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'Inadequate' GP practice avoids CQC deregistration by appealing to tribunal

Exclusive A 2,000-patient GP practice in Nottingham has avoided deregistration after taking the CQC to tribunal, Pulse has learned.

The CQC threatened to close the Mapperley Park Medical Centre earlier this year, following three years in special measures. But following the practice's appeal to the Health and Social Care first tier tribunal, the CQC agreed to a last-minute reinspection.

After the inspection in July, the CQC upgraded the practice's rating from 'inadequate' to requires improvement', saving the practice from closure.

The CQC declined to provide data the number of times it has been taken to tribunal by a GP practice but confirmed to Pulse it was 'very rare'.

The single-hander GMS practice, run by GP partner Dr Mark Stevens, was first placed in special measures in March 2015 before its registration was suspended for three months in September 2016.

After the service was still found be inadequate after two more inspections the CQC began ‘the process of preventing the provider from operating the service’ in November 2017.

But the report said: ‘The provider appealed against this action to the Health and Social Care first tier tribunal.’

It added that after further inspection in July 2018 ‘and prior to the scheduled tribunal hearing a consent order was made by the tribunal which stated that the hearing… would be vacated and the provider’s appeal was allowed on the agreement of conditions being added to their registration’.

Under the conditions, the practice was asked to hire a practice manager to look after ‘day to day operations’.

The July 2018 inspection found improvements to systems dealing with significant events and to systems relating to safeguarding, resulting in an improved rating of ‘requires improvement’.

However, the inspection also revealed that ‘there was still not an effective system to manage the summarisation of patient records’, with ‘over 150 [patient records] which were recorded as not having been summarised’.

The report said: ‘Although improvements have been made there remains a rating of inadequate for providing a safe service. Therefore, the practice will remain in special measures.’

According to the latest inspection report, the practice will remain in special measures after receiving a rating of ‘inadequate’ for safe service.

The CQC’s chief inspector of general practice Professor Steve Field said that although the CQC had begun ‘the process of cancelling the provider’s registration… it was very positive to see that, on our last inspection, improvements had been made’.

He said: ‘While we have seen improvements at the practice, there is still much work to be done and we feel Dr Mark Stevens, Mapperley Park Medical Practice, needs to retain the support of being in special measures to ensure those improvements are made.’

Dr Stevens said: ‘We are pleased our CQC rating has been upgraded. This is good news for our patients, carers and staff and demonstrates our commitment to delivering high quality care which our communities expect and deserve.’

Readers' comments (16)

  • Penis McT,

    WTAF or more WATF? ;-)

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  • Having worked in Nottingham i'm all too familiar with the concerted political ploy to shut down all single handed practices.In fact most of them have already closed and Dr Stevens'surgery is perhaps one of only 2 or 3 left.This nitpicking is essentially deliberate CQC harrassment to force the GP to become completely fed up and quit.Large federated practices have been let off with alot worse.BTW Dr Stevens is a great doctor,compassionate to his patients and a wonderful human being all qualities that are deeply lacking in our local GP representatives who are all busy feathering their own nests.

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  • congratulations to Dr Stevens for having the strength to stand up to these bullies. We need more GPs like him prepared to work full time and defend traditional general practice. There are thousands of us out in the sticks supporting you...

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  • The CQC normally do not examine patient records so why have they done it in this case?

    As a locum GP I have rarely found a practice with good summaries and never in a Systemone practice so it’s not exactly a level playing field.

    Well done Dr Stevens. keep up the fight!

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  • 150 out of 2000 = 7%.
    92% done!
    Some practices have coded them done when they are not done properly.
    Our practice has just taken on about 2000 patients, and NONE of them have been summarised yet, so our percentage must have just dropped considerably.
    And, to be honest, what's the point of summarising into Vision, which doesn't do it properly anyway,and you'll need to do it again soon...
    Is everyone else fully summarised now?
    If so, why don;t we get nice clear summaries when new patients arrive?
    Like you say, I doubt if Prof Field has summarised any notes recently!

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  • Compare patient satisfaction between Mapperley park and Bellevue practice in Birmingham.,M85124&s=0&w=1&g=0&a=0&e=0&h=0

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