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CQC rates London Street Surgery, Reading, as Inadequate and places it in special measures

2 October 2015
Dr N Essa & Dr M Harrold
  • Media

The Care Quality Commission has placed the London Street Surgery in Reading into special measures following a comprehensive inspection which has rated it as Inadequate.

The practice will now be able to access support from NHS England and the Royal College of General Practice to help it improve.

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

A full report from the inspection, carried out in August 2015, has been published on the CQC website.

Inspectors found that the practice, registered as Dr N Essa and Dr M Harrold, had no clear leadership structure. There was insufficient leadership capacity and limited formal governance arrangements.

Inspectors found that staff were unclear about how to report incidents, near-misses and concerns. Recording of events was inconsistent and there was no evidence of learning or information sharing with staff.

There was limited evidence of the surgery having systems in place to drive improvements in care. Clinical audits were not always effective, CCG prescribing targets had not been met and some areas of the quality and outcomes framework required improvement.

Patients were however positive about their interactions with practice staff and said they were treated with compassion and dignity.

Ruth Rankine, Deputy Chief Inspector of General Practice said:

“Dr N Essa and Dr M Harrold, from the London Street Surgery, provide general medical services to over 4,400 registered patients. All patients are entitled to expect high quality and consistent care from their GP practice.

“We have found significant areas of concern, which is why we are placing this practice into special measures. This will enable them to receive a package of support to help them improve, from NHS England and the RCGP.

“We will continue to monitor progress and we will inspect again in six months to check whether sufficient improvements have been made. I am hopeful that the practice will do what is required for the sake of their patients, but if we find that services remain inadequate, we will consider taking further action."

Dr Geoff Payne, Medical Director, NHS England said:

“The CQC report for London Street Surgery rates the practice as good for providing a caring service and staff have been commended for their commitment to patient-focused care. However, there are several areas where improvements need to be made in the management of the practice including the administration of meetings, staff capacity, medicines management and sharing and acting upon learning.

“Patient safety is our top priority. Together with South Reading Clinical Commissioning Group, we are supporting the practice to develop and implement action plans so that they can make improvements quickly.

“We encourage patients to continue to support the practice during this time.”


For further information please contact Yetunde Akintewe, CQC Regional Engagement Manager, on 07471 020 659.  For media enquiries, journalists wishing to speak to the press office outside of office hours can find out how to contact the team here.  For general enquiries, please call 03000 61 61 61.

Last updated:
29 May 2017

Notes to editors


CQC has published a full report about London Street Surgery, Reading.

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.