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CQC places The Shehadeh Medical Centre into Special Measures

23 April 2015
The Shehadeh Medical Centre
  • Media

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

The Care Quality Commission has found the quality of care at The Shehadeh Medical Centre in Quebec Road, Tilbury, Essex, to be Inadequate following an inspection carried out in December 2014. A full report of the inspection has been published today.

The practice has a patient population of 4,700. The practice has two male GPs and a female GP and the nursing team consists of a nurse practitioner, two practice nurses and a health care assistant who is also a trained phlebotomist.

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 that there were limited systems in place to monitor the safety and effectiveness of the care and support being provided. 

Patients were not being appropriately monitored to ensure safe and effective prescribing of medicines. The systems in place were not sufficiently robust to identify where patients had failed to attend for blood tests, screenings or medication reviews.

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

  • The practice must ensure that safe prescribing and monitoring of medicines is always carried out.
  • The practice must ensure that risks are identified and appropriately managed. There must be robust systems in place to ensure the timely review of test results,
  • Effective cleaning systems and risks assessments must be undertaken by staff undertaking chaperone duties.
  • The practice must obtain and act in accordance with the patients consent.

CQC is working closely with NHS Thurrock CCG and NHS England to support the practice, which is provided by Dr Emil Shehadeh, while it addresses the issues identified by the inspection.

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 The Shehadeh 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, and that staff were helpful and friendly, we also found that care and treatment was not always delivered in line with best practice.

“We know that Dr Emil Shehadeh 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 media enquiries, call Regional Engagement Officer, Helen Gildersleeve on 0191 233 3379. For media enquiries about the Care Quality Commission, please call the press office on 020 7448 9401 during office hours. Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here (please note: the duty press officer 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 about The Shehadeh Medical Centre.

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.