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Dagenham practice faces closure if it does not improve says CQC

7 December 2017
Dr Alok Mittal
  • Media,
  • GP and GP out-of-hours services

A Dagenham GP practice, that has 2,700 patients, faces closure if it does not improve, after two Inadequate overall inspection ratings this year from the Care Quality Commission.

Dr Alok Mittal’s practice in Markyate Road was rated Inadequate in all categories: for being safe; effective; caring; responsive and well-led, following the inspection in September 2017. This followed an inspection earlier in 2017 when the practice was place in special measures in a bid to help it improve.

Professor Ursula Gallagher, CQC Deputy Chief Inspector of GP Practices, said:

“It is very disappointing that at our most recent inspection we found insufficient evidence of improvement and we identified further serious concerns at Dr Alok Mittal’s practice."

“Therefore we are taking action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months, if they do not improve.”

Inspectors’ key findings included:

CQC had serious concerns about the overall leadership of the practice and their ability to facilitate and sustain improvement.

Patients were at risk of harm because systems and processes were not implemented in a way to keep them safe.

Evidence showed that care and treatment was not always delivered in line with recognised professional standards and guidelines.

Patient outcomes were hard to identify as little or no reference was made to audits or quality improvement.

Data from the national GP patient survey showed patients rated the practice lower than others for many aspects of care and they had in some cases got worse since our January 2017 inspection.

Areas where the provider must make improvements are:

  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The practice should also:

  • Consider ways to improve bowel and breast cancer screening uptake rates to bring it in line with local and national averages.
  • Consider GP provision for access to a female GP.

You can read the latest inspection report in full on our website.


For further information please contact Ray Cooling, Regional Engagement Manager (London), on 020 7448 9136 or call the press office on 020 7448 9401 during office hours. 

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Last updated:
07 December 2017

Notes to editors

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 and out-of-hours service, 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). 

Providers are required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily.

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.