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CQC places Birstall Medical Centre into Special Measures

17 September 2015
  • Media

England’s Chief Inspector of General Practice has placed a Leicestershire GP practice into special measures following an inspection by the Care Quality Commission.

The Care Quality Commission has found the quality of care at Birstall Medical Centre in Leicester, Leicestershire, to be Inadequate following an inspection carried out in May 2015. A full report of the inspection has been published today:

Birstall Medical Centre provides primary medical services to approximately 7,800 patients from two sites, Birstall Medical Centre and Border Drive Surgery, Leicester.

Under CQC’s new programme of inspections, all of England’s GP practices are being given a rating according to whether they are safe, effective, caring, responsive and well led.

Inspectors found the practice' inadequate' for providing safe, caring, responsive and well-led services. It was also inadequate for providing services for Older people, People with long-term conditions; Families, children and young people; Working age people(including those recently retired and students)

The report highlights a number of areas where improvements must be made including:

  • The practice must ensure there is a robust system in place to ensure that the information and documentation required has been obtained before people start working at the practice to ensure they are suitable to work with patients.
  • They must put systems in place to ensure medications and GP’s bags are checked to ensure that drugs are safe and are within the manufacturers expiry dates.
  • Ensure there are formal governance arrangements in place including systems for assessing and monitoring risks and the quality of the service provision.
  • Staff must have appropriate policies and guidance to carry out their roles in a safe and effective manner which are reflective of the requirements of the practice.
  • The practice must follow the complaint policy and that apologies are given where necessary.
  • Ensure that full investigations of serious incidents are undertaken and actions and lessons learned are taken to prevent re-occurrence.
  • These must be a process in place for incoming mail that is robust and clinically safe.
  • Ensure notifications to the Commission and NHS England are made.
  • Undertake an assessment of the risk from Legionella.

The provider must send CQC a report that says what action they are going to take to meet these requirements.

Janet Williamson, Deputy Chief Inspector of General Practice and Dentistry in CQC’s Central region said:

“It is important that the people who are registered with Birstall Medical Centre can rely on getting the high quality care which everyone is entitled to receive from their GP.

"Although the patients we met told us they were treated with dignity and respect, we also found that care and treatment was not always delivered in line with best practice.

“We know that Birstall Medical Centre has acknowledged the areas where action must be taken. We have found significant areas of concern, which is why we are placing the practice into special measures - so opening the way to support from NHS England among others.

“We will continue to monitor this practice and we will inspect again in six months to check whether improvements have been made. I am hopeful that the practice will do what is required for the sake of its patients, but if we find that the service remains inadequate, we will consider taking further action.”


For further information, please contact Jade Quittenton, Regional Engagement Officer on 0191 2333649 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 61.

Last updated:
29 May 2017

Notes to editors


CQC has published a full report at:


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. For further information on the upcoming requirement for providers to prominently display their CQC ratings, please visit:


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.