(1) The sentiment of this CQC report could not stop people from relating to a drop( only a drop) of crocodile tears . Every matter has its origin and tail . Every incident has its beginning and ending . Only knowing what is the order and sequence of events , one can learn the ‘true way ‘ .
Remember what CQC previous chief once said three year ago ?,
‘’Professor Steve Field told the Daily Mail that general practice has ‘failed as a profession’ and he was ‘ashamed’ to be a GP because of the poor care he saw in certain practice.’’
Fast forward the clock to today , how do you feel , Professor? Should somebody be more ashamed of himself instead ?
In politics , all you need is a bit of insouciance from the ‘key’ leader and disasters will follow . We have seen this too many times .
(2) CQC was falling into the same slippery slope fallacy and mentality as GMC , that the stronger the regulation and oversight are in place , the health services , especially general practice, will be better . Yes , this is politically correct only when the ‘system’ is fundamentally sound and healthy . Austerity, Health and Social Care Bill , hapless/hopeless government(s) crippled by Brexit fiasco etc , are all background factors contributing to this ‘state’ of GP .
The presumption that ‘the bigger the provider is , the better ; the cheaper , the better ‘ was never an healthy one but only overcompensating a system completely dried out of resources (money , manpower, expertise and time) .
Together with the slippery slope fallacy mentioned above , we have a perfect storm.
(3) Both CQC and GMC are fraught with a superhero complex that their first duty was to protect the public without realising their blind spots of actually killing the chickens before any egg could be laid . As a regulatory body , they have both duties of ensuring the care providers can potentially improve but more importantly, the government is doing all to ensure that these improvements can materialise . This is even more paramount simply because the providers are funded by government in a system called NHS . Blindly protecting the clause ‘ tax-payer money must be used properly’ had , so far , shifted regulator like CQC towards an unconscious (some may argue was conscious) bias . We saw this evidently in their attitude towards general practitioners in NHS , up to now .
We are where we are in this reality ,l.CQC has a decision to make where it should position itself ,against a backdrop of a dysfunctional government? If its primary duty is still to ‘protect’ the public , their ‘regulation’ must start from the ‘top’ NOT from the bottom........