latest health care news

26.12.15

Professional isolation common at ‘inadequate’ GP practices

Professional isolation and failing to share learning are two common factors in general practices rated as “inadequate”, according to the Care Quality Commission (CQC). 

During a recent Health Select Committee evidence session into primary care, Professor Steve Field CBE, chief inspector of general practice at the CQC, said there are a “large number of smaller practices in inner cities that are failing and are inadequate”. 

“We think most of that is due to professional isolation—that they are not connecting with local practices. It is not really the size; it is the fact that they do not learn and share with others. Some of those are very poor,” he said. 

Prof Field noted that in small practices, 10% of those in in special measures do not have any nurses. “There is a direct correlation between inadequate practices – on fewer nurses, fewer sessions – and outstanding practices, which have really good multi-professional care, using nurses and therapists, and a few now are using physician associates and pharmacists. The bigger the practice, the more multi-professional they are,” he said. 

During the session, MPs were told that there is a good picture for the majority of general practice with 85% rated as good or outstanding, with the vast majority providing “safe, effective care”. 

“Only 4% are outstanding…but, at the other end, 4% are inadequate,” said Prof Field. “If you compare that with hospital and social care, it is a good news story for general practice, although the 4% that are inadequate are generally worse than I thought they would be before I started.” 

Dr Chaand Nagpaul, chair of the BMA General Practitioner Committee, British Medical Association, who also gave evidence, said he found it extraordinary how well GPs are managing to continue to provide services in the face of what seems to be an impossible task, where they have seen the “biggest resource reduction compared with any other sector in the NHS and the greatest expansion of volumes of care”. 

He also stated that the CQC process is not measuring like for like. “Practices vary at the moment in funding per head by twofold. You cannot compare two and say one is great and one is not without understanding that.”

Comments

A Moore   06/01/2016 at 19:28

No-one in GP-land needs to be isolated - the issue here is getting people to step outside their comfort zone and take the trouble to interact with others in their CCG area. In management-speak this is called `environmental monitoring` and anyone running or having a senior position in any business needs to take the trouble to pro-actively check outside their bubble to learn, develop and survive. Its` no good complaining you have been scalped by the Indians when you haven`t bothered to look for them coming over the horizon which would have given you time to circle your covered waggons. Likewise it`s no good complaining you are rated inadequate when you haven`t done anything about ensuring you comply with well-publicised standards.

Paul Abbott   18/03/2016 at 20:49

GPs are unhappy for a number of reasons, and they are under a great deal of pressure currently. Their anger at the CQC though is about being regulated for the first time in history. They are throwing their toys out of the pram. Tales abound of practices spending £100,000 and GPs having to employ locums because they have to prepare for inspection. If the practice was working as it should would it be necessary to spend such a large amount of money, or devote such a large amount of time?

Add your comment

 

national health executive tv

more videos >

featured articles

View all News

last word

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad, president of the Association of the British Pharmaceutical Industry (ABPI), sits down with National Health Executive as part of our Last Word Q&A series. Would you talk us throu more > more last word articles >

health service focus

View all News

comment

NHS England dementia director prescribes rugby for mental health and dementia patients

23/09/2019NHS England dementia director prescribes rugby for mental health and dementia patients

Reason to celebrate as NHS says watching rugby can be good for your mental ... more >
Peter Kyle MP: It’s time to say thank you this Public Service Day

21/06/2019Peter Kyle MP: It’s time to say thank you this Public Service Day

Taking time to say thank you is one of the hidden pillars of a society. Bei... more >

interviews

Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

24/10/2019Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

Today, speaking at the Royal College of General Practitioners (RCGP) annual... more >

the scalpel's daily blog

Why social prescribing is the future of healthcare

01/04/2020Why social prescribing is the future of healthcare

Jennifer Jones-Rigby, COO at Health Exchange, a social enterprise seeking to shape the design and development of health and wellbeing services in a way that wil... more >
read more blog posts from 'the scalpel' >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital exemplars who were revealed at the same show 12 months earlier.  Jeremy Hunt also stated that by the end of 2018 – the 70th birthday... read more >