England’s Chief Inspector of General Practice has rated Manchester GP Practice, Dr Mohammad Khan, as Inadequate, following an inspection by the CQC in November 2016.
Under CQC’s programme of inspections, all of England’s GP practices are given a rating in five key areas: safe, effective, caring, responsive and well-led.
Data showed patient outcomes at this practice were low compared to the national average. Patients were at risk of harm because systems and processes were not in place to keep them safe. In addition, patient outcomes were hard to identify as little or no reference was made to audits or quality improvement.
Alison Holbourn, Deputy Chief Inspector of General Practice at CQC said:
“The patients of Dr Khan’s Practice should be receiving the high quality care which everyone expects. It’s very disappointing they are not. The operation of the practice does not have a clear leadership structure there was insufficient leadership capacity and limited formal governance arrangements.
“There were some serious lapses in safety. The service did not act on safety alerts, potential putting patients at risk. They were unable to provide us with evidence that the clinical team was receiving and acting on MHRA alerts.(medicines and health care products regulatory agency).
“There were poor arrangements in place for managing medicines, including emergency medicines and vaccines, and prescription management systems.
“There was no evidence to demonstrate innovation or service development and there was limited data of any learning and reflective practice.
“It was clear to the inspectors that there was no formal way to monitor staff training. We were unable to determine if staff were being provided with the regular appropriate training they required.
“I do not believe that the practice is likely to resolve its challenges in the short-term, consequently the service will remain in special measures. Another inspection will be conducted within six months, and if there is not enough improvement we will move to close the service by adopting our proposal to vary the provider’s registration to remove this location or cancel the provider’s registration.
A full report of this inspection has been published.
Some of the areas where CQC have told the practice they must improve are:
- The practice must put systems in place to ensure all clinicians are kept up to date with national guidance and safety alerts.
- The service must carry out clinical audits including re-audits to ensure improvements have been achieved.
- Ensure that all prescriptions, patient medical records and electronic data are stored securely.
- Care plans must be developed for patients requiring care and treatment and should be available to all staff involved in providing the care.
Patients registered with the practices being placed into special measures should be aware that a package of support is offered by NHS England and the Royal College of GPs to ensure that there are no immediate risks to patient safety at these GP practices whilst improvements are being made.
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For further information please contact CQC Regional Engagement Manager David Fryer on 07754 438750 or david.fryer@cqc.org.uk.
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