Primary medical services and integrated care: in detail
Our biggest concern is about safety and safeguarding
On inspecting both GP practices and dental practices, our biggest concern was about safety and safeguarding.
- Almost one in five GP practices did not meet at least one of the standards of safety (although the impact on patients was mostly minor).
- Among dental practices, one in 13 did not meet at least one of the safety and safeguarding standards.
- However, dental practices present a lower risk to patients' safety than other sectors we regulate.
Variation in quality
- GP practices with larger patient lists tended to be deliver higher standards of care.
- GP practices in areas with the highest social deprivation tended to provide a lower quality of care than practices in other areas.
GP out-of-hours services
Most of the out-of-hours services we inspected were safe, effective, caring, responsive and well-led. We found no examples among those we inspected of out-of-hours services offering very poor care.
We also explored a number of themes across services.
- We found wide variation in the delivery of diabetes care and deficiencies in the way people with diabetes are cared for in hospital.
- We've found variation in the quality of dementia care in care homes and hospitals. A person with dementia is likely to experience poor care at some point along their care pathway.
- Our report into children and young people with complex physical health needs and their transition to adult services found the system to be fragmented, confusing and difficult to navigate.