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CQC inspections uncover concerns at Marie Stopes International clinics, so specific pregnancy termination services are being redirected to protect patients

Published:
19 August 2016

The Care Quality Commission (CQC) and NHS England are working with Marie Stopes International to make sure that patients are protected from potential harm when undergoing pregnancy terminations.

Following CQC’s inspections of Marie Stopes International’s services and its corporate headquarters in England, the regulator has raised concerns about the provider’s corporate and clinical governance arrangements and patient safety protocols in specific areas.

CQC has outlined these concerns to Marie Stopes International and in response, Marie Stopes International has:

  • Suspended termination of pregnancy provision for under-18s and vulnerable groups of women.
  • Suspended terminations under general anaesthetic or conscious sedation.
  • Suspended all surgical terminations at their Norwich centre.

While these restrictions respond to the most serious concerns CQC has raised, CQC will continue to monitor the situation very closely and will not hesitate to take regulatory action, if necessary.

CQC requires these restrictions to remain in place until Marie Stopes International has assured the regulator that it has appropriate systems in place to care for all of its patients safely.

Professor Edward Baker, Deputy Chief Inspector of Hospitals at the Care Quality Commission, said: "Given the nature of the concerns we identified on our inspections, it is right that Marie Stopes International has suspended a number of its services.

"At all times, our priority is to ensure that patients get safe, high-quality and compassionate care. We believe that the action taken is appropriate to address our concerns.

"We will continue to monitor these services very closely and we will not hesitate to take further action, if needed.

"We will report fully and publicly on our inspection findings as soon as our regulatory process has concluded and we are able to do so."

In response to the issues identified by CQC and the actions taken by Marie Stopes International, NHS England has activated contingency arrangements to ensure that all patients seeking the services that are currently suspended receive safe and high-quality care.

This will mean diverting around 250 women a week to other providers and it has established a confidential helpline service for those with concerns and questions. This number is 0300 123 1041 (9am to 5pm at the weekends and 9am to 8pm during the week). In Ireland the number to call is 1800 882 677.

Professor Sir Bruce Keogh, NHS England’s National Medical Director, said: "This will be an anxious time for those women affected and we are taking immediate action to ensure everybody involved has access to the appropriate confidential advice and services."

The restrictions from Marie Stopes International will take effect immediately. Patients who have been booked in already for procedures that have now been restricted are being contacted so they receive their care at an alternative provider.

CQC will report on its findings fully once it publishes its inspection reports of the services provided by Marie Stopes International and its corporate headquarters in the autumn.

Furthermore, the Government has informed Marie Stopes International that Ministers will not give approval for further clinics – in accordance with their statutory role – to offer termination services until the CQC are satisfied that their concerns have been fully addressed.

Ends

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For media enquiries about NHS England, please call the press office on 0113 825 0958/0959 during office hours and out-of-hours on 07768 901293.

Please note that the CQC and NHS England press offices are unable to advise members of the public on health or social care matters.

Last updated:
29 May 2017

Notes to editors

  1. CQC inspected Marie Stopes International’s registered locations in England during a series of inspections, as part of CQC’s planned inspection programme. The inspections identified a number of concerns linked to the provider’s governance arrangements. As a result, CQC carried out an unannounced inspection of Marie Stopes International’s corporate headquarters in England last month and of its call centre on last Friday (12 August 2016). CQC expects to publish the inspection reports for all of these in the autumn.
  2. The concerns CQC raised with Marie Stopes International relate to poor governance arrangements which have given rise to specific immediate concerns relating to the lack of assurance in MSI, in areas such as consent and safeguarding and the lack of assurance in relation to training and competence in conscious sedation and general anaesthesia. Regulatory processes prevent CQC from being able to disclose further details at this stage; however, these will be included in full in its inspection reports.
  3. CQC has been inspecting all independent providers of stand-alone termination of pregnancy services as part of its wider inspection programme of independent healthcare services in England. Read our news story about the roll out of these inspections for further information.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.


We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.


We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.