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Wednesday 23 May 2012
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DH rejects call to delay CQC registration beyond April 2013

By Andrew McNicoll | 12 Aug 2011

All GP practices will be forced to register with the Care Quality Commission by April 2013, after the Government snubbed calls from GP leaders and medical defence experts to push back the registration deadline further to avoid overburdening doctors.

The Department of Health today confirmed that, as set out in its consultation proposals published in June, the deadline for registering GP practices will be put back a year, from April 2012 to April 2013.

However ministers have rejected submissions to the consultation from the GPC and the Medical Defence Union to ‘radically rethink' registration and further relax the timetable, amid concerns a 2013 deadline will clash with the introduction of revalidation and GPs taking on commissioning responsibility.

The Department of Health has amended the timetable set out in its June consultation to delay the deadline for walk-in centres to register until April 2013, but out-of-hours services will still have to register by April 2012, despite GPC concerns.

Legislation to take account of the revised timetable will now go through Parliament in the autumn.

A Department of Health spokesperson said: ‘The registration of GP practices by the CQC) will now take place by April 2013. Out of hours providers that are not GP practices looking after their own patients will be required to register with CQC by April 2012.'

In their responses to the consultation, both the GPC and the MDU flagged up fears that an April 2013 deadline was unrealistic.

In a strongly-worded submission last month, the GPC said: ‘We have concerns about the capacity of the CQC to manage the registration and compliance of all primary medical services providers from April 2013, and would suggest that consideration is given to a more flexible approach.'

In a separate submission published earlier this week, Dr Mike Devlin, MDU head of Advisory Services, said: ‘If GPs are required to register with the CQC at the same time as they are expected to provide all the information for revalidation, we believe this would impose an unnecessary and potentially insupportable regulatory burden on them and their practice.'

The GPC also raised a range of wider concerns about the CQC plans, claiming the registration requirements were ‘overly burdensome' and warning GPs would be diverted from patient care and hit with hefty registration fees. The DH told Pulse it will be publishing a full consultation response on the CQC plans after parliament has introduced the deadline change in Autumn.

Responding to the DH announcement, a BMA spokesperson said:

'The BMA is pleased that the DH has announced the delay to the registration of GP practices with the CQC until April 2013. It is particularly encouraging that the DH has taken on board the BMA's advice and included walk-in centres in this delay.'

'However, a lot of work still needs to be done on reducing the compliance requirements on practices so that they are not overburdened by needless bureaucracy. The BMA will continue to lobby for action in this area.'

Speaking to Pulse, the MDU's Dr Devlin said:

'We welcome the delay in CQC registration - there needed to be a posponement from the 2012 deadline. However, we would have preferred that the date of 2013 be reconsidered. It clashes with revalidation and probably the shift to commissioning. There will be a significant amount of upheaval facing GPs.'

READERS' COMMENTS

Anonymous, Practice Manager,
12 Aug 2011
If GPs refuse to comply with CQC registration as it stands then what can the Department do about. The only requirement is for all GPs to stand together on this one and that is a major stumbling block.
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Anonymous, Practice Manager,
12 Aug 2011
I agree - All GP's must stand together and say NO!
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Anonymous, Manager,
12 Aug 2011
Why would you say no? Most standards are basic contractual requirements that should already be in place
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Mary Hawking, GP Partner,
12 Aug 2011
Anonymous manager,
While most of the requirements are already there, the amount of paperwork - very poorly defined or laid out - is huge, and the time required to retrieve copies of the protocols from their current locations (I don't suppose we won't ned them in their current folders as well as in the CQC one?) and examain them minutely to ensure all the commas are in the CQC compatible format is time consuming and wasteful.
I take it you are a PCT rather than a Practice manager - or even more probably, an SHA one?
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Bharat Patel, Working for a GP Consortium,
12 Aug 2011
There is considerable misunderstanding about the CQC requirements. The Regulation itself is quite straight forward and similar to the GMS contract/QOF (suitability of premises/compliants etc) and only requires a reasonable effort. Virtually all compliance legislation has this "get out clause"

What adds confusion is the lengthy guidance and the prompts, which actually have no legal basis! The CQC could have done a better job on this. We got so frustrated explaining this all the time that we set up a site just to bust the myths www.cqc.xgenics.com.
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Anonymous, GP Partner,
12 Aug 2011
Maybe this is something we could all agree action on. perhaps the BMA could give us a lead and maybe it could be used in negiotiations regarding pensions
ie leave the pensions alone or else we will all refuse CQC registration
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Anonymous, Other healthcare professional,
12 Aug 2011
GP's taking action to delay the onset of registration would be a mistake. This requirement is about ensuring that all premises used for patient care are fit for purpose and safe, not just hospitals and health centres.

Some GP practices have neglected their premises and do not invest in basic repairs to keep the buildings safe and hygeinic. Many of the requirements are already statutory and contractual and this is simply putting in place an enforcement regime. I cannot begin to imagine why people think this would be a good rallying cry given the state of some premises. There will be fewer problems in 2013 if all practices took steps to ensure that their buildings were statutorily fit.
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Anonymous, PCT,
12 Aug 2011
This isnt as bad as your stating. There's a one off process getting ready which you could buy in for relatively low cost, then annual updating. Its the poor condition, low maintained, non compliant practices that need to be concerned.
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Qamar Siddiqi, GP Partner,
13 Aug 2011
Increase my pension, question my ability to keep up to date with my knowledge and practice and now ask me to tick boxes for this idiotic process. Then in April 2013, they will complain that we are spending less time with our patients. No wonder my friends are moving to Oz. Welcome to the new NHS and don't forget to leave your sanity and clinical acumen at the door. All you really need to be is a good pen pusher and have an ability to spout BS!
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Anonymous, Working for a GP Consortium,
13 Aug 2011
Is it true that other professions are much better off but they do have to pay their own rent, buy their own equipment, find their own customers and face stiff competition from the big boys ... ??
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Manmohan Singh, GP Partner,
14 Aug 2011
Dept of health knows that GPs cant stand together. We are so busy in saving lives and filling PCT protocols. Our leaders should do something, if they have time for us.
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Anonymous, Working for a GP Consortium,
15 Aug 2011
So how many lives did you save last week?
Saving lives sounds like very very high level risk work and should be subject to even more rigorous standards.
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Anonymous, Salaried GP,
15 Aug 2011
one has to firmly reject the rather arrogant comment made by 'anonymous,PCT'
the work of frontline GPs is worth its weight in gold, they have to walk a very precarious tightrope between being the patient's advocate and yet shielding the system from unnecessary expense. they probably save loads of lives or at least delay death several times a week.
The DOH must be advised and urged not to lose their support completely, else their will be a backlash..ever thought what might happen if we all just relaxed our referral and prescribing behaviour for a month or two?
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Anonymous, Work for a Local authority,
15 Aug 2011
Your article is incorrect in reporting that the deadline for registration for Walk in centres has been postponed.

I have today had confirmation directly from the CQC that the deadline for registration for GP walk in centre remains as April 2012.

You should check out http://www.cqc.xgenics.com ... who seem to know what they are doing.
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Manmohan Singh, GP Partner,
16 Aug 2011
To -" Anonymous, Working for a GP Consortium"- -- Do u have any name? or you want me to provide one, then you don't have to use Anonymous.
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