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CQC rate Langford Medical Practice as Inadequate

14 May 2015
Alchester Medical Group
  • Media

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

A specialist team of inspectors has been given the Langford Medical Practice in Nightingale Place, Bicester an overall rating of Inadequate. The practice has been placed into special measures.

Under CQC’s new 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.

Langford Medical Practice was inspected in February by a CQC team which included a CQC lead inspector, a GP specialist adviser, a CQC pharmacist inspector, a specialist in practice management, a specialist in practice nursing and an expert by experience.

A full report of this inspection has been published on the CQC website today.

Ruth Rankine, Deputy Chief Inspector of General Practice said:

“While patients we met spoke well of the care they received and the practice was found to be caring, we also found some significant areas of concern. I do not believe that the practice is likely to resolve its challenges without external support which it can receive through placing it in special measures. With the right support, this practice could improve significantly.

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

Dr Geoff Payne, Medical Director, NHS England, said:

“Although the CQC report rates services at the practice as good for being caring and responsive to people’s needs, there are areas of concern where more effective management is necessary, such as in the administration of records and medicines management. We will continue to work closely with the local Oxfordshire Clinical Commissioning Group and the practice to help ensure an action plan is quickly implemented to improve performance.

“We urge the 9,300 patients registered at Langford Medical Practice to continue to support the GP practice.”

The Care Quality Commission has identified 9 areas for improvement, including:

  • Ensure that adequate recruitment procedures are in place in order to ensure that no person is employed, unless that person is physically and mentally fit for work.
  • Ensure there are procedures in place for dealing with emergencies which are reasonably expected to arise from time to time. This includes a fully completed and up to date business continuity plan.
  • Take action to review the whole regulation where breaches were identified in relation to medicines management that were raised in the previous compliance report of October 2014.


For media enquiries, contact John Scott, Regional Engagement Manager, on 077898 75809 or contact CQC’s press office on 020 7448 9401, during office hours, or, out of hours, on 0778 987 6508. For general enquiries, call 03000 61 61 61.

Last updated:
29 May 2017

Notes to editors

CQC has published a full report on Langford Medical Practice.

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.

This is among the first GP practices to receive a rating following the introduction of our new inspection regime, which features specialist teams including GPs and practice nurses and trained members of the public.

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 requirement for providers to prominently display their 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.