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  • Valuations for GP premises sustainability loan in Scotland circulated

    Valuations for GP premises sustainability loan in Scotland circulated

    Wednesday, 25 July 2018 14:03
  • Doctors reminded to preserve patient records for UK Infected Blood Inquiry

    Doctors reminded to preserve patient records for UK Infected Blood Inquiry

    Friday, 20 July 2018 14:51
  • NAO gives NHS vanguards a mixed review

    NAO gives NHS vanguards a mixed review

    Monday, 02 July 2018 16:45
  • Scotland to expand international recruitment for doctors and nurses

    Scotland to expand international recruitment for doctors and nurses

    Friday, 22 June 2018 16:07
  • GP trainee round 1 recruitment increases 10%

    GP trainee round 1 recruitment increases 10%

    Tuesday, 19 June 2018 17:53

CQCstateofcare 1October 21 2015

The Care Quality Commission ‘State of Care’ annual report says that over 80% of general practices it has inspected have been rated ‘good’ or outstanding’. However, 6% of GP practices and out-of-hours services were rated as ‘inadequate’ for safety.

The report summarises it inspections of health and social care services for the past year, and includes reports on 976 organisations providing primary medical services. Overall, 3% were rated ‘outstanding’, 82% were rated ‘good’, 11% required improvement, and 4% were rated ‘inadequate’.

Summarising its findings on primary medical services, the CQC said that “while most of the GP practices and GP out-of-hours services that we have rated up to May 31 2015 are providing good care, we have been shocked at the very poor care provided by the 4% of practices that we have rated inadequate.”

In addition, it found:

  • inspections have highlighted a strong link between good leadership and good care
  • practices rated inadequate suffer from poor leadership
  • there have been examples of poor incident reporting and a lack of learning from significant events, as well as evidence of poor medicines management
  • GP practices deliver a better quality of care when sharing learning and providing joined-up care through multi-professional networks
  • GP practices need to review access to medical advice and treatment to ensure they are in line with patients’ needs.

The RCGP pointed out that 85% of general practices have been rated ‘good’ or ‘outstanding’ and 96% of GP services were rated ‘good’ or ‘outstanding’ for caring.

RCGP Chair Dr Maureen Baker said that newspaper headlines “present a very distorted view of what is really going on: that the overwhelming majority of GP practices are doing an excellent job of delivering safe care to the highest possible standards.

“Where practices are struggling to meet quality standards, it is often due to factors beyond their control, such as lack of funding, significant increases in patient consultations and difficulties in trying to recruit sufficient GPs to meet patients’ needs. The biggest threat to patient safety is tired doctors and GPs are worn out as a result of working flat out to manage rocketing patient numbers with ever dwindling resources.

“Every patient has a right to expect high quality and consistent care from their local GP practice, and it is crucial that we urgently address any variations in quality of care. But we should be working to support practices – not beating them with a stick because a GP has not attended a refresher training course on how to resuscitate.”

Dr Baker also criticised the “flawed band ratings” which “severely undermined the confidence of GPs and patients in the CQC inspection system” and said more work still needs to be done to repair that damage. “Rather than creating more red tape and giving GPs bureaucratic hoops to jump through, we need the CQC to focus on the issues that are really important to general practice and work with us to ensure that practices are appropriately resourced – and have sufficient GPs – to do our jobs.”

Links:

CQC announcement

CQC ‘State of Care 2014-15’

RCGP response

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