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Clearly Quite Crass

Short-term boost

This week, Pulse reported that the CQC is set to use information it already holds to carry out remote checks on each GP practice every month to assess its risk to patients. Now, it has to be said this is a pilot. And, at least we can say that – unlike the dreaded full inspections – there is little GP workload involved in preparing for it. They will be using information they already have.

Those are the positives out of the way. The negatives are a lot easier to find. First, the CQC’s ‘intelligent monitoring’ initiative has already used data it already held in order to assess GP practices. And, with the exception of NHS England’s recent letter on face-to-face consultations, it was the biggest error of judgement I can remember by health managers (and there is a lot of competition).

Although it is just a pilot, I can’t be confident that similarly poor judgements will be made on imperfect data – which includes online feedback left by patients about a service and information from other agencies, including Healthwatch and local authorities.

But bigger than this is the tone around this new pilot. There is still talk about ‘high risk’ and ‘low risk’. To adopt a policy that is predicated on GPs being potential risks at a time like this will do nothing for patients’ trust in GPs

At a time when morale is so fragile, couldn’t they treat GPs as adults?

Jaimie Kaffash is editor of Pulse. Follow him on Twitter @jkaffash or email him at


Decorum Est 24 June, 2021 5:56 pm

Why can’t GPs treat themselves as adults and give the whining, I’ll-informed, childish, sychophantic bureau-rats a smack in the ear ho……. or similar….

Patrufini Duffy 24 June, 2021 10:15 pm

What do Rosie Benneyworth, Nikki Kanani and Clare Marx talk about over canapés, looking at death data, workforce morale and the state of humanity on planet Earth. Ah yes, how to distrust UK doctors and nurses, and how to intimidate them towards misery and depression, because they are the wrong doers, liers, short-changers and corrupt narcissists of this covid world. We could all revisit our UCAS form on “why do I want to do medicine”, it might re-align a sense of compassion, protection and heart to all this toxicity.

Andrew Jackson 25 June, 2021 6:22 pm

I look forward to this weeks SOP reminding us to not have affairs with patients and not to hug them even if they want it!

Paul Cundy 5 July, 2021 7:49 pm

Dear All,
Here’s an example of their Intelligent monitoring. They said we were unsafe because we had 1/3rd the national average for advising smoking cessation. We pointed out we had 1/3rd the national average rate of smokers, because of our demographic, affluent, fit, healthy non smoking Wimbledon Village. Ergo, in fact we were almost 100% advising smoking cessation. Did they accept this and modify their opinion? Rhetorical question.
PauL C