for inspection.

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  • Una Coales. Retired NHS GP.

    We know what is going on and it started when they slashed the minimum practice income guarantee even though it was promised and guaranteed never to be touched!

    Have you thought of your plan B? If you have to stay in the UK, consider setting up as a private GP who does steroid injections (diploma in minor surgery or sports med). Spent 4 months trying to get a steroid injection for carpal tunnl through St Thomas' only to be seen by a physiotherapist who then put me on another list for a steroid injection done by yet another physiotherapist.

    Then when I had tennis elbow and had been waiting months yet again, I researched and found a NHS GP who does steroid injections! Reregistered at his surgery and within 2 days was treated! Wow!

    This is the future...a lucrative plan B as a private GP who does steroid injections for carpal tunnel, tennis elbow, golfer's elbow, shoulder supraspinatus, tendinopathy, rheumatoid arthritis etc. One NHS GP ended up paying a consultant ortho £700 for her steroid injection as the NHS wait was too long.

    Think outside of the box!

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  • "practices told they require improvement by CQC"

    surely the kettle is calling the pot black here?

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