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What does inadequate practice look like? Examples from our GP inspections

  • Organisations we regulate

Our inspections of GP practices have highlighted common features of inadequate practice.

We are sharing these short case studies as part of our role to encourage improvement in patient care.

In each example, we highlight a common case of inadequate practice and explain the negative impact this has on the practice and on people receiving care.

We recommend that all practices look at our guidance for meeting the regulations, our handbook for providers of GP services and key lines of enquiry (KLOEs) to ensure they are meeting the fundamental standards of care.


  • No analysis of significant events
  • Safeguarding protocols not robust and staff not appropriately trained
  • Not screening staff properly when recruiting


  • Little concern for patient's privacy and dignity in reception and waiting areas
  • No lists of people at the end of life or sharing this information with out-of-hours services


  • Poor availability of appointments at times which suit patients
  • Difficult to contact the practice by telephone
  • No same-sex clinicians


  • Absence of vision for the organisation
  • Lack of clarity in roles and responsibilities to run the practice day-to-day
  • Poor visibility of leaders and no whole-practice meetings


Last updated:
29 January 2021