This site is intended for health professionals only

CQC to assess GP practice performance ‘without crossing the threshold’

The CQC is set to pilot a new approach to assessing and monitoring the performance of GP practices remotely, which avoids in-person visits ‘as far as possible’.

Dr Rosie Benneyworth, the CQC’s chief inspector of primary medical services, said in a blog that the approach will be tested with a small number of GP practices and will involve inspection teams digitally accessing clinical records for assessment where needed.

She said this will give the CQC ‘the opportunity to gather evidence from providers without crossing the threshold’, adding: ‘This means that inspection teams will be working as far as is possible without visiting the service.’

The pilot will focus on ‘areas of risk’ and will be limited to practices where the CQC has found breaches in regulation or potential risks to patients, and those that are in special measures, the chief inspector said. 

She added that participation is voluntary and the check is not an inspection, nor will it result in a rating. 

The CQC will contact practices for which it would like to use this approach in the coming weeks.

From September, the CQC will also start its transitional regulatory approach, which does mean a return to some in-person visits, but not to the organisation’s pre-Covid-19 approach in its entirety. Inspections will focus on providers where there are risks to safety and people’s human rights, and evidence that the quality of care needs to improve, the regulator has said. 

The organisation also plans to use more information it holds about individual providers and local health systems to better understand ‘where there are barriers to good care’, Dr Benneyworth said. 

In a separate blog piece, CQC chief executive, Ian Trenholm, said the regulator is developing a new strategy to launch in May 2021, which will reflect new ways of working that have emerged within health and social care during the pandemic. There will be a full public consultation on the strategy in January 2021, he added.

This comes after health secretary Matt Hancock endorsed the emergency changes regulatory bodies, including the CQC, have made during the pandemic in a speech at the Royal College of Physicians last month.

Mr Hancock said the changes had given staff freedom to make decisions, while continuing to protect patient safety. 

He added that ‘the sky didn’t fall in’ after the CQC adopted the Emergency Support Framework in May, which saw the regulator use data and conversations with practices to identify problems and target support where needed, following its decision to pause routine inspections.

He said: ‘On the contrary. The NHS was protected, patient safety was protected, and, crucially, frontline staff felt empowered… so, we cannot, we will not, revert back to before.’

The BMA and RCGP also criticised the CQC in June after it announced it would return to routine inspections in the autumn. They called the decision ‘completely inappropriate’ and pressed for an ‘overhaul’ of the inspection model.