You are here

CQC inspectors place a Gillingham GP practice into special measures

10 March 2016
  • Media,
  • GP and GP out-of-hours services

England’s Chief Inspector of General Practice has placed the practice of Dr Bijendra Narayan Singh at Gillingham in Kent into special measures following an inspection by the Care Quality Commission.

The practice of Dr Bijendra Narayan Singh was inspected in November 2015.  A full report of this inspection has been published on the CQC website today.

A specialist team of inspectors rated the service as Inadequate for being safe and well-led, although it was rated Good for being responsive to people’s needs and caring, and Requires Improvement for being effective.

The practice has been given an overall rating of Inadequate.

Under CQC’s programme of inspections led by Professor Steve Field, Chief Inspector of General Practice, all of England’s GP practices are being inspected and given a rating.

Ruth Rankine, Deputy Chief Inspector of General Practice, said:

“In many respects the practice of Dr Bijendra Narayan Singh provides a caring and responsive service to its patients. But it is important that everyone who is registered with the surgery can rely on getting the safe, high quality care which they are entitled to receive from their GP.

“In particular we found the practice of Dr Bijendra Narayan Singh Inadequate for safety and Inadequate for being well led which is why we are placing the practice into special measures, so that it can get the support that it needs.

“After a period of six months we will inspect again to check whether sufficient improvements have been made. If we find that the practice remains inadequate, we will consider taking further action."

Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

There were areas of practice where the provider needs to make improvements:

  • Appropriate recruitment checks had not been undertaken prior to the employment of locum GPs recruited directly by the practice.
  • The practice was unable to demonstrate they were able to respond to a medical emergency, in line with national guidance, before the arrival of an ambulance.
  • Significant issues that threatened the delivery of safe care were not identified or adequately managed.
  • Risks to patients were not consistently assessed and well managed.


For further information, please contact John Scott, Regional Engagement Manager on 077898 75809. Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here. Please note: the press office is unable to advise members of the public on health or social care matters. For general enquiries, please call 03000 61 61.

Last updated:
29 May 2017

Notes to editors

CQC has published a full report about Dr Bijendra Narayan Singh.

Patients registered with practices which are placed into special measures should be aware that the package of support being offered by NHS England and the Royal College of GPs will ensure that there are no immediate risks to patient safety at these GP practices whilst improvements are being made. This does not mean that these practices will close.

To get to the heart of people’s experiences of care, we always ask the following five questions of services.

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?

For every NHS GP practice we will look at the quality of care for the following six population groups: Older people, People with long-term conditions, Families, children and young people, Working age people (including those recently retired and students), People whose circumstances may make them vulnerable, People experiencing poor mental health (including people with dementia).

Since 1 April, providers have been required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily. Further information on the display of CQC ratings.

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.