You are here

CQC takes action to cancel the registration of Grimsby GP Practice

26 May 2016
  • Media

The Care Quality Commission (CQC) has taken action to remove the registration of a Grimsby GP, Dr Shambhu Keshri, who was failing to safely care for patients.

Following concerns raised by NHS England, CQC conducted an unannounced comprehensive inspection at the practice (known as the Chelmsford Medical Centre) on 3 March 2016 where a number of serious concerns were identified.

The CQC report demonstrates that Dr Keshri did not have an adequate understanding of the concepts of clinical safety and governance. The practice demonstrated little awareness of incident reporting, serious incidents and safeguarding knowledge was minimal. There was no engagement with multidisciplinary teams. There was no palliative care or safeguarding meetings, and there were ineffective arrangements for dealing with complaints and significant events.

A full report of the inspection has been published on the CQC website at:

Sue McMillan, Deputy Chief Inspector of General Practice said:

“The care we found being provided by Dr Shambhu Keshri, at the Chelmsford Medical Centre, was very poor. At the last inspection, 3 March, the practice was rated as inadequate in all domains – safety, effectiveness, responsiveness, caring and well-led.

“Patients were at risk of harm because resources, systems and processes were not in place to keep them safe. For example, the management of patients medicines, the call and recall of patients, the system for reviewing hospital discharge and clinic letters, supervision and support of staff and the management of safeguarding. The standards of care at the practice were unacceptably low.

“The practice had failed to ensure patient safety, and we were left with no other choice to take urgent action and remove the location from the provider’s registration.”


For further information please contact CQC Regional Communications Manager on 07901 514220 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


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


Since October 2014, any GP practice that is found to be Inadequate on inspection will automatically be placed into special measures, opening the way to a package of support from NHS England. Within six months, CQC will carry out another comprehensive inspection. If the overall rating remains Inadequate, CQC will begin proceedings to cancel its registration, subject to the usual representations process.

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). 


Patients registered with the practices being 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. 


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 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.